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 completing a repetitive segmental cesarean section

finalizando una cesárea segmentaria iterativa

PacienA 39-year-old patient, previously cesarean section twice, at 38 weeks of gestation, with ultrasound diagnosis and Leopold sign, fetus in transverse position, upper back, fetal heart rate 148 bpm, presented with uterine contractions and cervical changes. She underwent a repeat segmental cesarean section, resulting in a live newborn who was handed over to the pediatrician with an APGAR score of 9 at one minute. The baby had a nuchal cord 

Pacientede 39 años cesareada anterior 2 veces,con38 semanas de gestacioon y diagnostico ecografico y Leopold feto en transversa dorso superior ,latidos fetales 148 RR ,acude por contracciones uterinas y cambios cervicales..Fué sometida a operacion cesarea segmentaria iterativa,obteniendo recien nacido  vivo se entrega al padiatra APGAR 9 al minuto ,trajo circular al cuello.

 "NI HAO"

PHOTO TO REMEMBER - POST-COVID MEETING

FOTO DEL RECUERDO -ENCUENTRO POST COVI

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 TOT (TRANSOBTURATOR) NEEDLES FOR STRESS URINARY INCONTINENCE (SUI)

AGUJAS PARA TOT (TRANSOBTURATRIZ) POR INCONTINENCIA URINARIA AL ESFUERZO (IUE)

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RIGHT OVARIAN CYST

QUISTE DE OVARIO DERECHO

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LEFT BREAST FIBROADENOMA

FIBROADENOMA DE MAMA IZQUIERDA

A 71-year-old patient comes to the Gynecology outpatient clinic, presenting with a 3x2x2 cm mobile tumor in the left breast, in the upper outer quadrant, 4 cm from the nipple, painless.

Paciente de 71 años de edad ,acude a consultorio externo de Ginecologia,por presentar una tumoración en mama izquierda de 3x2x2 cm movil ,en cuadrante supero externo a 4 cmt del pezón,indoloro.

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Handing the newborn over to the neonatologist

Entregando el recien nacido al neonatologo

 

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ECTOPIC PREGNANCY IN THE LIVER

EMBARAZO ECTÓPICO EN HIGADO

Se denomThis term refers to any pregnancy located outside the uterine cavity. The incidence in the general population represents approximately 2% of all pregnancies. It is diagnosed in the first trimester of pregnancy, with the most common gestational age being between 6 and 10 weeks. The most frequent locations are:

1. Tubal

2. Ovarian

3. Abdominal

4. Cornual, Cervical

The most frequent location is tubal, representing more than 95%, with ampullary locations accounting for 75%. Other locations include ovarian, abdominal (as in this case, hepatic, which is very rare), and cervical.

CLASSIC TRIAD

1. Abdominal pain

2. Amenorrhea

3. Vaginal blee 

TRIADA CLÁSICA

DAS

1.-D .- dolor abdominal

2.-A.- amenorrea

3.-S.-sangrado vaginal