Assuntos
Clorpropamida/intoxicação , Adolescente , Glicemia/análise , Clorpropamida/sangue , Coma/etiologia , Ácidos Graxos não Esterificados/sangue , Feminino , Glucagon/uso terapêutico , Glucose/uso terapêutico , Humanos , Hipoglicemia/induzido quimicamente , Hipoglicemia/complicações , Hipoglicemia/tratamento farmacológico , Insulina/sangue , SuicídioRESUMO
A patient is described in whom clinical and laboratory evidence of intravascular coagulation preceded the development of fulminating pre-eclampsia necessitating the delivery of a fresh stillbirth by Caesarean section at 31 weeks.
Assuntos
Coagulação Intravascular Disseminada/complicações , Pré-Eclâmpsia/complicações , Complicações Hematológicas na Gravidez , Adulto , Cesárea , Feminino , Humanos , GravidezRESUMO
This study investigated whether British women prefer to crouch over public toilet seats, and measured the effect of such a voiding position on urine flow rate and residual urine volume. Of 528 consecutive women who attended a general gynaecological clinic and completed an anonymous questionnaire, 85% usually crouched over the toilet when using a public convenience, 12% applied paper to the seat and 2% sat directly on public toilet seats. When using a friend's bathroom 38% of the women voided by crouching. Results were similar for 155 patients attending a urodynamic clinic, 80 of whom were studied while voiding in both positions. There was a 21% reduction in average urine flow rate and a 149% increase in residual urine volume in the crouching position. Women undergoing urodynamic tests should be asked which voiding position they used before abnormal results are interpreted. Patients with a reduced functional bladder capacity may benefit from being encouraged to sit comfortably on the toilet whenever possible.