DOCSLIB.ORG

Vol83-1-2-2015.Pdf

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Vol83-1-2-2015.Pdf Pintura en portada: “Maternidad” Técnica: pastel sobre tela Autor: Andrea Nicolle Galindo Amador Nació en Tegucigalpa el 23 de Octubre 1991 en la actualidad reside en la hermosa ciudad de La Ceiba. Sus padres el Dr. Mauricio Enrique Galindo Garay y la Dra. Leda Yaneth Amador Morales cultivaron su pasión, por la pintura y el dibujo, haciéndola participar desde muy tem- prana edad en concursos a nivel Nacional e Internacional obteniendo más de una vez el primer lugar en muchos de ellos. Actualmente es pasante de Séptimo año de la carrera de Medicina en la Universidad Autónoma de Honduras y su amor por el arte y el ser humano han ido creciendo día a día permitiéndole pintar obras como la que observa- mos en esta revista. Correo Electrónico: [email protected] ISSN 0375-1112 Órgano oficial de difusión y comunicación científica del Colegio Médico de Honduras Fundada en 1930 Vol. 83, Nos. 1-2, pp. 1-94 Enero - Junio 2015 Colegio Médico de Honduras Boulevard Fuerzas Armadas frente a Mall Las Cascadas, Tegucigalpa MDC, Honduras Teléfono. (504) 2269-1834 al 39 www.colegiomedico.hn [email protected] La Revista Médica Hondureña CONSEJO EDITORIAL 2014-2016 es el órgano oficial de difusión y comunicación científica del CUERPO EDITORIAL Colegio Médico de Honduras. Fomenta y apoya la investigación DIRECTOR científica y la educación médica Heriberto Rodríguez Gudiel continua, especialmente del gremio médico nacional. Su publicación EDITOR ADMINISTRATIVO es trimestral, se apega a los requisitos mínimos internacionales Mayra Carolina Ochoa de publicaciones científicas biomédicas y se somete al arbitraje SECRETARIA por pares. La Revista está indizada Maura Carolina Bustillo en LILACS-BIREME, LATINDEX, Biological Abstracts, Index Medicus COMITÉ EDITORIAL Latinoamericano y otras bases de Ana Ligia Chinchilla datos bibliográficas biomédicas, con el título en español abreviado Rosa María Duarte Rev Med Hondur. Está disponible Xenia J. Velásquez en versión electrónica en la página Jackeline Alger del Colegio Médico de Honduras (www.colegiomedico.hn) EDITORES ASOCIADOS y en la Biblioteca Virtual en Salud Martha Cecilia García (www.bvs.hn), cuyo acceso es Odessa Henríquez gratuito y se puede consultar todo el contenido en texto José R. Lizardo completo desde el año 1930. Edna Maradiaga Los manuscritos aceptados para Nicolás Sabillón publicación no deberán haber sido Iván Espinoza Salvado publicados previamente, parcial o totalmente, y para su reproducción COMITÉ ASESOR INTERNACIONAL es necesario contar con la Hebert Stegemann autorización del Consejo Editorial. Hospital Vargas de Caracas, Venezuela REV MED HONDUR, Vol. 83, Nos. 1 y 2, 2015 1 Revista Médica Hondureña (ISSN 0375-1112 versión impresa) (ISSN 1995-7068 versión electrónica) es una publicación trimestral. Impresión por Litografía López S. de R.L., Tegucigalpa MDC, Honduras. © 2009. Todos los derechos reservados. A excepción de propósitos de investigación o estudio privado, crítica o revisión, los contenidos no pueden ser reproducidos por ningún medio impreso ni electrónico sin permiso de la Revista Médica Hondureña. La Dirección de la Revista Médica Hondureña