Madelungâs disease is sometimes misdiagnosed as sialadenitis, an inflammation of the salivary glands. The inflammation may involve any of the glands that make up the salivary gland system (parotid, submandibular and sublingual glands).
However, use of ultrasonographic imaging should never preclude adequate resuscitation or definitive surgical therapy in a patient who is hemodynamically unstable and in whom ectopic pregnancy is strongly suspected. The goal of bedside ultrasonography is to diagnose an intrauterine pregnancy (IUP). Ectopic pregnancy can be reliably excluded in patients with a demonstrated IUP; heterotopic pregnancy remains very rare in patients who are not taking fertility agents.
Puerperium is defined as the time from the delivery of the placenta through the first few weeks after the delivery. This period is usually considered to be 6 weeks in duration.By 6 weeks after delivery, most of the changes of pregnancy, labor, and delivery have resolved and the body has reverted to the nonpregnant state. An overview of the relevant anatomy and physiology in the postpartum period follows.he woman who breastfeeds her infant has a longer period of amenorrhea and anovulation than the mother who chooses to bottle-feed. The mother who does not breastfeed may ovulate as early as 27 days after delivery. Most women have a menstrual period by 12 weeks; the mean time to first menses is 7-9 weeks.