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Vulva : Overview, Anatomy, structure and function - Sentelhealth

 Overview : The vulva is a part of the female reproductive system and is also part of the external genitalia. The vulva consists of labia minora, labia majora, mons pubis, clitoris, vestibular bulb, vulval vestibule, urinary meatus the vaginal opening, hymen, and Bartholin's glands. other parts of the vulva include sebaceous glands, urogenital triangle, and pudendal cleft. Pelvic floor muscles support the structures of the vulva and vulva including the entrance to the vagina. Vulva goes through changes during childhood, puberty, menopause, and post-menopause. Structure: A) Mons pubis: it is present in both sexes and act as a cushion during sexual intercourse and is more pronounced in female. the mons pubis is a soft fatty tissue at the front of the vulva in the pubic region covering the pubic bone. the lower part of the mons pubis is divided by a fissure called pudendal cleft. it separates mons pubis and labia majora, the mons pubis, and labia majora get covered by pubic hair at pu...

Rheumatoid arthritis - causes, symptoms ,diagnosis, treatment and prognosis -Sentelhealth

Overview - Rheumatoid arthritis is an autoimmune disorder that is characterized by inflammation of the joints. Rheumatoid arthritis typically affects smaller joints in the initial stages mainly of the hands and feet. It can affect the neck but spare the other parts of the spine and never affect the sacroiliac joints. Rheumatoid arthritis is more common in females with a female: male ratio of 3:1. It can occur at any age but the peak incidence is in a fourth or fifth decade for females and sixth or eighth decade for males. Rheumatoid arthritis is passed on to the generations(genetic) with males being carriers of the disease in many cases. Untreated cases of rheumatoid arthritis can cause joint erosions and consequent disability of the joint. Quick facts about rheumatoid arthritis - 1) Rheumatoid arthritis has no cure. 2)It significantly decreases life expectancy. 3)The exact cause of rheumatoid arthritis is unknown. 4)Rheumatoid arthritis is a genetic disease. 5)Heart di...

Mesothelioma treatment

mesothelioma treatment mesothelioma can be treated at all stages and there are several treatment options for patients with mesothelioma. though these treatments do not cure the disease but can increase life expectancy and improve the quality of life. combination of surgery, chemotherapy, and radiotherapy is the most common form of mesothelioma treatment. the overall outcome depends on the stage and the type of mesothelioma. mesothelioma treatment by type : 1) pleural mesothelioma: pleural mesothelioma can be treated with 2 surgical options A)Extrapleural pneumectomy: This is a treatment option for early-stage mesothelioma with the most promising results amongst all other surgical options for mesothelioma. hence early diagnosis is a crucial step. this surgery is developed by Dr.David Sugarbaker. SURGERY: 1) Preoprative traetment  chemotherapy with cisplatin and pemetrexed prior to surgery is very effective. combination of these two drugs is more effec...

Perineal care - indications, procedure and significance

Perineal care also called  peri-care or perineal genital care is a procedure involving washing of the perineal area with soap and water or by any commercially prepared peri-wash. The perineal area is prone to infections as it is warm, moist, and not well ventilated. In a normal person, a daily bath is enough to prevent any perineal infections but, in some cases,  perineal care is required for a certain period of time. What are indications of perineal care : 1)Postpartum females with repaired perineal tears. 2)Patients with genitourinary tract infections. 3) Patients recovering from surgeries of the genital region. 4) Patients suffering from incontinence. 5) Patients who are unable to do self-care. Preparation of the patient : Thoroughly wash your hands and medical gloves before you begin the procedure. Explain the procedure to the patient and take the consent before starting the procedure. Tell the patient to separate legs if the patient is unable to do that caregiver will...

Perineal tear - Overview,classification,causes,complications and treatment

A perineal tear is the laceration of skin and other soft tissue of the perineum which is the area separating the vaginal opening and the anus. The perineal tear is the most common form of obstetric injury and occurs as a result of childbirth in women. While minor tears are quite common and require no treatment, gross injury is a result of the mismanaged second stage of the labour and can cause significant bleeding and dysfunction. What is the difference between perineal tear and episiotomy? A perineal tear is different from episiotomy in which the perineum is intentionally incised for ease of delivery. An episiotomy is generally done in the second stage of the labour under local anaesthesia and is done to prevent perineal tear and facilitate easy delivery of the baby whereas, a perineal tear is a result of the overstretched perineum. Your doctor(an obstetrician) should take your consent prior to doing the episiotomy. How are  perineal tears classified? Perineal tears ca...