hace los máximos esfuerzos para garantizar la seriedad científica del contenido, la Revista, el Colegio Médico de Honduras y la Casa Editorial no se responsabilizan por errores o consecuencias relacionadas con el uso de la información contenida en esta revista. Las opiniones expresadas en los artículos publicados son responsabilidad de los autores y no necesariamente reflejan los criterios de la Revista o del Colegio Médico de Honduras. Ninguna publicidad comercial publicada conlleva una recomendación o aprobación por parte de la Revista o del Colegio Médico de Honduras. 2 REV MED HONDUR, Vol. 83, Nos. 1 y 2, 2015 CONTENIDO DEL VOLUMEN 83, NÚMEROS 1 Y 2 DE LA REVISTA MÉDICA HONDUREÑA EDITORIAL OBESIDAD Y SOBREPESO: UNA EPIDEMIA MUNDIAL ............................................................................................ 5 Obesity and overweight a worldwide epidemia Rosa María Duarte ARTICULOS ORIGINALES PREVALENCIA DE DISCAPACIDAD Y SUS CARACTERISTICAS EN POBLACIÓN DE 18 A 65 AÑOS DE EDAD, HONDURAS, CENTRO AMÉRICA, 2013-2014 ............................................................................................................ 7 Disability prevalence and characteristics in 18 to 65 years old population in Honduras, Central América, 2013-2014 Sonia Flores, Ana J. Jiménez Dilworth, Wilmer Castellanos Dubón, Jackeline Alger, Lucía Zúñiga, Mauricio Gonzáles, Edna Maradiaga, Manuel Sierra CARACTERÍSTICAS DE COLECISTECTOMÍA LAPAROSCÓPICA AMBULATORIA Y HOSPITALARIA, INSTITUTO HONDUREÑO DE SEGURIDAD SOCIAL, TEGUCIGALPA, HONDURAS, 2012-2013 ......................... 18 Characteristics of outpatient and hospital laparoscopic cholecystectomy, Instituto Hondureño de Seguridad Social, Tegucigalpa, Honduras, 2012-2013. Erika Blanco Raudales, Rafael Sierra, Jackeline Alger ANESTESIA REGIONAL: CASOS COMPLICADOS Y FACTORES ASOCIADOS, HOSPITAL ESCUELA UNIVERSITARIO, TEGUCIGALPA, HONDURAS, 2012-2013. .................................................................................. 23 Regional anesthesia: complicated cases and associated factors, Hospital Escuela Universitario, Tegucigalpa, Honduras, 2012-2013. Ana Rosa Prince, Ramón Amaya, Jackeline Alger, Manuel Sierra. VALIDEZ DEL TAMIZAJE DE AGUDEZA VISUAL REALIZADO POR MAESTROS DE ESCUELAS PRIMARIAS. 29 Validity of visual acuity screening by elementary school teachers Ammi Reyes, José Abraham García, Denis Padgett, Belinda Rivera CARACTERÍSTICAS CLÍNICAS DEL TRAUMA VASCULAR PERIFÉRICO EN PACIENTES ATENDIDOS EN EL HOSPITAL ESCUELA UNIVERSITARIO. HONDURAS .................................................................................. 33 Clinical features of peripheral vascular trauma patients treated at Hospital Escuela Universitario. Honduras. David A. Montoya Reales, Jorge Ochoa CASOS CLÍNICOS TERCER VENTRICULOSTOMÍA COMO TRATAMIENTO ENDOSCÓPICO DE LA HIDROCEFALIA. EXPERIENCIA EN EL HOSPITAL NACIONAL DR. MARIO CATARINO RIVAS ........................................................ 38 Third ventriculostomy as Endoscopic treatment in hydrocephalus. National experience in hospital Dr. Mario Catarino Rivas. José Eduardo Ortega, Ena Isabel Miller, Ángel Velásquez, Alejandro José Ortega, José Ramón Henríquez POLITELIA: PRESENTACIÓN DE UN CASO CLÍNICO, HOSPITAL ESCUELA UNIVERSITARIO ........................... 