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E-raamat: Office Gynecology: A Case-Based Approach

Edited by (University of Texas, Austin), Edited by (Virginia Commonwealth University), Edited by (Virginia Commonwealth University), Edited by
  • Formaat: PDF+DRM
  • Ilmumisaeg: 31-Jan-2019
  • Kirjastus: Cambridge University Press
  • Keel: eng
  • ISBN-13: 9781108245722
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  • Formaat: PDF+DRM
  • Ilmumisaeg: 31-Jan-2019
  • Kirjastus: Cambridge University Press
  • Keel: eng
  • ISBN-13: 9781108245722
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This case-based guide covers 100 gynecologic problems commonly encountered in office practice settings, from the simple to the complex. It encourages evidence-based care and incorporates up-to-date guidance on evaluation and management in office practice. Clinical problems are discussed in a clear, case-based format. The book integrates current guidelines and recommendations, supplemented with carefully-researched and vetted expert opinion for situations for which no guidelines exist. Each gynecologic problem is assessed through a brief case presentation followed by an in-depth discussion with visual aids. Question and answer sections feature teaching points. Cases and discussions are detailed enough to guide practice, yet remain focused and concise, with each case designed to be read in the time available when seeing a patient in clinical practice. An invaluable reference guide for gynecologists, family physicians, internal medicine providers, and other women's health care providers who offer office-based gynecologic care.

This quick reference guide discusses 100 clinical problems encountered in office practice, ranging from simple to complex, in a clear, case-based format. It includes current evidence-based guidelines and expert advice for situations without clear recommendations. Designed for practical use in an office setting.

Muu info

Around 100 common clinical problems feature in quick-read cases, alongside evidence-based recommendations and current guidelines.
List of Contributors ix
Preface xiii
Section 1: Pelvic Pain
1 A 27-Year-Old Woman with Recurrent Visits for Severe Pelvic Pain
1(3)
Lee A. Learman
2 A 25-Year-Old Woman with Deep Dyspareunia
4(3)
Kate A. McCracken
3 A 16-Year-Old Adolescent with Ongoing Dysmenorrhea Despite Oral Contraceptive Pill Use
7(3)
Geri D. Hewitt
4 A 37-Year-Old Woman with Pain at the Lateral Aspect of Her Pfannenstiel Incision
10(3)
Christopher M. Morosky
5 A 26-Year-Old Woman with Chronic Pelvic Pain and Negative Work-Up
13(3)
Misa Perron-Burdick
6 A 30-Year-Old Woman with Endometriosis with Worsening Pelvic Pain Despite Continuous Oral Contraceptives
16(3)
William D. Po
7 A 47-Year-Old Woman with Severe Menstrual Cramps and Painful Intercourse
19(4)
Abimbola Famuyide
Section 2: Vaginal Discharge and Sexually Transmitted Infections
8 A 28-Year-Old Woman with Metronidazole Allergy and Trichomonas Infection
23(3)
Anita Tamirisa
9 A 24-Year-Old Woman with Mucopurulent Cervicitis
26(3)
Jaime J. Alleyn
10 A 27-Year-Old Woman with Trichomonas Requesting a Prescription for Her Partner
29(3)
Rita Tsai
11 A 33-Year-Old Woman with Multiple Visits for Vaginal Discharge and Itching
32(4)
