regular backup

assets/ASCCP_Management_Guidelines_August_2014_1730369900999_0.edn

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+{:highlights [], :extra {:page 5}}

pages/ASCCP Management Guidelines.md

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+- ![ASCCP Management Guidelines_August 2014.pdf](../assets/ASCCP_Management_Guidelines_August_2014_1730369900999_0.pdf)

pages/Breast Cancer.md

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+- alias::
+  ICD-11_Code::
+- ## Etiology
+  background-color:: blue
+	- ### Causative Agents
+	- ### Risk Factors
+- ## Epidemiology
+  background-color:: blue
+	- ### Incidence
+	- ### Prevalence
+		- ### Demographics
+	- ### Geographic Distribution
+- ## Pathophysiology
+  background-color:: blue
+	- ### Mechanism of Disease
+	- ### Affected Systems/Organs
+- ## Clinical Features
+  background-color:: blue
+	- ### Signs and Symptoms
+		- #### Symptoms
+		- #### Signs
+	- ### Stages or Classification
+	- ### Diagnostic Criteria
+- ## Diagnosis
+  background-color:: blue
+	- ### Clinical Diagnosis
+	- ### Laboratory Tests
+	- ### Imaging Studies
+	- ### Differential Diagnosis
+- ## Management and Treatment
+  background-color:: blue
+	- ### Medical Treatment
+	- ### Surgical Options
+	- ### Lifestyle and Dietary Recommendations
+- ## Prognosis
+  background-color:: blue
+	- ### Expected Course
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Survival Rates
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Quality of Life Considerations
+- ## Complications
+  background-color:: blue
+	- ### Possible Complications
+	- ### Long-term Effects
+- ## Prevention
+  background-color:: blue
+	- ### Health Education
+	- ### Community Approach
+	- ### Screening Programs
+	  source:: ACOG
+		- Begin at age 40 ending at age 75
+		  exception:: start early if risk factors
+			- Annual Breast Exam : Annual Mammogram
+	- ### Lifestyle Modifications
+- ## Patient Education and Support
+  background-color:: blue
+	- ### Educational Resources
+	- ### Support Groups
+	- ### Counseling Options
+- ## Recent Research and Developments
+  background-color:: blue
+	- ### Ongoing Clinical Trials
+	- ### Recent Advances
+- ## Key Literature
+  background-color:: blue
+- ## Guidelines and Protocols
+  background-color:: blue

pages/Cancers in Gynaecology.md

@@ -0,0 +1,5 @@
+- [[Cervical Carcinoma]]
+- [[Breast Cancer]]
+- Refer to [[PCP]]
+	- [[Colon Cancer]]
+	- [[Lung Cancer]]

pages/Cervical Carcinoma.md

@@ -49,6 +49,7 @@ tags:: #prof-ospe-specimen
 		- Uraemia
 		- Hydronephrosis due to ureteric obstruction
 - # Preventive Measures  #gynobs-prof-ospe
-	- Screening
+	- ## Screening
+		- refer to [[ASCCP Management Guidelines]]
 	- HPV vaccination
 	- Avoidance of risk factors

pages/Colon Cancer.md

@@ -0,0 +1,71 @@
+- alias::
+  ICD-11_Code::
+- ## Etiology
+  background-color:: blue
+	- ### Causative Agents
+	- ### Risk Factors
+- ## Epidemiology
+  background-color:: blue
+	- ### Incidence
+	- ### Prevalence
+		- ### Demographics
+	- ### Geographic Distribution
+- ## Pathophysiology
+  background-color:: blue
+	- ### Mechanism of Disease
+	- ### Affected Systems/Organs
+- ## Clinical Features
+  background-color:: blue
+	- ### Signs and Symptoms
+		- #### Symptoms
+		- #### Signs
+	- ### Stages or Classification
+	- ### Diagnostic Criteria
+- ## Diagnosis
+  background-color:: blue
+	- ### Clinical Diagnosis
+	- ### Laboratory Tests
+	- ### Imaging Studies
+	- ### Differential Diagnosis
+- ## Management and Treatment
+  background-color:: blue
+	- ### Medical Treatment
+	- ### Surgical Options
+	- ### Lifestyle and Dietary Recommendations
+- ## Prognosis
+  background-color:: blue
+	- ### Expected Course
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Survival Rates
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Quality of Life Considerations
+- ## Complications
+  background-color:: blue
+	- ### Possible Complications
+	- ### Long-term Effects
+- ## Prevention
+  background-color:: blue
+	- ### Health Education
+	- ### Community Approach
+	- ### Screening Programs
+		- Begin at age : 50
+		  exception:: if 1st degree relative with colon cancer, then begin 10 years prior to the youngest known diagnosis in the family or age 40 whichever is earlier
+		- Colonoscopy
+		- [[FOBT]]
+		- FIT
+	- ### Lifestyle Modifications
+- ## Patient Education and Support
+  background-color:: blue
+	- ### Educational Resources
+	- ### Support Groups
+	- ### Counseling Options
+- ## Recent Research and Developments
+  background-color:: blue
+	- ### Ongoing Clinical Trials
+	- ### Recent Advances
+- ## Key Literature
+  background-color:: blue
+- ## Guidelines and Protocols
+  background-color:: blue