43 Polythelia. Literature review and case presentation Juan Manuel Espinal- Rodríguez, Juan Manuel Espinal-Madrid, Jessica Erlinda Sabillón-Vallejo, Mercy Bustillo-Fiallos, Seidy Fonseca. ANGIOMIOFIBROBLASTOMA VULVAR. REPORTE DE UN CASO ......................................................................... 46 Angiomyofibroblastoma of the vulva. A case report. Juan Manuel Espinal- Rodríguez, Juan Manuel Espinal-Madrid, Jessica Erlinda Sabillón-Vallejo, Mercy Bustillo-Fiallos, Seidy Fonseca. REV MED HONDUR, Vol. 83, Nos. 1 y 2, 2015 3 Ma. Alejandra Ramos,1 HIPERTIROIDISMO NEONATAL. PRESENTACIÓN DE CASO CLÍNICO. ................................................................ 49 Neonatal hyperthyroidism. Presentation of clinical case. María Alejandra Ramos, Daniel Guifarro, Luis Guifarro. TUMOR BENIGNO DE VULVA EN PACIENTE POSTMENOPÁUSICA ..................................................................... 52 Benign tumor of the vulva in postmenopausal patient Juan Manuel Espinal- Rodríguez, Juan Manuel Espinal-Madrid, Jessica Erlinda Sabillón-Vallejo, Mercy Bustillo-Fiallos, Seidy Fonseca. IMAGEN EN LA PRÁCTICA CLÍNICA CANDIDIASIS MILIAR POR PAÑAL ........................................................................................................................... 55 Diaper miliar candidiasis Gustavo A. Lizardo Castro, Daysi G. Velásquez HEMORRAGIA SUBCONJUNTIVAL EN UN HOMBRE POSOPERADO DE CATARATA .......................................... 56 Subconjunctival Hemorrhage in a Post Man Operated Cataract Jairo Selin Velásquez Flores REVISIÓN BIBLIOGRÁFICA PATOFISIOLOGÍA DE LA PLACA CORONARIA ATEROSCLERÓTICA VULNERABLE Y SÍNDROMES CORONARIOS AGUDOS ........................................................................................................................................... 57 Pathophysiology Of The Vulnerable Atherosclerotic Coronary Plaque And Acute Coronary Syndromes. José Casco Raudales MD PhD, Alexandre C. Zago MD PhD, Márcia F. de Casco RN, Marco A. G. Bortolini MSc, Isabella V. C. Flores ESCLEROSIS MÚLTIPLE: UNA REVISIÓN; EL DESAFÍO EN HONDURAS ............................................................ 66 Multiple Sclerosis: A Review; The Challenge in Honduras Orlando Garner Cruz, Álvaro Donaire, Ana Ramírez Berlioz, Stephanie Wagner, Víctor M. Rivera ARTICULO DE ÉTICA DE LA MUESTRA MÉDICA A LAS GUIAS MÉDICAS ................................................................................................ 74 From medical sample to medicals guidelines José Ranulfo Lizardo Barahona ARTÍCULO DE HISTORIA DE LA MEDICINA HISTORIA DE LA HISTOLOGÍA ................................................................................................................................. 77 History of histology Adoni J. Duarte ARTICULO ESPECIAL TRASTORNO ANOVULATORIO, UN ENFOQUE ACTUALIZADO A LAS NECESIDADES DE LA POBLACIÓN ..... 82 Anovulatory disorder, an approach updated to the needs of the population. Eduardo Núñez, Briana Y. Beltrán, Marco A. López. Maura Carolina Bustillo Urbina ANUNCIOS INSTRUCCIONES PARA AUTORES ACTUALIZADAS 2015 ...................................................................................
