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  • Emory University School of Medicine, Atlanta

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G Explain how conception occurs buy 100caps geriforte syrup with mastercard herbs chambers, the stages of pregnancy, and the responsibilities of parenting 1. G Explain responsible parenting and prenatal care and parenting, including California’s Safely Surrendered Baby Law. G Describe personal actions that can protect sexual and reproductive health (including one’s ability to deliver a healthy baby in adulthood). Remind students that there are lots of types of families, and ask them to start thinking about what kind of family they might want to have someday. Then turn to the Do Now questions on slide #3, and ask students to write their responses to these questions: What type of family would you like to have Reiterate that there are many different types of families and that some have children and others don’t. People of all genders and sexual orientations can start a pregnancy and possibly become parents. Menstruation, Conception, Pregnancy, & Birth: PowerPoint Presentation 35 minutes Materials • PowerPoint slides #4 – 34(end) • PowerPoint slide notes • Handout: Pregnancy Options • Handout: Preconception Health Activity Use the PowerPoint slides to cover the material in this section. Please refer to the notes in the slides for more information about the topics presented. Here is the breakdown for topics, slide numbers, and approximately how long to spend on each topic. Menstruation & Conception Explain to students that you will now be discussing the menstrual cycle and how a pregnancy begins. Suggested Script: In order to understand how and when pregnancy is possible, we need to first understand menstruation and the menstrual cycle. Now we know that about 2 weeks before the period begins, or halfway through someone’s cycle is when ovulation tends to occur. If a cycle lasts 28 days, the time when someone will be most fertile (likely to get pregnant) is between days 11 16 of the cycle. It will be 7 days sooner in someone with a 21-day cycle, 7 days later in someone with a 35 day cycle. Keep in mind that teens tend to have irregular cycles – for example for a teen they might have 21 days between periods, then 28 days, and then 20 days. It is very common for teens to have irregular cycles; as teens get older their cycles tend to become more regular. Pregnancy Options Explain to students that you will now be reviewing the four options that a female has when becoming pregnant. Suggested Script: In California, if a female becomes pregnant there are options available.

Syndromes

  • Reduce or avoid the use of caffeine, some over-the-counter cold medicines, and other stimulants.
  • Are you vomiting anything that looks like coffee grounds?
  • Hemorrhage
  • Nerve ultrasound
  • ACE inhibitors to lower blood pressure and protect your heart
  • Corticosteroids injected into the area to control obvious swelling or inflammation.

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Occasionally the symptoms with severe attacks of spasm and/or failure of relaxation progress to discount geriforte syrup 100 caps with mastercard herbals names the point where the patient has to undergo of the cardiac sphincter. Patients with System achalasia can develop aspiration pneumonia from re Gastrointestinal system. There is a sensation of the food retrosternal pain which may be relieved by nitrites, with sticking in the lower part of the esophagus. X3a Peptic Differential Diagnosis Pericarditis, pulmonary embolism, angina pectoris, dis secting aneurysm, tertiary esophageal contractions in the Reflux Esophagitis with Peptic elderly, and carcinoma of the esophagus. Site System Retrosternal or epigastric pain, depending on the etiol Gastrointestinal system (esophageal mucosa). Main Features Prevalence: common in young adults and middle age Main Features group, starting in third decade. Sex Ratio: more common Prevalence: common, especially in middle aged and in females, especially in the obese or during pregnancy. Pain Qual Time Pattern: bouts of pain occur often after postural ity: burning retrosternal pain, especially at night if lying changes such as bending over or lying down. Pathology Peptic: Dysfunction of cardiac sphincter results in in Usual Course termittent regurgitation of gastric acid contents into In the majority of patients the symptoms persist intermit lower esophagus when intragastric or intra-abdominal tently for years. Pathology Changes in the lower esophageal mucosa may vary from Summary of Essential Features and Diagnostic the mildest changes with blunting of the rete papillae to Criteria severe hemorrhage inflammation with ulceration and Burning retrosternal pain from esophageal inflammation. The diagnosis is made on the history, esophago scopy, and esophageal motility studies. X3d Differential Diagnosis Monilial esophagitis, herpetic esophagitis, foreign body in wall of esophagus, Crohn’s disease. The pain may take the form of a sharp pain or a dull ache, or a combination of the two (the ini Differential Diagnosis tial lancinating pain being followed by a prolonged pe Also includes entrapment in rectus sheath or operative riod of aching pain). Post-traumatic pain often has continuous ache although the intensity varies from time to time. The sharp pains usually last for several hours, and Code the subsequent dull ache subsides over a couple of days. X1 Post traumatic Page 150 Aggravating Factors Abdominal Cutaneous Nerve Certain movements, involving alternating flexion and extension of the spine. Segmental pain in the abdominal wall due to cutaneous nerve entrapment in its muscular layers, commonly at Signs the outer border of the rectus sheath or by involvement Tenderness of the affected ribs. Site Laboratory Findings Unilateral in the abdomen, usually confined to a single None diagnostic but a chest X-ray, intravenous urogram, dermatome. Main Features Initially there is abdominal wall pain, which is sharp and Complications burning but intermittent. With nerve entrapment in the rectus sheath the pain oc Pathology curs, or is made worse, when the abdominal wall is No histological abnormality identified in ribs.