Spinal stenosis - causes | symptoms | treatment -Sentelhealth

Spinal stenosis - causes | symptoms | treatment  Overview Spinal stenosis is a narrowing of a spinal canal. It is a senile disease occurring most commonly in patients aged 50 years or more, the risk of getting spinal stenosis increases with age, and males are affected more than females. The most common site for spinal stenosis is a lumbar spine affecting nearly 70% of the cases. Osteoarthritis and disc herniation are the most common causes of  spinal stenosis . Symptoms and signs - 1) Worsening of pain on extension of the spine, on examination patient show limited movements of the lumbar spine due to severe pain. Extension of the spine may also produce leg symptoms. 2) Leg symptoms - pain in legs (single or bilateral) after walking for several minutes and relieved on sitting. This phenomenon is called neurogenic claudication. Treatment of spinal stenosis - Early treatment in spinal stenosis help to avoid complication and improve the quality of life of a patien...

Frozen shoulder (Adhesive capsulitis) : Symptoms | Diagnosis | Treatment

Frozen shoulder (Adhesive capsulitis): Symptoms | Diagnosis | Treatment Overview Frozen shoulder also is known as adhesive capsulitis is a common condition in people aged 40 - 65 years and is characterized by stiffness and pain in the shoulder joint. Symptoms typically begin gradually and worsen over time. It is more common in women and people with disorders like diabetes and thyroid. It can occur due to trauma, immobility, or reduced mobility as seen in patients recovering from other medical conditions. However, the exact cause of the disease is not yet clear. Treatment is mainly aimed at reducing pain and stiffness and restoring the function of the joint. Frozen shoulder/Adhesive capsulitis is a self-limiting disease and the usual recovery time is around 2-3 years. What are the symptoms of the frozen shoulder? Pain and stiffness along with the limited range of motion with both active and passive movements are the principal symptoms. However, the disease progresses slo...

Rotator cuff tear - symptoms | Diagnosis | Treatment - Sentelhealth

Rotator cuff tear - symptoms | Diagnosis | Treatment - Sentelhealth Your shoulders do a lot of things that you might take for granted. The shoulder joint is one of the most important joints in the body and has a maximum range of motion. Movements at the shoulder joints are especially important in sports like tennis, baseball, and swimming and to perform such activities the joint has to be very stable and has to be well supported and that is the rotator cuff's function. It is a group of muscles that provides stability and strength to the shoulder joint. Injury or a tear to such a group of muscles can cause a significant effect on the quality of a life. Rotator cuff tear can be caused by acute injuries related to falling on an outstretched hand or pulling on the shoulder. It can also be caused by repetitive overhead activities and lifting. The most commonly affected tendon in rotator cuff tear is the supraspinatus tendon.  Rotator cuff tears can be classified as : 1) Part...

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Erectile dysfunction (ED) - Causes | symptoms | treatment | complications | prevention - Sentelhealth

Erectile dysfunction (ED) - Causes | symptoms | treatment | complications | prevention - Sentelhealth overview - erectile dysfunction is a consistent inability to attain or maintain sufficient rigid penile erection to perform sex. According to a survey in 2018  more than 50% of men aged more than 40 years experience erectile dysfunction . In a normal healthy person, erection is caused by the intact nervous and vascular systems working together in coordination. "A person is called to have erectile dysfunction when he is enabled to attain or maintain an erection for 3 months." However, the basic mechanism of erection is an increase in the inflow of the blood to the penis with a subsequent decrease in the outflow by causing constriction of the veins draining the blood from the penis. Causes of erectile dysfunction - In many cases of erectile dysfunction treating the underlying cause eventually relieve the condition.Therefore, a detailed history of the patien...

Left lower back pain - causes | symptoms | Treatment - Sentelhealth

Left lower back pain - causes | symptoms | Treatment  Overview Lower back pain is a fairly common issue. According to the American chiropractic association, 80% of the population in the U.S. suffers from back pain in their lifetime. when the back pain is isolated to one side it may indicate something minor like a simple muscle spasm/strain which can be relieved by simple medications and rest or an underlying serious condition. The pain in the lower left back can come suddenly or grow slowly over a period of time. It can be a sharp or dull ache type of pain. The pain can radiate from bones, joints, ligaments and internal organs. Causes - The lower back pain isolated to one side can be caused by either one or the combination of the following causes 1)Trauma  Trauma to the muscles, joints, ligaments and bones in the lower back accounts for the most number of cases of  lower left back pain . Muscle strains are the most common cause of  lower left back pai...

Perineal care - indications, procedure and significance

Perineal care also called  peri-care or perineal genital care is a procedure involving washing of the perineal area with soap and water or by any commercially prepared peri-wash. The perineal area is prone to infections as it is warm, moist, and not well ventilated. In a normal person, a daily bath is enough to prevent any perineal infections but, in some cases,  perineal care is required for a certain period of time. What are indications of perineal care : 1)Postpartum females with repaired perineal tears. 2)Patients with genitourinary tract infections. 3) Patients recovering from surgeries of the genital region. 4) Patients suffering from incontinence. 5) Patients who are unable to do self-care. Preparation of the patient : Thoroughly wash your hands and medical gloves before you begin the procedure. Explain the procedure to the patient and take the consent before starting the procedure. Tell the patient to separate legs if the patient is unable to do that caregiver will...