Load more

Recommended publications
  • The Cyclist's Vulva
    The Cyclist’s Vulva Dr. Chimsom T. Oleka, MD FACOG Board Certified OBGYN Fellowship Trained Pediatric and Adolescent Gynecologist National Medical Network –USOPC Houston, TX DEPARTMENT NAME DISCLOSURES None [email protected] DEPARTMENT NAME PRONOUNS The use of “female” and “woman” in this talk, as well as in the highlighted studies refer to cis gender females with vulvas DEPARTMENT NAME GOALS To highlight an issue To discuss why this issue matters To inspire future research and exploration To normalize the conversation DEPARTMENT NAME The consensus is that when you first start cycling on your good‐as‐new, unbruised foof, it is going to hurt. After a “breaking‐in” period, the pain‐to‐numbness ratio becomes favourable. As long as you protect against infection, wear padded shorts with a generous layer of chamois cream, no underwear and make regular offerings to the ingrown hair goddess, things are manageable. This is wrong. Hannah Dines British T2 trike rider who competed at the 2016 Summer Paralympics DEPARTMENT NAME MY INTRODUCTION TO CYCLING Childhood Adolescence Adult Life DEPARTMENT NAME THE CYCLIST’S VULVA The Issue Vulva Anatomy Vulva Trauma Prevention DEPARTMENT NAME CYCLING HAS POSITIVE BENEFITS Popular Means of Exercise Has gained popularity among Ideal nonimpact women in the past aerobic exercise decade Increases Lowers all cause cardiorespiratory mortality risks fitness DEPARTMENT NAME Hermans TJN, Wijn RPWF, Winkens B, et al. Urogenital and Sexual complaints in female club cyclists‐a cross‐sectional study. J Sex Med 2016 CYCLING ALSO PREDISPOSES TO VULVAR TRAUMA • Significant decreases in pudendal nerve sensory function in women cyclists • Similar to men, women cyclists suffer from compression injuries that compromise normal function of the main neurovascular bundle of the vulva • Buller et al.
    [Show full text]
  • Female Perineum Doctors Notes Notes/Extra Explanation Please View Our Editing File Before Studying This Lecture to Check for Any Changes
    Color Code Important Female Perineum Doctors Notes Notes/Extra explanation Please view our Editing File before studying this lecture to check for any changes. Objectives At the end of the lecture, the student should be able to describe the: ✓ Boundaries of the perineum. ✓ Division of perineum into two triangles. ✓ Boundaries & Contents of anal & urogenital triangles. ✓ Lower part of Anal canal. ✓ Boundaries & contents of Ischiorectal fossa. ✓ Innervation, Blood supply and lymphatic drainage of perineum. Lecture Outline ‰ Introduction: • The trunk is divided into 4 main cavities: thoracic, abdominal, pelvic, and perineal. (see image 1) • The pelvis has an inlet and an outlet. (see image 2) The lowest part of the pelvic outlet is the perineum. • The perineum is separated from the pelvic cavity superiorly by the pelvic floor. • The pelvic floor or pelvic diaphragm is composed of muscle fibers of the levator ani, the coccygeus muscle, and associated connective tissue. (see image 3) We will talk about them more in the next lecture. Image (1) Image (2) Image (3) Note: this image is seen from ABOVE Perineum (In this lecture the boundaries and relations are important) o Perineum is the region of the body below the pelvic diaphragm (The outlet of the pelvis) o It is a diamond shaped area between the thighs. Boundaries: (these are the external or surface boundaries) Anteriorly Laterally Posteriorly Medial surfaces of Intergluteal folds Mons pubis the thighs or cleft Contents: 1. Lower ends of urethra, vagina & anal canal 2. External genitalia 3. Perineal body & Anococcygeal body Extra (we will now talk about these in the next slides) Perineum Extra explanation: The perineal body is an irregular Perineal body fibromuscular mass.
    [Show full text]
  • MR Imaging of Vaginal Morphology, Paravaginal Attachments and Ligaments
    MR imaging of vaginal morph:ingynious 05/06/15 10:09 Pagina 53 Original article MR imaging of vaginal morphology, paravaginal attachments and ligaments. Normal features VITTORIO PILONI Iniziativa Medica, Diagnostic Imaging Centre, Monselice (Padova), Italy Abstract: Aim: To define the MR appearance of the intact vaginal and paravaginal anatomy. Method: the pelvic MR examinations achieved with external coil of 25 nulliparous women (group A), mean age 31.3 range 28-35 years without pelvic floor dysfunctions, were compared with those of 8 women who had cesarean delivery (group B), mean age 34.1 range 31-40 years, for evidence of (a) vaginal morphology, length and axis inclination; (b) perineal body’s position with respect to the hymen plane; and (c) visibility of paravaginal attachments and lig- aments. Results: in both groups, axial MR images showed that the upper vagina had an horizontal, linear shape in over 91%; the middle vagi- na an H-shape or W-shape in 74% and 26%, respectively; and the lower vagina a U-shape in 82% of cases. Vaginal length, axis inclination and distance of perineal body to the hymen were not significantly different between the two groups (mean ± SD 77.3 ± 3.2 mm vs 74.3 ± 5.2 mm; 70.1 ± 4.8 degrees vs 74.04 ± 1.6 degrees; and +3.2 ± 2.4 mm vs + 2.4 ± 1.8 mm, in group A and B, respectively, P > 0.05). Overall, the lower third vaginal morphology was the less easily identifiable structure (visibility score, 2); the uterosacral ligaments and the parau- rethral ligaments were the most frequently depicted attachments (visibility score, 3 and 4, respectively); the distance of the perineal body to the hymen was the most consistent reference landmark (mean +3 mm, range -2 to + 5 mm, visibility score 4).