Shelly Holmstrom
12 A 24-Year-Old Woman with Trichomonas in the First Trimester of Pregnancy
36(3)
Mark Turrentine
13 A 16-Year-Old Adolescent Requesting Confidential Treatment for Chlamydia Exposure (Understanding State Laws Regarding Minors and Resources)
39(3)
Kavita Shah Arora
14 A 75-Year-Old Woman Complaining of Greenish Discharge
42(3)
Amy R. Stagg
Section 3 Amenorrhea and Abnormal Vaginal Bleeding
15 A 32-Year-Old Woman with Friable Cervix
45(2)
Julianna Schantz-Dunn
16 A 28-Year-Old Woman with Secondary Amenorrhea and Family History of Mental Retardation (Fragile X Premutation)
47(4)
Frederick Friedman Jr
17 A 27-Year-Old Female Runner with Secondary Amenorrhea
51(3)
Janeen L. Arbuckle
18 A 38-Year-Old Woman with Secondary Amenorrhea Six Months after Gastric Bypass
54(3)
Kyle Andrew Biggs
19 A 25-Year-Old Woman with a Levonorgestrel Intrauterine Device (LNG-IUD), New Onset Spotting, and a Positive Pregnancy Test
57(2)
Jeffrey Rothenberg
20 A 30-Year-Old Woman with Irregular Periods (Hypothyroidism)
59(2)
Scott Graziano
21 A 25-Year-Old Woman with Midcycle Spotting
61(4)
Ann Lee Chang
Tod C. Aeby
Section 4: Contraception and Abortion
22 A 25-Year-Old Woman with No IUD String Visible One Year after Placement (IUD in Uterus)
65(3)
Adrianne Dade
23 A 29-Year-Old HIV-Positive Woman Requesting Oral Contraceptive Pills
68(3)
Patricia Huguelet
24 A 42-Year-Old Woman with IUD and Actinomyces on Cervical Cytology
71(2)
Regan N. Theiler
25 A 25-Year-Old Woman with a History of Pulmonary Embolism on OCPs Who Desires Contraception
73(3)
Hedwige Saint Louis
26 A Pregnant 22-Year-Old Woman Who Desires Long-Acting Postpartum Birth Control
76(3)
Stacey L. Holman
27 A 33-Year-Old G4P4 Unable to Palpate Implant Desiring Removal
79(3)
Michael K. Chinn
28 A 24-Year-Old Woman with a Contraceptive Implant Placed Three Weeks Ago Presents with Positive Pregnancy Test
82(3)
Roxanne Jamshidi
29 A 32-Year-Old HIV-Positive Woman Requesting IUD
85(3)
Christy M. Boraas
30 A 23-Year-Old Woman Presents Two Hours after Sexual Assault
88(3)
Shandhini Raidoo
31 A Woman with a BMI of 40 kg/m2 Requests Oral Contraceptive Pills (Efficacy of Contraceptive Methods with Obesity)
91(4)
Sara Whetstone
Section 5: Breast Problems
32 A 41-Year-Old Woman with Bilateral Clear Nipple Discharge (Physiologic Discharge)
95(3)
Christine Robillard Isaacs
33 A 38-Year-Old Woman with New-Onset, Unilateral Bloody Nipple Discharge
98(3)
Esther Fuchs
34 A 34-Year-Old Newly Pregnant Woman with a Breast Mass
101(3)
Asha Bhagsingh Bhalwal
Pamela D. Berens
35 A 29-Year-Old Woman with Lactational Mastitis and Persistent Fevers and Erythema
104(3)
Pamela D. Berens
36 A 45-Year-Old Woman with Unilateral Green Nipple Discharge (Duct Ectasia)
107(4)
Tricia Camille Yusaf
Katherine Chua
37 A 35-Year-Old Woman Who Complains of Cyclic Breast Pain (Idiopathic Mastodynia)
111(4)
Dorota Kowalska
Section 6: Cancer Screening and Prevention
38 A 22-Year-Old Woman with LSIL on Initial Cervical Cytology
115(3)
Mark K. Hiraoka
39 A 25-Year-Old Woman Who Has Received a Letter from an Aunt Recommending Lynch Testing (Cascade Testing)
118(4)
Jessica M. Kingston
40 A 30-Year-Old Woman with Positive Margins on LEEP for HSIL
122(3)
Jordan B. Hylton
41 A 32-Year-Old Woman Whose Paternal Aunt and Grandmother Had Ovarian Cancer
