Handbook of Obstetric and Gynecologic Emergencies

 

Description:

Publisher's Note: Products purchased from 3rd Party sellers are not guaranteed by the Publisher for quality, authenticity, or access to any online entitlements included with the product. Perfect as a quick reference in the emergency room or your office, the newest edition of this handbook is diagnostic and treatment focused, touching on a range of everyday conditions and problems. These include newer issues such as medico-psychological ramifications of sexual assault, complications from abortion, assisted reproductive technologies, and immunologic therapies. Ob-gyns as well as non-obstetric providers will find much here to help them assess and manage clinical situations.

 

Table of Contents:

 

PART I: OBSTETRIC

1 Medical Emergencies in the Pregnant Patient

PULMONARY EMBOLISM

Patient Presentation

Diagnostic Tests

Therapy

ASTHMA

Pharmacologic Agents

Emergency Therapy

THYROID STORM

Diagnostic Criteria

Differential Diagnosis

Laboratory Evaluation

Management

DIABETIC KETOACIDOSIS

Pathophysiology

Diagnosis

Management

SEIZURE DISORDERS

Pregnancy Effects on Epilepsy

Fetal Effects of Anticonvulsant Medications

Management of an Acute Seizure

2 Acute Abdominal Pain in Pregnancy

PHYSIOLOGIC CHANGES IN PREGNANCY

PHYSICAL EXAMINATION CHANGES IN PREGNANCY

DIAGNOSTIC IMAGING DURING PREGNANCY

COMMON CAUSES OF ACUTE ABDOMINAL PAIN IN PREGNANCY

Appendicitis

Cholelithiasis and Cholecystitis

Acute Pancreatitis

Intestinal Obstruction

Nephrolithiasis and Pyelonephritis

Adnexal Masses

LAPAROSCOPIC SURGERY IN PREGNANCY

SUMMARY

3 Ectopic Pregnancy

ETIOLOGY

CLINICAL PRESENTATION

DIFFERENTIAL DIAGNOSIS

AMBULATORY EVALUATION

History

Physical Examination

Pregnancy Tests

Ultrasonography

Culdocentesis

Serial hCG Evaluation

Suction Curettage and Endometrial Biopsy

Serum Markers

MANAGEMENT

Surgical Management

Medical Management

Expectant Management

SUMMARY AND CONCLUSION

4 Trauma in Pregnancy

OUTCOMES

ANATOMIC AND PHYSIOLOGIC ALTERATIONS OF PREGNANCY

Anatomic Changes

Cardiovascular System

Respiratory System

Gastrointestinal System

Urinary System

Endocrine System

Neurologic System

PATTERNS OF MATERNAL AND FETAL INJURY

Blunt Abdominal Trauma

Fetomaternal Hemorrhage

Use of Restraints

Penetrating Abdominal Trauma

EVALUATION AND MANAGEMENT

Prehospital Management

Evaluation of the Mother and the Fetus

Routine Laboratory Studies

Radiographic Procedures

Ultrasonography

Fetal Monitoring

Peritoneal Lavage

Tetanus Prophylaxis

Injury Severity Score

SPECIFIC TRAUMA EPISODES

Thoracic Injuries

Pelvic Fractures

Head and Spinal Cord Injuries

Thermal Burns

Electrical Injury

PERIMORTEM CESAREAN SECTION

DOMESTIC VIOLENCE

SUMMARY

5 Cardiopulmonary Resuscitation During Pregnancy

UNIQUE ANATOMIC AND PHYSIOLOGIC CONSIDERATIONS (SEE TABLES 5.2 AND 5.3)

RESUSCITATION OVERVIEW

BASIC LIFE SUPPORT

ADVANCED LIFE SUPPORT

Cardiac Rhythm Analysis

Basic Rhythm Analysis

Bradyarrhythmias

Tachyarrhythmias

Cardiac Arrest: Ventricular Fibrillation, Pulseless Electrical Activity, and Asystole