    [Show full text]
  • Clinical Pelvic Anatomy
    SECTION ONE • Fundamentals 1 Clinical pelvic anatomy Introduction 1 Anatomical points for obstetric analgesia 3 Obstetric anatomy 1 Gynaecological anatomy 5 The pelvic organs during pregnancy 1 Anatomy of the lower urinary tract 13 the necks of the femora tends to compress the pelvis Introduction from the sides, reducing the transverse diameters of this part of the pelvis (Fig. 1.1). At an intermediate level, opposite A thorough understanding of pelvic anatomy is essential for the third segment of the sacrum, the canal retains a circular clinical practice. Not only does it facilitate an understanding cross-section. With this picture in mind, the ‘average’ of the process of labour, it also allows an appreciation of diameters of the pelvis at brim, cavity, and outlet levels can the mechanisms of sexual function and reproduction, and be readily understood (Table 1.1). establishes a background to the understanding of gynae- The distortions from a circular cross-section, however, cological pathology. Congenital abnormalities are discussed are very modest. If, in circumstances of malnutrition or in Chapter 3. metabolic bone disease, the consolidation of bone is impaired, more gross distortion of the pelvic shape is liable to occur, and labour is likely to involve mechanical difficulty. Obstetric anatomy This is termed cephalopelvic disproportion. The changing cross-sectional shape of the true pelvis at different levels The bony pelvis – transverse oval at the brim and anteroposterior oval at the outlet – usually determines a fundamental feature of The girdle of bones formed by the sacrum and the two labour, i.e. that the ovoid fetal head enters the brim with its innominate bones has several important functions (Fig.
    [Show full text]
  • Skin Damage from Chronic Irritation Or Scratching
    Skin Damage from Chronic Irritation or Scratching Chronic irritation and scratching can cause skin damage to the vulva. Confusingly, this may be called many different things like Eczema, Lichen Simplex Chronicus (LSC), Chronic Dermatitis or Squamous Cell Hyperplasia. Some of these diagnoses require that a biopsy of the vulva has been performed; others are based just on clinical opinion after history and physical examination. Many things can trigger irritation of the vulva. For instance, scratching alone can lead to changes on the vulva that can be seen on physical exam or self-inspection. Often the original event that precipitated irritation and itching is unknown. Sometimes it is a vaginal infection, sometimes it is a contact irritant and sometimes it is a nervous itch. Regardless, the skin becomes irritated and inflamed, therefore beginning the “Scratch-Itch” cycle. Once this cycle is perpetuated, it is difficult for the vulvar skin to heal and the changes persist. When a biopsy is performed, it can greatly assist your practitioner in finding a diagnosis that can lead to successful treatment. Lichen simplex chronicus (LSC) and Squmous Cell Hyperplasia are 2 diagnoses that can be rendered after a skin biopsy. These are essentially similar entities and are defined as abnormal thickening of the skin of the vulva. Two thirds of patients who develop this condition are premenopausal. Moisture, chronic scratching, scrubbing, allergens, and medications may cause variations in the appearance of the lesions. The size of the lesions ranges from small to large, red to white, excoriated to eroded, and most frequently involve certain areas of the vulva like the hood of the clitoris, the labia majora, the interlabial sulcus (space between major and minor lips) outer aspect of the labia minora, and the perineal body (space between anus and vaginal opening).
