By K. Joseph Hurt
- Coverage in issues together with: basic care; ER; operative ob-gyn; pelvic surgical procedure and urogynecology; infertility; prenatal care; common hard work and supply; complex being pregnant and supply; cardiology; pulmonary; gastroenterology; hematology; neurology; gynecologic oncology
- Special appendices on pelvic anatomy; universal ob-gyn systems and surgical procedures; medicinal drugs in OB and breastfeeding; ACLS algorithms; NRP algorithm
- Evidence-based facts with present citations
- Chapters equipped by way of organ platforms, placing women’s well-being themes into basic clinical context – excellent for clerkship studies.
- User-friendly Pocket sequence layout contains 6-ring binder with wallet in back and front and white house for reader’s notes
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Additional info for Pocket Obstetrics and Gynecology
Zoster vaccine regardless of prior history. 1 or 3 doses Recommended if medical, occupational, lifestyle or other risks. No recommendation. From Advisory Committee on Immunization Practices, Department of Health and Human Services, Centers for Disease Control and Prevention. html. Accessed April 12, 2014. (c) 2015 Wolters Kluwer. All Rights Reserved. Vaccinations 1-17 Definition (Obstet Gynecol 2010;115:1100) • Use of drugs or a device (IUD) as an emergency measure to prevent Preg. • Intended for occasional or back-up use, not as a primary contraceptive method.
Clinical Manifestations and Physical Exam • Amenorrhea, vaginal bleeding, &/or pelvic pain/cramping • Cessation of nml sx of Preg (eg, nausea, breast tenderness) • Speculum/digital exam to assess cervical dilation, POCs • Evaluate extent of bleeding (eg, hemorrhage) & mat stability Diagnostic Workup (Obstet Gynecol 1992;80:670; Ultrasound Obstet Gynecol 1994;3:63) • Passed tissue: “Float villi” in saline to evaluate frond-like chorionic villi; send to pathology • Transvaginal US: Distinguishes IUP vs.
Clinical Manifestations • Most are asymptomatic, but may p/w pain, pressure sensation, dyspareunia • Intermittent pain may indicate ovarian torsion. Acute, sev pain may represent ovarian torsion or cyst rupture. Increased abdominal girth, bloating, wt loss, & early satiety raise concern for malig. Hormonal disruption w/ estrogen/androgen secretion. Physical Exam and Diagnostic Workup • Pelvic exam: 45% sens & 90% spec. ↓ detection w/ BMI >30 • Labs: hCG, CBC, coags/other labs depending on presentation & Hx • Abdominal & pelvic US: TVUS sens 82–91% & spec 68–81% for distinguishing benign from malignant dz.