AIRWAY MANAGEMENT IN ALS

BREATHING/RESPIRATORY INTERVENTIONS IN ALS

ADVANCED LIFE SUPPORT; OTHER INTERVENTIONS

COMPLICATIONS OF CPR

SUMMARY

6 Perimortem Cesarean Delivery

HISTORICAL BACKGROUND

Incidence and Outcomes

Physiologic Considerations

CONSIDERATIONS FOR UNDERTAKING POSTMORTEM CESAREAN DELIVERY

EQUIPMENT NECESSARY FOR PMCD

TECHNIQUE FOR PERFORMANCE OF PMCD

MEDICOLEGAL CONSIDERATIONS

SUMMARY

7 Hypertensive Disorders of Pregnancy: Preeclampsia/Eclampsia

PATHOPHYSIOLOGY

DIAGNOSIS

PREPARTUM MANAGEMENT

INTRAPARTUM MANAGEMENT

POSTPARTUM MANAGEMENT

PREVENTION

8 Bleeding in Pregnancy

VAGINAL BLEEDING BEFORE VIABILITY

ABORTION

Threatened Abortion

Missed Abortion

Inevitable Abortion

Incomplete Abortion

Complete Abortion

Postabortion Care

ADDITIONAL MARKERS

CERVICAL INCOMPETENCE

PRETERM PREMATURE RUPTURE OF THE MEMBRANES

GESTATIONAL TROPHOBLASTIC DISEASE

CERVICAL AND VAGINAL INFECTIONS OR LESIONS

VAGINAL BLEEDING APPROACHING AND AFTER FETAL VIABILITY

Placenta Previa

Abnormal Placental Implantation (Accreta, Increta, Percreta)

Placental Abruption

Vasa Previa

Uterine Rupture

Labor

NONVAGINAL SITES

WOMEN ON ANTICOAGULANTS

SUMMARY

9 Infections in Pregnancy

URINARY TRACT INFECTION

Asymptomatic Bacteriuria

Acute Cystitis

Acute Pyelonephritis

INTRA-AMNIOTIC INFECTION OR INFLAMMATION

Background

Diagnosis

Management

POSTPARTUM ENDOMETRITIS

Background

Diagnosis

Management

HERPES INFECTION

Herpes Simplex Virus

Cytomegalovirus

Varicella Zoster

10 Pregnant Women and Chemical–Biological Warfare

GENERAL PREPARATION

BIOLOGICAL AGENTS

Anthrax

Botulism

Smallpox

Tularemia

Plague

Q Fever

Ricin

TOXINS OR CHEMICALS

Nerve Agents—Acetylcholinesterase Inhibitors

Vesicants and Pulmonary Agents

Explosion Trauma in Pregnancy

RADIATION

11 Mosquito-Borne Infections: Chikungunya, Dengue, Malaria, West Nile Virus, Yellow Fever, and Zika Virus

INTRODUCTION

CHIKUNGUNYA

Epidemiology

Clinical Manifestations

Diagnosis

Management

DENGUE

Epidemiology

Clinical Manifestations

Diagnosis

Management

MALARIA

Epidemiology

Clinical Manifestations

Diagnosis

Management

Treatment

WEST NILE VIRUS

Epidemiology

Clinical Manifestations

Diagnosis

Management

YELLOW FEVER

Epidemiology

Clinical Manifestations

Diagnosis

Management

ZIKA VIRUS INFECTION

Epidemiology

Clinical Manifestations

Diagnosis

Management

12 Delivery in the Emergency Department

EMS PREPAREDNESS

SPONTANEOUS VAGINAL DELIVERY

Delivery of the Head

Delivery of the Shoulders

Clearing the Nasopharynx

Nuchal Cord

Clamping the Cord

Delivery of the Placenta

Oxytocin Agents

Infant Care

Breast-feeding

COMPLICATIONS OF EMERGENCY VAGINAL DELIVERY

Shoulder Dystocia

Breech Presentation

Umbilical Cord Prolapse

Neonatal Resuscitation

Postpartum Hemorrhage

Lacerations of the Genital Tract

DOCUMENTATION

Postdelivery Note

SUMMARY

13 Transport of the Pregnant Patient

MEDICAL CONDITIONS WARRANTING TRANSPORT

RESPONSIBILITIES OF THE REFERRING PROVIDER

UNDERSTANDING LEVELS OF MATERNAL CARE

LOGISTICS OF MATERNAL TRANSPORT

TEAM CONFIGURATION

TRANSPORT TEAM PRELIMINARY ASSESSMENT

PRIMARY AND SECONDARY OBSTETRIC EVALUATION

FETAL ASSESSMENT AND SURVEILLANCE

NICHD Terminology for Fetal Heart Rate Characteristics

Contractions

Interventions for Abnormal FHR Patterns

Standard of Care in the Transport Industry Regarding Fetal Monitoring

LEGAL CONSIDERATIONS

SUMMARY

14 Human Immunodeficiency Virus (HIV) Disease Pregnancy: Labor and Delivery Management

IDENTIFICATION OF HIV-INFECTED WOMEN IN LABOR

INTERVENTIONS TO REDUCE PERINATAL HIV TRANSMISSION

INTRAPARTUM CARE FOR ALL HIV-INFECTED WOMEN IN LABOR

CARE FOR INFANT

POSTPARTUM CARE

SUMMARY

15 Postpartum Emergencies

SEIZURES

POSTPARTUM HEMORRHAGE

VENOUS THROMBOEMBOLISM

CARDIOVASCULAR EMERGENCIES

Peripartum Cardiomyopathy

Acute Myocardial Infarction

OVARIAN TORSION

INFECTION

Treatment of Endometritis and Pelvic Abscess

Treatment of Abdominal Wound Infections

Treatment of Vaginal Laceration Infections

MASTITIS

PYELONEPHRITIS

PSYCHOLOGICAL EMERGENCIES

16 Role of Imaging Modalities in Obstetric Emergencies

RADIATION EXPOSURE IN PREGNANCY

Risk Related to Gestational Age (5)