    [Show full text]
  • Genital Variation
    Genital Variation People’s genitals are as unique as snowflakes! No two are alike... Our bodies, including our genitals, come in a variety of shapes, colors, and sizes. No two are exactly alike. Same bits & pieces, composed differently Did you know all human fetuses start out “female” unless hormones direct them differently? That’s why a fully-formed penis shares many characteristics with a clitoris, including a darker “underskin” and a thin “ridge” or seam” which runs from scrotum to anus. Basically, everyone’s sexual anatomy is arranged to accomplish the same few tasks: to produce steroid hormones for growth and development, to support reproduction, and to create pleasure during sex. Variations in anatomy simply reflect our unique abilities to accomplish these same tasks. Media paints an inaccurate picture The images of genitals shown in ads and in porn are commonly altered—subjected to airbrushing, makeup, fancy camera angles, photo editing and size-distorting techniques. The end result is a socially-constructed aesthetic, one which creates a false perception of conformity and reinforces a sex/gender binary. Real bodies are more interesting, varied, and nuanced. Vulvas, vaginas, & labia AA wide wide range r ofang variablese of existvariables in the look eofxis a vulvat in (the the external look genitalia). of a vulv Thesea include(the theex lengthternal and gwidthenit ofalia). a clitoris These or vagina, include as well as thethe color, leng length,th and rigidityand ofwidth labia. Typically, of a clit thereoris are twoor setsvagina, of labia, asthe labiawell majora as the (outer c labia)olor , andleng labiath, minora and (inner rigidity labia).
    [Show full text]
  • Labial Hypertrophy and Asymmetry
    Labial Hypertrophy and Asymmetry What are labial hypertrophy and labial asymmetry? Labial hypertrophy is an increase in the size of one or both of the “lips” of the vagina, called the labia. Labial hypertrophy can affect the inner labia, known as the labia minora, or the outer labia, called the labia majora. When only one side of the labia is enlarged, the condition is referred to as labial asymmetry. There is no definition of “normal” labia size, but sometimes the labia minora or majora are larger than another persons How is labial hypertrophy or asymmetry or larger on one side. treated? It is important to remember that your body is What causes labial hypertrophy? healthy and normal no matter the size of your Labia come in all different shapes and sizes and all labia. Everyone should practice good hygiene, are completely normal. The reason why some washing their genitalia once per day with mild, people have larger labia than others is unknown. scent-free, color-free, chemical-free soap. If you Sometimes labia have been enlarged since birth, have labial hypertrophy, you may consider but many times a person may first notice an avoiding wearing tight underwear and clothing, increase in size of their labia during puberty. and during your period, you might use chemical- free sanitary pads to prevent irritation or try tampons, menstrual underwear or the menstrual What are the symptoms of labial cup. Over the counter topical mild ointments can hypertrophy? be used to prevent irritation. Usually labial hypertrophy causes no problems or If you have pain that continues, irritation or symptoms.
    [Show full text]
  • Depigmented Plaques on Vulva University of Hawaii, Honolulu (Dr
    PHOTO ROUNDS Somya Abubucker, MD; Bernard Cohen, MD Depigmented plaques on vulva University of Hawaii, Honolulu (Dr. Abubucker); Johns Hopkins University School of Medicine, The distinctive pattern of our young patient’s skin Baltimore, Md (Dr. Cohen) changes made the diagnosis clear. [email protected] DEPARTMENT EDITOR Richard P. Usatine, MD University of Texas Health a mother brought her 8-year-old besides herself. Her mother was concerned at San Antonio daughter to our office for evaluation of vit- that the white spots might spread to the rest The authors reported no potential iligo “down there” (FIGURE). The skin erup- of her daughter’s body, which could affect her conflict of interest relevant to this tion first appeared on her vulva a year earlier socially. article. and was intermittently pruritic. The lesions were initially smaller and red, but had since lightened in color, coalesced, and had begun ● WHAT IS YOUR DIAGNOSIS? to spread to the perianal area. The patient’s mother had received a call from her daugh- ● HOW WOULD YOU TREAT THIS ter’s teacher who observed that her daughter PATIENT? was scratching the area and might be mastur- bating in class. FIGURE The mother reported that 6 months Depigmented plaques earlier, her daughter had experienced bloody spots in her underwear accompanied by dys- in a figure-8 pattern uria. The mother brought her to the emer- gency department, where she was treated with antibiotics for a urinary tract infection. Our physical examination revealed well- circumscribed, symmetric, depigmented, confluent, crinkled, parchment-like plaques with small hemorrhagic erosions on the me- dial labia majora and minora.