125(4)
Roopina Sangha
42 A 23-Year-Old Woman with HSIL on Cervical Cytology
129(3)
Florencia Greer Polite
43 A 35-Year-Old Woman with a Strong Family History of Breast Cancer Not Linked to BRCA Mutation
132(4)
Natalie A. Bowersox
44 A 25-Year-Old Woman with LSIL Desiring HPV Vaccination
136(3)
Christine Conageski
Section 7: Vulvar Disease
45 A 55-Year-Old Woman with a White, Itchy Lesion on the Vulva (Lichen Sclerosus)
139(3)
Nancy D. Gaba
46 A 55-Year-Old Woman with a New Wart (Vulvar High-Grade Squamous Intraepithelial Lesions)
142(3)
Diana Curran
47 A 25-Year-Old Woman with Perinea! Pain and Inability to Have Intercourse (Vestibulodynia)
145(4)
Vanessa M. Barnabei
48 A 30-Year-Old Woman with New Vulvar Lesions (Condyloma Accuminata)
149(3)
Christopher Maguire
49 A 50-Year-Old Woman with Lichen Sclerosus, Fused Labia, and UTIs
152(3)
Dawn Palaszewski
50 A 25-Year-Old Woman with Recurrent Candida Vaginitis
155(3)
Kimberly Carter
51 A 35-Year-Old Woman Complaining of a "Knot" in the Vulva (Bartholin's Cyst)
158(3)
D. Scott Wiersma
Section 8 Infertility
52 A Couple with Medicaid and No Conception after Two Years (Cost Conscious Infertility Evaluation)
161(3)
Merielle Stephens
53 A 33-Year-Old Woman with Infertility (Bilateral Hydrosalpinx)
164(3)
Elizabeth E. Puscheck
54 A 26-Year-Old Woman with Irregular Menses and Infertility
167(3)
Helen Dunnington
55 A 32-Year-Old Woman with a 3 cm Endometrioma and Infertility
170(3)
Michael T. Breen
56 A 32-Year-Old Woman with Recurrent Pregnancy Loss
173(4)
Debra A. Taubel
Section 9: Preconception Planning
57 A Couple Planning Pregnancy Who Have Just Returned from Brazil (Zika Virus)
177(4)
Michael Nix
58 A 26-Year-Old Woman with a History of Depression Planning Pregnancy
181(3)
Jonathan Schaffir
59 A 25-Year-Old Woman with a History of DVT Presents for Preconception Counseling
184(3)
Erica Oberman
60 A 25-Year-Old Ashkenazi Jewish Woman Who Desires Pregnancy
187(3)
Jessica C. Arluck
61 A 40-Year-Old Woman with Chronic Hypertension on Atenolol Planning Pregnancy
190(4)
L. David Moore
62 A 30-Year-Old Woman with a History of Diabetes Controlled on Oral Agents Planning Pregnancy
194(3)
Saul D. Rivas
Section 10: Pediatric and Adolescent Problems
63 A 14-Year-Old Adolescent with a Large Labia
197(3)
Roshanak Zinn
64 A 16-Year-Old Adolescent with Acne, Hirsutism, and Irregular Menses
200(3)
Eduardo Lara-Torre
65 An Eight-Year-Old Girl with Persistent Vulvar Itching
203(3)
Laura A. Parks
66 A Four-Year-Old Girl with Recurrent Vulvar Discharge and Itching
206(3)
Sarah H. Milton
67 A 15-Year-Old with Painful Vulvar Ulcers
209(4)
Sarah A. Shaffer
68 A 15-Year-Old Adolescent Who Is Unable to Use a Tampon
213(3)
Celeste Ojeda Hemingway
69 A Six-Year-Old Girl with Breast Development (Precocious Puberty)
216(5)
Shelly Holmstrom
70 A 13-Year-Old Adolescent with Primary Amenorrhea and Cyclic Abdominal Pain (Imperforate Hymen)
221(3)
James Casey
71 A 17-Year-Old Adolescent with Secondary Amenorrhea
224(3)
Courtney Rhoades
Section 11: Pelvic Masses and Cysts
72 A 53-Year-Old Woman with a 3 cm Dermoid Cyst Noted as an Incidental Finding on CT
227(3)
Jacob Lauer
73 A 60-Year-Old Woman with a 4 cm Simple Ovarian Cyst
230(3)
Tara Harris
74 A 25-Year-Old Woman with a 2 cm Simple Asymptomatic Cyst Noted Incidentally on Ultrasound
