Treatment | Description | |
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Advanced Early pregnancy (12 weeks) ultrasound |
The purpose of the Advanced Early pregnancy scan is:
To check the site of the pregnancy sac (Is the pregnancy inside the uterus?)
To check for viability of the fetus (Is my baby’s heart beating?)
To calculate fetal heart rate (How many beats per minute is the baby’s heart beating?)
To check the baby’s growth by measuring the crown-rump-length (To determine accurate dates)
To calculate the baby’s due date (What date is my baby due?)
To count number of babies (Could I be expecting twins?)
To identify and examine some of the main organs in the fetus (such as brain, face, heart, stomach, umbilical cord, bladder, arms and legs). The normality of these organs cannot be fully determined in the first trimester – however, if an obvious abnormality is identified you will be referred on to a fetal medicine specialist)
To assess the amniotic fluid volume, placenta and umbilical cord vessels.
To examine for obvious uterine and ovarian pathology Please note that this scan: Is not the Nuchal Translucency / first trimester screening / Down Syndrome scan Cannot exclude all chromosomal or anatomical abnormalities Cannot assess placental location or function as it is too early
When to have an Advanced Early Pregnancy Scan?
The Advanced Early Pregnancy Scan is carried out between 12 weeks 0 days – 13 weeks 6 days. Many couples decide to announce their pregnancy after 12 weeks scan as they have gained some reassurance about the well-being of their baby. Pictures and a video clip provided from the scan can of course add to the special announcement.
How to prepare for an Advanced Early Pregnancy Scan?
Please make sure that your bladder is moderately full for this scan. You don’t need to purposely drink water before your scan. Just try not to empty it for an hour before your appointment.
What to expect from an Advanced Early Pregnancy Scan
You will lie back while the sonographer puts a bit of gel on your abdomen and then move a transducer over your tummy. You will be able to see the scan on a big screen television in front of you so that you can see what the sonographer sees. As with the Early Pregnancy Scan, there is a small chance that a transvaginal scan may need to be performed in order to get a better picture of the baby and to examine some of the very small structures.
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Neoplasm, major excision and repair with tendon grafts and flaps |
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Fracture of medial and lateral malleolus - open reduction and internal fixation of |
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Colposcopy and biopsy including Lletz procedure and/or laser therapy |
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Tonsils and/or adenoids (over aged 12 and adults) |
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Bronchoscopy with combined bronchial and/or transbronchial biopsies and bronchoalveolar lavage |
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Isolated limb perfusion including exposure of major limb artery and vein, arteriotomy and venotomy |
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Verruca & Wart Removal Treatment |
Wart and Verruca Removal Dublin & Ireland
Warts, sometimes referred to as papillomas, are among the most common type of skin growths, and a verruca is simply a wart that appears on the sole of the foot or the underside of the toes. Although warts and verrucae are rarely dangerous to your health, they can certainly harm your self-esteem. Fortunately, your dermatologist is experienced in the removal of these growths and can offer you several options. The exact removal method depends on the location and size of the warts. Here is further information about warts and verrucae, including their cause and nature.
What are Warts?
A wart is a benign skin growth. A wart is not cancerous, and it usually appears as a raised area of thickened skin. A wart may be darker or lighter in colour than the surrounding, normal skin. Some warts contain black, seed-like flecks. While warts are rarely painful on their own, they may cause discomfort when pressed or rubbed. This statement is particularly true of warts located on inconvenient areas of the body, such as the armpits or the soles of the feet.
Most warts appear on the hands and feet, though warts may show up anywhere - the face, the torso, the genitals, even the crown of your head. Warts that manifest on the undersides of your feet are called verrucae or plantar warts. As you might imagine, these warts can be incredibly troublesome and interfere with walking, running, and sports.
What Causes Warts?
Despite false folklore that handling toads result in warts, the human papillomavirus (HPV) is the true cause of warts. HPV can be transmitted sexually, but this does not mean that all warts result from sexual activity. In fact, warts that are not located on the genitals are usually not sexually-transmitted.
Instead, you can contract HPV through a break or cut in your skin. There are around 130 different types of HPV, and each type can cause a different sort of wart.
Since warts are caused by a virus, they may reappear even after they are removed or resolved on their own. Your dermatologist can help with this problem, and they have treatments available to reduce or prevent wart recurrence.
Risk Factors for Warts
Anyone, of any age, may contract warts. However, there are some risk factors that increase your likelihood of wart problems. These risk factors include having a compromised immune system, having the skin condition eczema, and using public showers. Additionally, those who handle or work regularly with meat having a greater chance of contracting a specific sort of wart called “butcher’s warts.”