    [Show full text]
  • Female Reproductive System
    Female Reproductive System Professor Barry O'Reilly's Website Patients' Leaflets Female Reproductive System 1. The vulva's functions and structures Situated in a woman's pubic region, the vulva is part of the female external genitalia. It is actually a name for a collection of structures, that work as a team to support both urination and sexual reproduction. Veneris/mon publis: The veneris or mon pubis covers the female pubic bone, acting in the role of cushion during intercourse. It is formed like a soft small hill made up of fatty tissue. Labia: The female reproductive system contains two labia: the labia majora and labia minora (major and minor). The minora is contained within the majora which protects it. The function of both labia are to protect the vulva's vestibule. Clitoris: Made up of clitoral glans, the clitoris contains numerous nerve endings, making it extremely sensitive. The clitoral hood, which can be likened to the male foreskin, covers the clitoris. Vestibule: The vestibule is home to the vaginal opening and the urinary meatus, which contains the urethral opening. Introitus: The introitus is the vaginal opening. Mostly this is covered by the hymen, which is a membrane that most females are born with, which ruptures during the woman's first act of sexual intercourse. There are a small number of cases when baby girls are born, who don't have hymens. Bartholin's glands: The greater vestibular glands, also known as the Bartholin's glands are located on the vaginal opening, at the back. On the back part of the vaginal opening is the Bartholin´s glands (greater vestibular glands).
    [Show full text]
  • 1 Anatomy of the Abdominal Wall 1
    Chapter 1 Anatomy of the Abdominal Wall 1 Orhan E. Arslan 1.1 Introduction The abdominal wall encompasses an area of the body boundedsuperiorlybythexiphoidprocessandcostal arch, and inferiorly by the inguinal ligament, pubic bones and the iliac crest. Epigastrium Visualization, palpation, percussion, and ausculta- Right Left tion of the anterolateral abdominal wall may reveal ab- hypochondriac hypochondriac normalities associated with abdominal organs, such as Transpyloric T12 Plane the liver, spleen, stomach, abdominal aorta, pancreas L1 and appendix, as well as thoracic and pelvic organs. L2 Right L3 Left Visible or palpable deformities such as swelling and Subcostal Lumbar (Lateral) Lumbar (Lateral) scars, pain and tenderness may reflect disease process- Plane L4 L5 es in the abdominal cavity or elsewhere. Pleural irrita- Intertuber- Left tion as a result of pleurisy or dislocation of the ribs may cular Iliac (inguinal) Plane result in pain that radiates to the anterior abdomen. Hypogastrium Pain from a diseased abdominal organ may refer to the Right Umbilical Iliac (inguinal) Region anterolateral abdomen and other parts of the body, e.g., cholecystitis produces pain in the shoulder area as well as the right hypochondriac region. The abdominal wall Fig. 1.1. Various regions of the anterior abdominal wall should be suspected as the source of the pain in indi- viduals who exhibit chronic and unremitting pain with minimal or no relationship to gastrointestinal func- the lower border of the first lumbar vertebra. The sub- tion, but which shows variation with changes of pos- costal plane that passes across the costal margins and ture [1]. This is also true when the anterior abdominal the upper border of the third lumbar vertebra may be wall tenderness is unchanged or exacerbated upon con- used instead of the transpyloric plane.
