Search PubMed⌕ Search

Biomedical subjects

D Muram

Publications and source records attributed to D Muram.

At least 73 records · Page 4Linked to original sources
PubMed1986

Labial adhesions in a postpartum patient.

The occurrence of labial adhesions in a patient in the immediate postpartum period is described. The adhesions did not respond to topical estrogen therapy, and sharp separation was required. Factors related to possible etiology as well as management of this condition are discussed.

Administration, Topical↗
PubMed1986

A model clinic approach to the reproductive health concerns of the mentally handicapped.

An interdisciplinary model clinic for the consideration of reproductive health and sexuality concerns in a noninstitutionalized, mentally handicapped population is presented. Common concerns of this population group and their management are discussed. A program for menstrual hygiene control was developed using a combination of hormonal medication and home-based behavior modification training. Group sexuality counseling was provided for both patients and their families to enhance the avoidance of sexual abuse, the understanding of sexual development, and intrafamily communication. An ethics committee, composed of persons within the community, offered advice in questions of contraception and/or sterilization.

Adolescent↗
PubMed1985

Hepatic rupture in preeclampsia: the role of diagnostic imaging.

The diagnosis of hepatic rupture in patients with pregnancy-induced hypertension (preeclampsia and eclampsia) is rarely made preoperatively. Diagnostic imaging can be utilized in some patients to confirm the preoperative diagnosis. Since hematoma formation precedes hepatic rupture, then, when diagnostic modalities such as sonography and computed tomography identify patients with hematomas, these patients are at risk of rupture, and should be hospitalized until the hematomas resolve.

Abdomen↗
PubMed1984

Inheritance of intersex disorders.

Intersex disorders result from abnormalities of the sex chromosomes, gonads, internal and external genitalia, sex hormones and gender role. This article reviews the literature on intersex disorders, outlining the characteristics and mode of inheritance, if known, of each. For appropriate and effective management and counselling of patients and their families, physicians must have a good knowledge of the development of the genital tract and of the interaction between genetic sex and environmental influences.

3-Oxo-5-alpha-Steroid 4-Dehydrogenase↗
PubMed1984

Uterine myomas in pregnancy.

Pregnancy complications occur in many patients who have uterine myomas. Patients in whom the placenta is implanted near a myoma are more likely to be affected. Early pregnancy bleeding, premature rupture of membranes and postpartum hemorrhage are the problems most frequently seen. Sonographic assessment identifies these patients who are at risk and in whom special precautions are advisable.

Abortion, Spontaneous↗
PubMed1982

Low-lying placenta.

Routine ultrasonographic examinations were performed in 255 pregnant women. Most of the patients (95%) had the examination prior to 32 weeks of gestation. In 16 patients (6%) the placenta was identified as low-lying placenta or placenta previa. Of those 16 patients, the placenta was located on the anterior wall in 6, on the posterior wall in 7, and on both the anterior and posterior walls in 3. Ultrasonographic follow-up examination showed conversion to normal position in 10 of those 16 patients (63%). Three of the 7 patients with posterior placentas and all 3 of the patients with placentas located on both posterior and anterior walls failed to demonstrate conversion of the placenta to a normal position. Bleeding complications were also more common in those 2 groups.

Adult↗
PubMed1981

Pyometra.

Pyometra is a potentially lethal disease. Eighteen cases, all but one in postmenopausal women, were diagnosed at the Ottawa General and Ottawa Civic hospitals between 1974 and 1978 inclusive. A review of this series and of the literature demonstrates that a large proportion of cases (72% in this series) are associated with or follow radiotherapy for a malignant disease of the uterus and that anaerobic bacteria are frequently isolated from the uterine cavity (in 56% of the patients in this series). Because pyometra is potentially lethal (one patient in our series died) it should be considered as an abscess and treated promptly and vigorously by evacuation and continued drainage of the uterine cavity. Curettage of the cavity and the endocervical canal after dilatation is essential to rule out associated malignant disease as well as to debride the necrotic tissue. Antibiotics effective against aerobic and anaerobic bacteria should be given to all patients with signs of systemic infection. Once the infection is controlled, the underlying problem can be treated.

Adult↗
PubMed1981

Postradiation ureteral obstruction: a reappraisal.

Thirty-four patients who received radiation therapy for carcinoma of the cervix developed hydronephrosis. Twelve of 34 (35%) had no evidence of pelvic malignancy, and the obstruction was caused by periureteral fibrosis. The incidence of obstructive uropathy due to periureteral fibrosis not associated with recurrent tumor increased when the obstructing lesion was unilateral, the clinical staging of the cervical carcinoma prior to therapy was Stage IB or Stage II rather than Stage III or Stage IV, and the obstructing lesion appeared 2 or more years after the completion of radiation therapy. The appearance of hydronephrosis in association with ipsilateral leg edema, and sciatic pain these patients strongly suggest a recurrent tumor. The diagnosis of periureteral fibrosis should be considered in all patients who develop obstruction of the urinary tract after radiation therapy for carcinoma of the cervix. Laparotomy is indicated if all other methods of investigation fail to confirm the presence of a malignant lesion.

Edema↗
PubMed1980

Myomas of the uterus in pregnancy: ultrasonographic follow-up.

A review was made of the medical records of pregnant patients who had myomas that were documented by ultrasonographic studies. Only 42% of the myomas were diagnosed by physical examination. In most instances the clinical diagnosis was made when the neoplasm was large. However, when the myoma was 3 cm to 5 cm in diameter, the rate of detection on physical examination was only 12.5%. The relationship between the location of the myomas and the placental site emerged as a significant prognostic clue to the outcome of the pregnancy. Ten of 13 patients in whom there was contact between the two presented with complications of pregnancy, mainly antepartum bleeding and premature rupture of membranes. A prospective study is currently in progress.

Adult↗