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Intrahepatic Cholestasis of Pregnancy : An Overview & Update
Intrahepatic cholestasis of pregnancy (ICP) is a liver disorder that occurs during pregnancy, characterized by impaired bile flow and elevated levels of bile acids in the bloodstream. The exact cause of ICP is not fully understood, but hormonal changes, genetic predisposition, and environmental factors are believed to play a role. Symptoms typically manifest in the third trimester and include intense itching, especially on the palms of the hands and soles of the feet. It is associated with an increased risk of adverse pregnancy outcomes, such as preterm birth, fetal distress, and stillbirth. Increased levels of bile acids can cause complications for the fetus, including respiratory distress syndrome and meconium staining. Regular monitoring of maternal and fetal well-being is crucial in managing ICP. This may involve frequent liver function tests, bile acid measurements, and fetal movement assessments. Women with ICP may require additional antenatal visits and closer surveillance during pregnancy. It usually resolves spontaneously after delivery, and symptoms improve within a few days or weeks postpartum.
About the Speaker
Dr. Krishi Gowdra
Specialist in Obstrectics & Gynecology, Zulekha Hospital Dubai
Upcoming Case Discussions
Ulcerative Colitis: Treatment and Management review
Respiratory diseases in children, such as asthma, pneumonia, and bronchiolitis, are significant causes of morbidity and mortality worldwide. These conditions often present with symptoms like wheezing, coughing, and difficulty breathing, requiring prompt diagnosis and management. Advances in medical care have improved the treatment outcomes, but disparities in healthcare access still pose challenges. Preventative measures, including vaccination and reducing exposure to environmental pollutants, play a crucial role in mitigating the impact of these diseases. Early intervention and comprehensive care are essential to enhance the quality of life for affected children.
Nutritional Role in Menopause Transition
Nutrition plays a key role during the menopause transition, helping to manage symptoms and support overall health. A diet rich in calcium and vitamin D is essential for maintaining bone density, which often declines during menopause. Incorporating phytoestrogens, found in soy and flaxseeds, may help balance hormone levels and reduce hot flashes. Omega-3 fatty acids from fish or flax seeds can support heart health, as menopause increases cardiovascular risk. A balanced intake of fruits, vegetables, and whole grains helps manage weight and reduces the risk of chronic conditions like diabetes and heart disease during this transition. Proper hydration and limiting caffeine or alcohol can also help manage symptoms such as hot flashes and mood swings.
Minimal Invasive Mitral Valve Replacement
Surgery to repair the mitral valve is a minimally invasive procedure. Between the upper left heart chamber (left atrium) and lower left heart chamber (left ventricle), the mitral valve maintains blood flow in the proper direction. If the patient's mitral valve isn't functioning properly, they need to have it repaired. The surgeon will make one or more tiny incisions in the chest to introduce tiny surgical instruments and cameras if they use a surgical robot to perform the minimally invasive mitral valve replacement. Compared to conventional open-heart surgery, which requires a lengthy incision down the front of the chest, this method is less intrusive.
Chronic Pain: Diagnosis and Management Strategies
The syndrome includes a broad spectrum of chronic pain that lasts longer than three to six months and frequently stems from an injury, illness, or other unidentified cause. An individual's quality of life can be severely compromised by chronic pain, which can result in physical limits, emotional misery, and social isolation. Furthermore, inadequate diagnosis and treatment of chronic pain can exacerbate opioid use disorders and raise the rates of morbidity and death in those who experience it. As a result, medical practitioners need to comprehend chronic pain and use the right treatment plans. Healthcare workers will leave this workshop with a thorough grasp of chronic pain, including how it is evaluated and treated. The many facets of chronic pain are examined by the participants, along with the underlying causes, diagnostic methods, and evidence-based treatments.
Surgical Management of Bone Metastases: Principle and Updates
Surgical management of bone metastases plays a crucial role in improving the quality of life for patients with advanced cancers. The primary goals of surgery are pain relief, stabilization of fractures, and restoration of function. Advances in surgical techniques now emphasize minimally invasive approaches, enhancing recovery times and reducing complications. Recent updates include the use of cementoplasty, advanced fixation methods, and intraoperative imaging to improve precision and outcomes. Multidisciplinary care, including orthopedic surgeons, oncologists, and radiologists, is essential for optimizing treatment strategies based on the patient’s overall health and cancer stage.
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