Wart Prevention
HPV is a robust virus, so it is difficult to prevent infection. Handwashing and avoiding public showers may help, but these measures are unlikely to prevent all warts.
Common Locations for Warts
As noted above, most warts arise on the hands or feet. Periungual warts appear on the fingers, alongside the fingernails. You might also notice warts on your face, neck, the palms or backs of your hands, your feet or toes, hands, wrists, knees, and elbows. On the face, warts can specifically manifest on the ear lobes, nose, eyelids, and along the lips.
Verruca & Wart Removal Treatment Dublin & Ireland
Many patients first attempt to deal with warts on their own before consulting their dermatologist. While there is nothing inherently wrong with this approach, you can save much time and frustration by visiting your dermatologist first instead of making a trip to the chemist. Your dermatologist has years of experience with warts and will be able to identify your problem accurately.
Once the dermatologist has made a diagnosis, they will discuss your options with you. The majority of wart treatments can be handled in the office and have a very quick recovery time. Some common treatments for warts include:
Cryotherapy is a widely-used treatment that freezes the wart and allows your dermatologist to remove it with minimal discomfort. Your dermatologist will make use of liquid nitrogen or another extremely cold substance in this therapy. Your wart will freeze almost instantly and can then be removed in its entirety.
Salicylic acid. This is a topical treatment applied to the surface of your wart. Salicylic acid is a weak acid and has an exfoliating effect. After your dermatologist applies salicylic acid, your wart will eventually begin to peel away. Several treatments may be necessary.
Laser treatment is sometimes used, especially for large warts. The laser aids your dermatologist in surgically excising or removing your wart. The laser also helps control bleeding and speeds the procedure.
Traditional surgery is also an option for stubborn or particularly large warts. The surgery can usually be carried out in the office, and you will receive complete care instructions.
Whatever procedure is used to remove your warts, you can rest assured that your dermatologist will provide you with complete details of the process. You will also receive pain control as appropriate, so your procedure will be as comfortable as possible. Be sure to let your dermatologist know if you have any questions, as they are always your best source of information.
Talk with Your Dermatologist Now
Warts are certainly undesirable, and they can be a disheartening problem. But you are not alone. Your dermatologist has the experience, tools, and training need to help you get rid of warts.
Your healthcare team understands that warts can be an embarrassing condition, but warts and verrucae are no fault of your own. They are extremely widespread problems, and dermatologists encounter warts every day. Dermatologists are ready to work with you to help you achieve the clear, attractive skin you deserve.
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Early pregnancy (6 weeks+) ultrasound |
Early pregnancy can be a very exciting time and often couples want to see their baby as soon as possible. This scan is available to anyone who wants some reassurance, but particularly for those who are unsure of their dates, have had some bleeding, pelvic pains, concerns, or have felt that their early pregnancy symptoms have disappeared when they should be present.
The purpose of the early pregnancy scan is:
To confirm location of the pregnancy (Is the baby inside the womb?)
To determine fetal viability (Is my baby’s heart beating?)
To measure fetal heart rate (How fast is the baby’s heart beat?)
To provide accurate gestational dating by crown-rump-length (How far along am I?)
To establish an estimated due date (When is my baby due?)
To determine number of fetuses (Could I be having twins?)
To assess the ovaries and uterus to make sure that they are normal (please note that these structures are not always clear on ultrasound)
This scan cannot:
Rule out chromosomal or anatomical abnormalities
Assess the final location of the placental as it is too early
When is the best time to go for an Early Pregnancy Scan?
The heart beat of the embryo can be seen from 6 weeks onward, therefore, the Early Pregnancy Baby Scan can be performed from 6 weeks 0 days – 11 weeks 6 days from the first day of your last menstrual period (LMP). If your menstrual cycle is longer than 28 days it is advisable to wait until you are at least till 8 weeks from your LMP to confirm the viability of the embryo as you may not be as far as your dates suggest.
How do I prepare for an Early Pregnancy Scan?
You are required to have an adequately full bladder for your early pregnancy scan.
What to expect from the early pregnancy scan
During the ultrasound scan the position and shape of the gestational sac is assessed. It is important to see the sac within the uterus as this excludes an ectopic pregnancy. The presence of the embryo or possibly multiple embryos is reviewed. The heart rate is measured to determine viability. A measurement is then taken from the tip of the head to the little bottom, called the crown rump length (CRL). When performed correctly, this measurement is the most accurate way of dating a pregnancy. Many studies show that this form of dating is more accurate than the first day of the last period or measurements taken at detailed anomaly scan which is carried out at around 20 weeks. We also examine the uterus and ovaries for any pathology such as ovarian cysts or fibroids.
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