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1.
Singapore medical journal ; : 58-quiz 66, 2014.
Artigo em Inglês | WPRIM | ID: wpr-274292

RESUMO

The Academy of Medicine (AMS) and Ministry of Health (MOH) have developed the clinical practice guidelines on Assessment and Management of Infertility at Primary Healthcare Level to provide doctors and patients in Singapore with evidence-based treatment for infertility. This article reproduces the introduction and executive summary (with recommendations from the guidelines) from the AMS-MOH clinical practice guidelines on Assessment and Management of Infertility at Primary Healthcare Level, for the information of SMJ readers. Chapters and page numbers mentioned in the reproduced extract refer to the full text of the guidelines, which are available from the Ministry of Health website: http://www.moh.gov.sg/content/moh_web/healthprofessionalsportal/doctors/guidelines/cpg_medical/2013/cpgmed_infertility.html. The recommendations should be used with reference to the full text of the guidelines. Following this article are multiple choice questions based on the full text of the guidelines.


Assuntos
Feminino , Humanos , Masculino , Medicina Baseada em Evidências , Guias como Assunto , Infertilidade , Diagnóstico , Terapêutica , Guias de Prática Clínica como Assunto , Atenção Primária à Saúde , Métodos , Padrões de Referência , Saúde Pública , Padrões de Referência , Singapura
2.
Asian Spine Journal ; : 64-67, 2011.
Artigo em Inglês | WPRIM | ID: wpr-87006

RESUMO

A 14-year-old girl presented with progressive paraparesis and paresthesia of one-year duration. Magnetic resonance imaging revealed a T6 vertebral hemangioma with epidural compression on the spinal cord. Following angiography and embolization, she underwent dorsal laminectomy and excision of the soft tissue component compressing the cord. In the postoperative period she had rapid worsening of lower limb power and imaging demonstrated an epidural haematoma at the operative site. The patient was taken up for urgent re-exploration and evacuation of haematoma. Postoperatively the patient complained of visual failure, headache and had multiple episodes of seizures. An magnetic resonance imaging brain showed characteristic features of posterior reversible encephalopathy syndrome (PRES) and the patient improved gradually after control of hypertension. This is the first documented case of PRES following spinal cord compression in a patient without any known risk factors. We postulate the possible mechanism involved in its pathogenesis.


Assuntos
Adolescente , Humanos , Angiografia , Encéfalo , Cefaleia , Hemangioma , Hematoma , Hipertensão , Laminectomia , Extremidade Inferior , Imageamento por Ressonância Magnética , Paraparesia , Parestesia , Período Pós-Operatório , Fatores de Risco , Convulsões , Medula Espinal , Compressão da Medula Espinal
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