Pre-Op Apprehension

Pre-op apprehension, also referred to as preoperative anxiety, describes the psychological distress experienced by patients before undergoing surgery. This emotional state, characterized by fear, worry, and tension, is a common yet often underestimated challenge in surgical care. Addressing pre-op apprehension is essential not only for patient comfort but also for improving surgical outcomes, reducing perioperative

Pre-Menopausal Osteoporosis

Pre-menopausal osteoporosis refers to the loss of bone mineral density (BMD) in women prior to the cessation of menstruation. While osteoporosis is often associated with post-menopausal women, a growing body of evidence highlights its presence in younger females. This condition, though less common, carries significant morbidity due to increased risk of fragility fractures, chronic pain,

Pre-Existing Hypertension During Pregnancy

Pre-existing hypertension during pregnancy, also known as chronic hypertension, refers to elevated blood pressure diagnosed before pregnancy or before 20 weeks of gestation. This condition significantly influences maternal and fetal outcomes and requires vigilant monitoring, targeted therapy, and multidisciplinary care. Classification and Diagnostic Criteria Pre-existing hypertension is classified by the American College of Obstetricians and

Pre-Exertional Prophylaxis of Anginal Pain

Angina pectoris is a clinical manifestation of myocardial ischemia, typically triggered by increased oxygen demand during physical or emotional exertion. The resulting chest discomfort stems from an imbalance between myocardial oxygen supply and demand. Pre-exertional prophylaxis of anginal pain is a cornerstone of ischemic heart disease management, aiming to reduce the frequency and severity of

Posttransfusion Purpura (PTP)

Posttransfusion purpura (PTP) is a rare but potentially life-threatening transfusion reaction characterized by severe thrombocytopenia occurring 5 to 10 days after a transfusion of blood products. This alloimmune disorder predominantly affects previously sensitized individuals and is most commonly associated with antibodies against human platelet antigen-1a (HPA-1a). The sudden and profound drop in platelet count places

Postsurgical Vaginal Cuff Anaerobic Infections

Postsurgical vaginal cuff anaerobic infections represent a significant complication following gynecologic surgeries, especially total hysterectomy. These infections are primarily polymicrobial, with anaerobic bacteria such as Bacteroides fragilis, Peptostreptococcus, and Prevotella species playing a prominent role. Prompt recognition and aggressive management are imperative to prevent morbidity and long-term sequelae, including abscess formation, pelvic cellulitis, and peritonitis.

Postsurgical Hemorrhage

Postsurgical hemorrhage refers to excessive bleeding after a surgical procedure, which can occur due to various causes. It is a major complication that requires prompt identification and management to prevent life-threatening consequences. Whether occurring immediately after surgery or in the days that follow, controlling postsurgical hemorrhage is essential for optimizing patient recovery and reducing morbidity

Postpartum Hemorrhage

Postpartum hemorrhage (PPH) is a major obstetric emergency and the leading cause of maternal mortality worldwide. Defined as blood loss of ≥500 mL after vaginal delivery or ≥1000 mL after cesarean section, PPH requires swift identification and intervention. Its effective management is central to safe childbirth practices and maternal health preservation. Classification of Postpartum Hemorrhage

Postpartum Endomyometritis Due to Streptococcus

Postpartum endomyometritis is a severe uterine infection occurring after childbirth, often associated with ascending bacterial contamination. Among the pathogenic organisms responsible, Streptococcus species, particularly Group A Streptococcus (Streptococcus pyogenes) and Group B Streptococcus (Streptococcus agalactiae), are significant contributors to postpartum morbidity and mortality. Understanding the pathophysiology, clinical presentation, and evidence-based treatment protocols is essential for

Postpartum Endomyometritis Due to Prevotella

Postpartum endomyometritis caused by Prevotella species is a severe obstetric infection characterized by inflammation of the endometrium and myometrium. These gram-negative anaerobic bacilli are increasingly implicated in polymicrobial uterine infections, particularly following cesarean deliveries or complicated vaginal births. Their role in pelvic infections is significant due to their virulence, resistance patterns, and potential for rapid