233(3)
Sarah A. Wagner
75 A 25-Year-Old Woman with Endometriosis and a 4 cm Endometrioma
236(3)
Mostafa A. Borahay
76 A 25-Year-Old Woman with Abrupt Onset of Pelvic Pain, Nausea and Vomiting, and Adnexal Mass (Torsion)
239(3)
Todd R. Jenkins
77 A 30-Year-Old Woman with Fever, Abdominal Pain, Vaginal Discharge, and Adnexal Mass (Tubo-Ovarian Abscess)
242(4)
Joseph E. Peterson
78 A 45-Year-Old Woman with Pelvic Pain One Year after TLH/BSO for Endometriosis (Ovarian Remnant)
246(3)
Todd R. Griffin
79 A 21-Year-Old Woman at Five Weeks EGA with Left Lower Quadrant Pain
249(4)
Lisa M. Keder
Section 12: Incontinence and Prolapse
80 A 30-Year-Old Woman with Postpartum Flatal and Fecal Incontinence
253(3)
K. Lauren Barnes
Lori R. Berkowitz
81 A 46-Year-Old Woman with Leakage of Urine
256(4)
Cynthie K. Wautlet
82 A 48-Year-Old Woman with Microscopic Hematuria and Negative Urine Culture
260(3)
Kimberly S. Gecsi
83 A 55-Year-Old Woman with Urinary Urgency and Negative Urinalysis and Culture
263(3)
Julie Zemaitis DeCesare
84 A 30-Year-Old Woman with Frequency, Urgency, Nocturia, and Pressure Relieved by Urination
266(3)
aclyn van Nes
85 A 25-Year-Old Woman with Recurrent Urinary Tract Infections
269(3)
Jonathan Emery
86 An 80-Year-Old Woman with Total Procidentia with Vaginal Irritation
272(4)
Madhurima Krishna Keerthy
87 A 60-Year-Old Woman Presenting with Difficulty with Defecation (Posterior Wall Defect)
276(3)
Erica Nelson
Section 13: Behavioral, Sexual, and Social Health
88 A 25-Year-Old Woman with Recurrent STDs (Human Trafficking)
279(6)
Fay Chelmow
David Chelmow
89 A 41-Year-Old Woman with Loss of Interest in Having Sex
285(3)
Tracy E. Irwin
90 A 28-Year-Old Transgender Woman Requesting Well-Woman Visit
288(3)
Ghazaleh Moayedi
91 A 35-Year-Old Female-to-Male Transgender Patient with Vaginal Spotting on Testosterone
291(3)
Beth Cronin
92 A 23-Year-Old Woman Who Reports Inability to Consummate Her Marriage Due to Vaginal Pain (Vaginismus Due to Sexual Abuse)
294(3)
Cristina Wallace Huff
93 A Tearful 32-Year-Old Woman Requesting a Sleeping Aid Two Weeks after Delivery (Postpartum Depression)
297(4)
Enid Yvette Rivera-Chiauzzi
Section 14: Menopause and Aging
94 A 50-Year-Old Breast Cancer Survivor with Severe Hot Flashes
301(3)
Myrlene Jeudy
95 A 56-Year-Old Woman with Dyspareunia
304(3)
Nan G. O'Connell
96 A 60-Year-Old Woman with FRAX® Score Indicating a 10 Percent Probability of Osteoporotic Fracture
307(4)
Kathryn I. Marko
97 A 45-Year-Old Woman with Menses Every 60-90 Days and Hot Flashes
311(4)
Makeba Williams
98 A 70-Year-Old Victim of Elder Abuse
315(3)
Nguyet A. Nguyen
Index 318
David Chelmow M.D. is Leo J. Dunn Professor and Chair of the Department of Obstetrics and Gynecology at Virginia Commonwealth University School of Medicine, Richmond. Nicole W. Karjane M.D. is Professor and Residency Program Director in the Department of Obstetrics and Gynecology at Virginia Commonwealth University School of Medicine, Richmond. Hope A. Ricciotti M.D. is Chair of the Department of Obstetrics and Gynecology at Beth Israel Deaconess Medical Center at Harvard Medical School, Boston. Amy E. Young M.D. is Chair of the Department of Women's Health at Dell Medical School at the University of Texas, Austin.