pages/Fecal Occult Blood Test.md

@@ -0,0 +1 @@
+alias:: FOBT

pages/Gynaecology & Obsetrics.md

@@ -16,4 +16,18 @@
 	- [[PROM]]
 - Councelling
 	- [[Counseling for Tubal Ligation]]
-	-
+- types of bleeding
+	- | **Condition** | **Nature of Bleeding** | **Timing** | **Color/Consistency** | **Volume** | **Associated Symptoms** |
+	  | Ectopic Pregnancy | Vaginal bleeding, often light spotting | Usually early pregnancy | Dark brown or light red | Variable, often light | Abdominal pain, shoulder pain |
+	  | Placenta Previa | Painless, bright red bleeding | Third trimester | Bright red | Variable, often heavy | Often none unless labor starts |
+	  | Placental Abruption | Painful bleeding with uterine contractions | Third trimester | Dark red | Moderate to heavy | Abdominal pain, uterine tenderness |
+	  | Miscarriage (Spontaneous Abortion) | Vaginal bleeding with clots | Early pregnancy | Bright red to dark | Variable | Cramping, lower back pain |
+	  | Missed Abortion | No or minimal vaginal bleeding; fetus has no heartbeat | Early pregnancy | Brownish, minimal spotting | Light | Absence of fetal growth, no symptoms |
+	  | Septic Abortion | Foul-smelling vaginal bleeding | Early pregnancy | Brownish to dark, foul odor | Variable, often moderate | Fever, chills, lower abdominal pain |
+	  | Molar Pregnancy | Intermittent or continuous bleeding | First or second trimester | Brownish, “prune juice” | Variable | Excessive nausea, large uterus size |
+	  | Postpartum Hemorrhage (PPH) | Heavy bleeding following childbirth | Immediately postpartum | Bright red | Significant | Weakness, shock if severe |
+	  | Dysfunctional Uterine Bleeding (DUB) | Irregular bleeding, not linked to menstruation | Variable | Dark red or brown | Light to heavy | None or mild pelvic discomfort |
+	  | Cervical Cancer | Irregular, often post-coital bleeding | Variable | Pink, brown, or blood-streaked | Variable, light to moderate | Foul-smelling discharge, pain during intercourse |
+	  | Endometriosis | Cyclic or chronic bleeding linked with menstrual cycle | Around menstruation | Dark, brown, sometimes clots | Light to moderate | Severe dysmenorrhea, pelvic pain |
+	  | Fibroids | Heavy menstrual bleeding or intermenstrual bleeding | Menstrual period or anytime | Bright red or dark | Light to heavy | Pelvic pain, pressure symptoms |
+	  | Polycystic Ovary Syndrome (PCOS) | Irregular or infrequent menstrual bleeding | Variable, irregular | Bright red | Light to moderate | Weight gain, acne, hirsutism |

pages/Gynaecology.md

@@ -1,4 +1,15 @@
 - [[Mentruation]]
 - [[Fibroid Uterus]]
 - [[Abnormal Uterine Bleeding]]
--
+- [[Cancers in Gynaecology]]
+- [[Vaccinations in Gyanaecology]]
+- SOE
+	- LATER 1
+	- LATER 2
+	- LATER 3
+	- LATER 4
+	- LATER 6
+	- LATER 7
+	- LATER 8
+	- LATER 9
+	- LATER 10

pages/Homines.md

@@ -62,6 +62,8 @@
 		- The alteration of motion is ever proportional to the unbalanced force impressed; and is made in the direction of the right line in which that force is impressed.
 	- `Actioni contrariam semper et æqualem esse reactionem: sive corporum duorum actiones in se mutuo semper esse æquales et in partes contrarias dirigi.`
 		- To every action there is always opposed an equal reaction; or the mutual actions of two bodies upon each other are always equal, and directed to contrary parts.
+- Sir William Osler
+	- `Ask not what disease the person has, but rather what person the disease has.`
 - Thomas Sowell
 	- American Economist
 	- `There are no solutions; there are only trade-offs`

