By Carlos Rotellar
A short, transparent, functional, and funny method of acute renal insufficiency.
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Additional info for Acute renal insufficiency made ridiculously simple
CIS is found preferentially in men with a history of infertility, cryptorchidism, testicular tumor, and in atrophic testis (16). Colour Doppler ultrasound of the scrotum can detect a varicocele in around 20% to 30% of infertile males (17). This part of the investigation should also be performed in a standing position. Accepted ultrasound criteria for the diagnosis of a varicocele is a venous diameter >3 mm with or without Valsalva maneuver, an increase of venous diameter during Valsalva maneuver, and venous blood flow reversal (reflux) for >2 seconds.
Klinefelter’s syndrome. Lancet 2004;364(9430):273–283. 10. Krausz C, Giachini C. Genetic risk factors in male infertility. Arch Androl 2007; 53(3):125–133. 11. Lipshultz LI, Lamb DJ. Risk of transmission of genetic diseases by assisted reproduction. Nat Clin Pract Urol 2007; 4(9):460–461. 12. Skakkebaek NE, Rajpert-De Meyts E, Main KM. Testicular dysgenesis syndrome: an increasingly common development disorder with environmental aspects. Hum Reprod 2001; 16:972–978. 13. Oyen RH. Scrotal ultrasound.
Other rare causes are infections such as genital TB and schistosomiasis. Diagnosis is usually via hysteroscopy. Treatment of the condition is difficult and may involve hysteroscopic resection of the adhesions. However, adhesions can re-form, so estrogen can be used to encourage endometrial regeneration the female factor and a coil can be placed in the uterine cavity in the postoperative phase to help prevent apposition of the uterine walls (24). Recurrent Miscarriage Recurrent miscarriage is defined as the loss of three or more consecutive pregnancies and affects 1% of all women (25).