IMAGING MODALITIES

OBSTETRIC EMERGENCIES AND IMAGING

VAGINAL BLEEDING IN PREGNANCY

First Trimester Bleeding

BLEEDING IN THE SECOND AND THIRD TRIMESTERS

TRAUMA IN PREGNANCY

17 Drug Therapy in Pregnancy

FOOD AND DRUG ADMINISTRATION PREGNANCY CATEGORIES

PREGNANCY AND LACTATION LABELING RULE

TERATOGENESIS

PREGNANCY REGISTRIES

Hazardous Medication Handling During Pregnancy (16–19)

ANTI-INFECTIVES

ANALGESIA

ASTHMA

COAGULATION

DEPRESSION

DIABETES

GASTROESOPHAGEAL REFLUX DISEASE

HYPERTENSION

MIGRAINES/HEADACHES

NAUSEA/VOMITTING

PSYCHOSIS/BIPOLAR DISORDER

PULMONARY HYPERTENSION

SEIZURE

PART II: GYNECOLOGIC

18 Complications of Medical and Surgical Abortion

EPIDEMIOLOGY AND HISTORY OF ABORTION IN THE UNITED STATES

SURGICAL ABORTION

MEDICAL ABORTION

MANAGING SPECIFIC COMPLICATIONS OF ABORTION

Hemorrhage

Infection

Retained Tissue

Abortion in the Second Trimester (at or After 13 Weeks of Gestation)