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There are several types of roundworms that infect the vaccine is a live virus that discount geriforte syrup 100 caps without a prescription herbs pool, when applied, sheep and goats, including Telodorsagia (Ostertagia) actually causes the disease locally. The live vaccine for circumcincta, Haemonchus contortus, soremouth will cause soremouth lesions at a specifc and Trichostrongylus colubriformis. Clinical if it is already present in the herd, as it will introduce signs include anemia (pale mucous membranes), the virus if it is not already there. Lambs and kids become resistant to tapeworms 573-W on Managing Internal Parasitism in Sheep and quickly, so infections are most common in animals Goats. Animals between one and six months to parasitism are young animals, lactating ewes and of age in feedlots or intensive grazing systems does, and those in late gestation or around the time of are at highest risk for coccidiosis. The animals least susceptible to parasites coccidiosis can be controlled by implementing good are mature, dry ewes. There are challenges associated with using which are not susceptible to insecticides. Keds also cause wool discoloration, which producers observe the color of the conjunctiva of the further reduces the value of the feece. Ked bites lower eyelid to determine the level of anemia that an affect the hide quality as well. Parasites common to sheep or goats skin, causing the sheep and goats to itch, which results include lice, keds, and mites. Pour-on treatments are injectable Ivermectin or topical insecticides can help a common form of management for many external affected animals. Respiratory Problems Respiratory infections, or pneumonia, are a common and serious disease in sheep and goats. Clinical signs of pneumonia include fever with a temperature over 104°F, along with a moist, painful cough and dyspnea (diffculty breathing). Anorexia and depression may also be observed in an animal suffering from pneumonia. Because there are different types of pneumonia, it is important to work with a veterinarian to identify the this picture shows a goat with bottle jaw, a symptom of parasitic infection. Making sure advanced cases, the hoof horn becomes under run buildings have adequate ventilation and reducing dust and actually can separate from the hoof wall. Footrot commonly appears on a farm when an Foot Scald / Footrot infected sheep or goat is brought into the herd. Footrot is a bacterial infection prevalent in warm, nodosus bacteria can not live in the environment for moist areas.

Diseases

  • Short stature wormian bones dextrocardia
  • Hutteroth Spranger syndrome
  • Nail patella syndrome
  • Renal agenesis, bilateral
  • Dementia with Lewy bodies
  • Diffuse neonatal hemangiomatosis

References:

  • http://www.diabetologists-abcd.org.uk/JBDS/JBDS_IP_Surgery_Adults_Full.pdf
  • https://www.dhss.delaware.gov/dhss/dph/files/chloroformfaq.pdf
  • https://www-pub.iaea.org/MTCD/Publications/PDF/te_1223_prn.pdf
  • https://www.arvo.org/contentassets/fccd2e9d2b2f4a2aa0e838bef2d6fe24/psb-2017.pdf
  • https://discovery.ucl.ac.uk/id/eprint/1505711/1/Textbook-of-Plastic-and-Reconstructive-Surgery.pdf

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