pages/Library.md

@@ -17,4 +17,7 @@
 		- [[The Developing Human Clinically Oriented Embryology]]
 	- [[Anatomy]]
 		- [[Moore's Essential Clinical Anatomy]]
-		-
+		-
+- Protocols
+	- [[ASCCP Management Guidelines]]
+-

pages/Lung Cancer.md

@@ -0,0 +1,67 @@
+- alias::
+  ICD-11_Code::
+- ## Etiology
+  background-color:: blue
+	- ### Causative Agents
+	- ### Risk Factors
+- ## Epidemiology
+  background-color:: blue
+	- ### Incidence
+	- ### Prevalence
+		- ### Demographics
+	- ### Geographic Distribution
+- ## Pathophysiology
+  background-color:: blue
+	- ### Mechanism of Disease
+	- ### Affected Systems/Organs
+- ## Clinical Features
+  background-color:: blue
+	- ### Signs and Symptoms
+		- #### Symptoms
+		- #### Signs
+	- ### Stages or Classification
+	- ### Diagnostic Criteria
+- ## Diagnosis
+  background-color:: blue
+	- ### Clinical Diagnosis
+	- ### Laboratory Tests
+	- ### Imaging Studies
+	- ### Differential Diagnosis
+- ## Management and Treatment
+  background-color:: blue
+	- ### Medical Treatment
+	- ### Surgical Options
+	- ### Lifestyle and Dietary Recommendations
+- ## Prognosis
+  background-color:: blue
+	- ### Expected Course
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Survival Rates
+		- #### With Treatment
+		- #### Without Treatment
+	- ### Quality of Life Considerations
+- ## Complications
+  background-color:: blue
+	- ### Possible Complications
+	- ### Long-term Effects
+- ## Prevention
+  background-color:: blue
+	- ### Health Education
+	- ### Community Approach
+	- ### Screening Programs
+		- age : 55-80 with 30 pack-year, annual low-dose CT
+	- ### Lifestyle Modifications
+- ## Patient Education and Support
+  background-color:: blue
+	- ### Educational Resources
+	- ### Support Groups
+	- ### Counseling Options
+- ## Recent Research and Developments
+  background-color:: blue
+	- ### Ongoing Clinical Trials
+	- ### Recent Advances
+- ## Key Literature
+  background-color:: blue
+- ## Guidelines and Protocols
+  background-color:: blue

pages/Primary Care Physician.md

@@ -0,0 +1 @@
+alias:: PCP

pages/Stages of Labor.md

@@ -2,10 +2,11 @@ tags:: #obspw #obspc
 
 - # Stage One of Labor
   definition:: Closed to ((6711ec53-8dd0-47dc-811d-012d2c2ec744))
-  duration-Primigarvida:: 12 hours
-  duration-Multigravida:: 6 hours
+  duration-primigarvida:: 12 hours
+  duration-multigravida:: 6 hours
   start-event:: onset of true labor pain
   end-event:: ((6711ec53-8dd0-47dc-811d-012d2c2ec744))
+  id:: 6711ec95-ab78-44a9-97ff-cb303010369c
 	- ((6711eafd-a950-4149-8d0b-d4c8828ef836)) and ((6711ec53-8dd0-47dc-811d-012d2c2ec744))
 	- ### Latent Stage One of Labor
 	  definition:: Closed to 3-4 cm dilated

pages/Vaccinations in Gyanaecology.md

@@ -0,0 +1,8 @@
+- HPV: 3 dose series age 12-26
+- Influenza: annual
+- Pneumovax: 1 dose and 1 booster any age if risk factors. After age 65 if no risk factors
+- Shingles: 2 dose age 50+
+- Hep B: initial vaccination in youth, vaccination for anyone non-immune
+- MMR: if not immune
+- Varicella: if not immune
+- Tdap: Booster at 10yrs, new parents

pages/hls__ASCCP_Management_Guidelines_August_2014_1730369900999_0.md

@@ -0,0 +1,2 @@
+file:: [ASCCP_Management_Guidelines_August_2014_1730369900999_0.pdf](../assets/ASCCP_Management_Guidelines_August_2014_1730369900999_0.pdf)
+file-path:: ../assets/ASCCP_Management_Guidelines_August_2014_1730369900999_0.pdf