    [Show full text]
  • 26 April 2010 TE Prepublication Page 1 Nomina Generalia General Terms
    26 April 2010 TE PrePublication Page 1 Nomina generalia General terms E1.0.0.0.0.0.1 Modus reproductionis Reproductive mode E1.0.0.0.0.0.2 Reproductio sexualis Sexual reproduction E1.0.0.0.0.0.3 Viviparitas Viviparity E1.0.0.0.0.0.4 Heterogamia Heterogamy E1.0.0.0.0.0.5 Endogamia Endogamy E1.0.0.0.0.0.6 Sequentia reproductionis Reproductive sequence E1.0.0.0.0.0.7 Ovulatio Ovulation E1.0.0.0.0.0.8 Erectio Erection E1.0.0.0.0.0.9 Coitus Coitus; Sexual intercourse E1.0.0.0.0.0.10 Ejaculatio1 Ejaculation E1.0.0.0.0.0.11 Emissio Emission E1.0.0.0.0.0.12 Ejaculatio vera Ejaculation proper E1.0.0.0.0.0.13 Semen Semen; Ejaculate E1.0.0.0.0.0.14 Inseminatio Insemination E1.0.0.0.0.0.15 Fertilisatio Fertilization E1.0.0.0.0.0.16 Fecundatio Fecundation; Impregnation E1.0.0.0.0.0.17 Superfecundatio Superfecundation E1.0.0.0.0.0.18 Superimpregnatio Superimpregnation E1.0.0.0.0.0.19 Superfetatio Superfetation E1.0.0.0.0.0.20 Ontogenesis Ontogeny E1.0.0.0.0.0.21 Ontogenesis praenatalis Prenatal ontogeny E1.0.0.0.0.0.22 Tempus praenatale; Tempus gestationis Prenatal period; Gestation period E1.0.0.0.0.0.23 Vita praenatalis Prenatal life E1.0.0.0.0.0.24 Vita intrauterina Intra-uterine life E1.0.0.0.0.0.25 Embryogenesis2 Embryogenesis; Embryogeny E1.0.0.0.0.0.26 Fetogenesis3 Fetogenesis E1.0.0.0.0.0.27 Tempus natale Birth period E1.0.0.0.0.0.28 Ontogenesis postnatalis Postnatal ontogeny E1.0.0.0.0.0.29 Vita postnatalis Postnatal life E1.0.1.0.0.0.1 Mensurae embryonicae et fetales4 Embryonic and fetal measurements E1.0.1.0.0.0.2 Aetas a fecundatione5 Fertilization
    [Show full text]
  • A Case Report on an Asymptomatic Labial Fusion in a Woman of Reproductive Age Fatema Al-Hubaishi*, Fadheela Al-Najjar and Aysha Salah Al-Medfa
    Case Report iMedPub Journals Gynecology & Obstetrics Case Report 2018 www.imedpub.com Vol.4 No.1:60 ISSN 2471-8165 DOI: 10.21767/2471-8165.1000060 A Case Report on an Asymptomatic Labial Fusion in a Woman of Reproductive Age Fatema Al-Hubaishi*, Fadheela Al-Najjar and Aysha Salah Al-Medfa Department of Obstetrics and Gynecology, Alkindi Specialized Hospital, Zinj, Kingdom of Bahrain *Corresponding author: Fatema Al-Hubaishi, Department of Obstetrics and Gynecology, Alkindi Specialized Hospital, Zinj, Kingdom of Bahrain, Tel: 00 973 39050708; E-mail: [email protected] Rec date: December 04, 2017; Acc date: February 06, 2018; Pub date: February 09, 2018 Citation: Al-Hubaishi F, Al-Najjar F, Al-Medfa AS (2018) A Case Report on an Asymptomatic Labial Fusion in a Woman of Reproductive Age. Gynecol Obstet Case Rep Vol.4:No.1:60. an incidental finding in an asymptomatic reproductive age Abstract woman, it’s management and literature review. Labial adhesions are extremely rare in reproductive age Case Report groups. Only a few cases were described in the literature. A 24-year-old, female presented to the outpatient We report a female patient with an incidental finding of Gynaecology department complaining of fused labia, that she labial adhesions. The patient was a 24-year-old woman, incidentally found while shaving. The patient is asymptomatic; not a known case of any medical illnesses, presented with and is sexually inactive. asymptomatic labial adhesions, incidentally found on shaving. Clinical examination revealed normally She had a history of regular menstrual cycles since developed Labia majora, adhered at the lower part just menarche (at the age of 12 years).
    [Show full text]