The ongoing outbreak of COVID-19 that began in Wuhan, China, has constituted a Public Health Emergency of International Concern, with cases confi rmed in multiple countries. The outbreak of COVID-19 in Israel, in March 2020 caused major changes in the routine work in hospitals mainly internal medicine wards. Hasharon hospital, a small community hospital in Petah Tikva was converted to corona patients admissions only. In accordance with this new reality internal medicine B department prepared itself to provide treatments tailored to the clinical needs of the Covid 19 patients and the quarantine conditions of these patients hospitalization. We report a confi rmed case of COVID-19 who was diagnosed with ARDS and refused intubation. He was treated with High Flow Nasal Oxygen (HFNO) combined with medication and physiotherapy with very good results. This case highlights the importance of non-Invasive ventilation treatment.
Trans-vaginal ultrasonography (TVUS) and diagnostic hysteroscopy are common tools for evaluating intrauterine lesions. TVUS is available in most clinics and can be performed during routine visits. One of the most common findings is intrauterine polyps, with prevalence ranging from 5.8% in premenopausal women, 1 to 26.4% among patients evaluated for unexplained infertility 2 and 32.5% among women complaining of abnormal uterine bleeding. 3 Many women with intrauterine polyps are asymptomatic. Symptom prevalence ranges from 55.6% to 74.5%. 4,5 Abnormal uterine bleeding is the most common presenting symptom, found in 45%-68%. 6,7
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