Hyperreactio luteinalis differentiated from severe ovarian hyperstimulation syndrome in a spontaneously conceived pregnancy

Article Abstract:

Hyperreactio luteinalis may not require surgical intervention. In this rare condition of pregnancy, the ovaries enlarge, form cysts, and sometimes induce fluid imbalances. Hyperreactio luteinalis is usually treated surgically, but a similar condition, hyperstimulation syndrome, which results from overstimulating the ovaries of patients having infertility treatments, is treated conservatively with symptom management. In this case, 10 weeks into a spontaneous pregnancy, a woman developed hyperreactio luteinalis. She was hospitalized and treated and her symptoms and the ovarian cysts resolved gradually.

Author: Martin, Mary C., Laros, Russell K., Foulk, Russell A., Jerkins, Gregory L.
Care and treatment, Case studies, Pregnancy, Complications of, Pregnancy complications, Genital diseases, Female, Female genital diseases

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Umbilical cord blood acid-base state: what is normal?

Article Abstract:

Normal, vigorous newborns may exhibit a large range of blood acid-base levels. Researchers obtained umbilical cord blood acid-base values and blood gases from 16,000 newborns. Most (94%) were vigorous newborns, defined as those with Apgar scores of seven or higher five minutes after birth. The average blood pH for vigorous newborns was 7.26. Acid-base values that are more than two standard deviations away from this average represent abnormal values. Normal acid-base values range from 2.5 to 97.5th percentiles. Abnormal acid-base values in a newborn can lead to neurologic impairment.

Author: Parer, Julian T., Laros, Russell K., Kilpatrick, Sarah J., Helwig, Jane T.
Analysis, Measurement, Physiological aspects, Infants (Newborn), Newborn infants, Fetal blood, Acid-base imbalances, Acid-base imbalance

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Presidential address: Medical-legal issues in obstetrics and gynecology

Article Abstract:

The element of California's Medical Injury Compensation Reform Act (MICRA) and its effects on the cost of medical malpractice in California is discussed. The anatomy and pathophysiology of a medical-legal claim, and the characteristics of excellent expert witnesses are illustrated.

Author: Laros, Russell K.
Legal issues & crime, Government regulation (cont), Government regulation, California, Legal/Government Regulation, Laws, regulations and rules, Medical personnel, Medical malpractice, Obstetrics

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