CONTRACEPTION FOLLOWING ABORTION

SUMMARY

19 Sexually Transmitted Diseases

PELVIC INFLAMMATORY DISEASE

GONORRHEA

ACQUIRED IMMUNODEFICIENCY SYNDROME

SYPHILIS

HERPES SIMPLEX VIRUS INFECTIONS

20 Vulvar and Vaginal Diseases

21 Abnormal Uterine Bleeding

INTRODUCTION AND OBJECTIVES

TERMINOLOGY AND DEFINITIONS

ACUTE ABNORMAL UTERINE BLEEDING—EVALUATION AND STABILIZATION

HISTORY AND PHYSICAL EXAM

LABORATORY AND DIAGNOSTIC TESTING

ACUTE MANAGEMENT

LONG-TERM MANAGEMENT

Polyps

Adenomyosis

Leiomyomas

Malignancy

Coagulopathies

Ovulatory

Endometrial

Iatrogenic

Not Otherwise Classified

CONCLUSION

22 Pelvic Mass

INTRODUCTION

ASYMPTOMATIC PELVIC MASSES

SYMPTOMATIC PELVIC MASS

UNUSUAL SITUATIONS PRESENTING AS A PELVIC MASS

METHODS OF EVALUATING A MASS

MANAGEMENT OF PATIENTS WITH A MASS

SUMMARY

23 Torsion of Ovary

ETIOLOGY

CLINICAL FEATURES

DIFFERENTIAL DIAGNOSIS

TREATMENT

SPECIAL CONSIDERATIONS

CONCLUSIONS

24 Oncologic Emergencies

INTRODUCTION

VAGINAL BLEEDING

Cervical Cancer

Endometrial Cancer

Vulvar Cancer

Gestational Trophoblastic Disease

THROMBOEMBOLISM

POSTOPERATIVE COMPLICATIONS

Surgical Site Infections

Wound Dehiscence

Bowel Evisceration

ALTERED MENTAL STATUS

Infection

Cerebrovascular Accident

Brain Metastasis

GASTROINTESTINAL COMPLICATIONS

Bowel Obstruction

Bowel Perforation

Gastrointestinal Fistulas

Ostomy Complications

UROLOGIC COMPLICATIONS

Ureteral Obstruction

Urologic Fistulas

Urinary Conduit Complications

COMPLICATIONS OF CHEMOTHERAPY

Bone Marrow Suppression

Gastrointestinal Effects

Hypersensitivity Reactions

COMPLICATIONS OF RADIATION THERAPY

Radiation Enteritis

Late Complications

COMPLICATIONS OF IMMUNOTHERAPY

NUTRITIONAL SUPPORT COMPLICATIONS

SUMMARY

ONCOLOGIC EMERGENCY PEARLS

25 Postoperative Complications and Postoperative Emergencies After Open, Minimally Invasive, and Robotic Procedures

COMPLICATIONS SPECIFIC TO MINIMALLY INVASIVE AND ROBOTIC PROCEDURES

COMPLICATIONS ASSOCIATED WITH ABDOMINAL ACCESS

Vascular Injuries

Bowel Injuries

Bladder Injuries

Nerve Injury

PORT COMPLICATIONS

Port-Site Hernia

Port-Site Metastasis

COMPLICATIONS RELATED TO PNEUMOPERITONEUM

Subcutaneous Emphysema

Pneumomediastinum and Pneumothorax

Hypercarbia

Persistence of Pneumoperitoneum

Gas Embolism

Postoperative Shoulder Pain

GENERAL COMPLICATIONS OF GYNECOLOGIC SURGERIES

Wound Complications

Hematoma and Seroma

Surgical Site Infections

Fascial Dehiscence and Hernia

Vaginal Cuff Dehiscence

UROLOGIC EMERGENCIES

Ureteral Injuries

Urinary Retention

Bladder Injuries

GASTROINTESTINAL EMERGENCIES

Postoperative Ileus

Postoperative Bowel Obstruction

POSTOPERATIVE INFECTIONS

Pelvic Cellulitis and Abscess

Septic Pelvic Thrombophlebitis

OTHER GYNECOLOGIC POSTOPERATIVE EMERGENCIES

Uterine Perforation

Uterine Artery Embolization

Retained Foreign Objects

SUMMARY

26 Emergency Evaluation and Treatment of the Sexual Assault Victim

TRIAGE

FORENSIC MEDICINE

OBTAINING A MEDICAL HISTORY

PHYSICAL EXAMINATION OF THE ADULT

EXAMINATION OF THE CHILD

TREATMENT OF SEXUAL ASSAULT VICTIMS

Prevention of Sexually Transmitted Disease

Postexposure Prophylaxis for Sexually Transmitted Viruses

Prevention of Pregnancy

Psychological Support and Counseling

CONCLUSION

Acknowledgment

27 Gynecologic Traumas

SEXUALLY RELATED TRAUMA

NONSEXUALLY RELATED TRAUMA

SUMMARY

28 Imaging in Gynecologic Emergencies

INTRODUCTION

THE PREGNANT PATIENT

Normal Early IUP

Abnormal Early IUP

Ectopic Pregnancy

Pregnancy of Unknown Location

Role of hCG in Early Pregnancy

PELVIC INFLAMMATORY DISEASE

Endometritis

Salpingitis and Tuboovarian Abscess

OVARIAN TORSION

RUPTURED OVARIAN CYST

29 Urogynecologic Emergencies and Urgencies

URINARY TRACT INJURY FOLLOWING PELVIC SURGERY

URINARY RETENTION FOLLOWING UROGYNECOLOGIC PROCEDURES

URETHRAL CARUNCLES AND PROLAPSE

BOWEL EVISCERATION FOLLOWING VAGINAL SURGERY

FOURNIER’S GANGRENE

INCARCERATED UTEROVAGINAL PROLAPSE

THE NEGLECTED PESSARY

FECAL IMPACTION

BLADDER TRAUMA

ACUTE NEPHROLITHIASIS

30 Emergency Room Communication Issues: Dealing with Crisis

COMMON EMERGENCY SITUATIONS REQUIRING SENSITIVE COMMUNICATION SKILLS

Consider the Following Situations

PROCESS ISSUES

CONTENT ISSUES

PERSONALITY ISSUES

SKILLS FOR SPECIFIC SITUATIONS

Fetal Death

Sexually Transmitted Infection

Intimate Partner Violence

Rape

Potentially Serious Diseases

Other Communication Issues

SUMMARY

31 Emergencies in the Assisted Reproductive Technology Patient

INTRODUCTION

IN VITRO FERTILIZATION

OVARIAN HYPERSTIMULATION SYNDROME

Classification and Evaluation

Management

Prevention

MULTIFETAL GESTATION IN ASSISTED REPRODUCTION

ECTOPIC PREGNANCY IN ASSISTED REPRODUCTION

OTHER COMPLICATIONS ASSOCIATED WITH IN VITRO FERTILIZATION

Ovulation Induction

CLOMIPHENE CITRATE

LETROZOLE

EXOGENOUS GONODOTROPINS

HYSTEROSALPINGOGRAPHY

Infection

Contrast Reaction

SUMMARY

32 Physician to Physician Communication During Emergent Conditions

Index

 

An aparitie	1 Jan. 2019
Autor	Guy I. Benrubi
Dimensiuni	12.7 x 2.29 x 20.32 cm
Editura	LWW
Format	Paperback
ISBN	9781496395009
Limba	Engleza
Nr pag	504