• 1
  • 2
pe pagina
  • 70.00 lei

    Am pornit la drum cu dorinta de a aduce un instrument de lucru care, tinand cont de situatia actuala din Romania, sa delimiteze testarile cu adevarat necesare de cele facultative sau complet inutile. Un alt rol al sau este facilitarea obtinerii unei solutii cat mai rapide si corecte in dilema: este sau nu permis in timpul sarcinii acest antibiotic? Dar acest vaccin?

    De ce o asemenea initiativa? Pentru ca nu suntem un popor al regulilor si al masurii in ceea ce facem asa ca avem in acelasi timp:

    gravide ce ajung sa nasca fara sa stie din timp ca sunt infectate cu VHB sau cu HIV astfel incat sa se poata da o sansa in plus sanatatii copiilor lor, dar si gravide suprainvestigate incat rezultatele testelor sunt contradictorii sau imposibil de interpretat

    medici care recomanda gravidelor fara indicatie serologie de Listeria sau alte teste inutile, dar si medici care nu recomanda nicio testare

    gravide care repeta de mai multe ori aceleasi teste intr-un interval de timp de cateva saptamani si ajung de multe ori sa nu mai creada in rezultatele acestora si sa actioneze la intamplare 

    medici care induc gravidei decizia de intrerupere a sarcinii pe baza unei interpretari fanteziste a rezultatelor testarilor recomandate de ei, dar si medici care neglijeaza sa transmita interpretarea acestor rezultate gravidei si sa ii faca recomandarile necesare.

    Pe parcursul elaborarii acestui ghid am realizat tot mai mult ca avem un bun prilej de a incerca sa facem din el si un instrument de lucru impotriva utilizarii excesive si/sau eronate de antibiotice in infectiile caracteristice si in cele frecvente la gravida/lauza.

    Lasand continutul ghidului sa indeplineasca rolul de instrument de lucru ne-am permis sa evidentiem unele obstacole in calea im­plementarii unei atitudini coerente in acest domeniu medical, sub forma de raspunsuri la cateva intrebari.

     Cand testam?

    Suntem inca una dintre acele state ale Uniunii Europene in care primul bilant al unei gravide se mai efectueaza cand travaliul s-a declansat. Despre planning si evaluare preconceptionala vorbim inca rar, iar sarcina este adesea privita drept o intamplare, un dar sau o problema; din pacate, si generalizarea evaluarii initiale a gravidei in primul trimestru ramane un deziderat de atins in anii ce vin.

     Cine recomanda testarile? Cine prescrie antibiotice, care anume si in ce situatii?

    La aceasta intrebare un raspuns unic este hazardat: ginecologul? Medicul de familie? Infectionistul? De fapt, raspunsul nu ar mai avea nicio relevanta daca ar exista un consens in privinta a ceea ce este necesar sa fie testat. Este insa evident ca actualul circuit, in care pe fluxul medic de familie – ginecolog – infectionist, de la ultima veriga se poate decide reluarea ciclului pentru testari omise la pasii anteriori sau se ajunge la inlocuirea/intreruperea administrarii unui antibiotic prescris gravidei in mod eronat/excesiv, este nefunctional. 

     

    Ce se testeaza?

    in domeniul patologiei infectioase se aplica insa foarte bine regula lui „aici si acum“; de aceea, si testarile pentru infectiile cu potentiala transmitere maternofetala au un continut specific situatiei din fiecare regiune. A recomanda anumite teste „dupa ureche“ si a trimite apoi gravida cu rezultatele la interpretare „la un infectionist“ poate expune la cateva riscuri:

    pune in dificultate infectionistul in a furniza interpretari unor testari inutile sau fara semnificatie pentru situatia actuala a sarcinii

    expune medicul ginecolog riscului de scadere a credibilitatii in fata gravidei daca infectionistul se vede nevoit sa prescrie teste omise in bilantul initial

     Cine deconteaza testarile?

    Nu toata raspunderea in privinta derapajelor acestor testari apartine lipsei de educatie a gravidei in acest domeniu si/sau deficientelor profesionale ale medicului sau curant. De multe ori am intalnit gravide care aveau o lista de teste recomandate si neefectuate; cel mai adesea iti spun – „nu am avut bani ca sa fac aceste analize“.  Daca ne referim doar la testele cu adevarat utile, majoritatea sunt asigurate in mod gratuit pentru toate gravidele din Romania, dar unele nu. De aici se desprind cel putin doua idei:

    - necesitatea de a sustine efectuarea gratuita a tuturor acelor teste cu adevarat necesare, beneficiul medical si cel economic fiind cert;

    - necesitatea limitarii recomandarilor la testarile justificate, fara a incarca lista de analize cu alte teste inutile dar care costa, ceea ce va determina uneori ca gravida sa renunte la efectuarea oricarui test

  • Pregnancy The Beginner's Guide
    Pe comanda in aproximativ 4 saptamani
    75.00 lei

    The essential guidebook to pregnancy and beyond You're having a baby and starting parenthood- the adventure of a lifetime! Pregnancy The Beginner's Guide is a trusty travel guide for this amazing journey, from conception to birth and beyond. Being pregnant can feel like being in a foreign country- people use words you've never heard of, such as effacement, you have to visit new places, like birthing units, and you don't know what to wear or what's safe to eat. Pregnancy The Beginner's Guide has the answers with lists, Top 10 facts and a helpful translation guide for the new experiences and words you'll encounter.

    It follows the progress of mother and baby month-by-month, making it easy for you to use at all stages of your pregnancy and includes special sections for dads that give tips on what to expect and what's expected of them. Pregnancy The Beginner's Guide is a practical handbag-sized handbook for your journey through pregnancy and birth.

  • 130.00 lei

    A must read for every student appearing for the final MBBS examinations, this book prepares students for both the theory and viva examinations. It covers essays and short-answer questions, with short notes and recent advances added. Includes easily-reproducible figures and flow charts. Facilitates students to score higher marks in their exams. Designed for rapid revision and quick understanding of the concepts.

  • 17000lei 150.00 lei

     The second edition of Emergencies in Obstetrics and Gynaecology provides a practical and accessible guide to all emergency situations encountered in obstetrics and gynaecology, from the immediately life-threatening to the smaller but urgent problems that may arise.

    Designed around the symptoms and signs with which the patient presents to the hospital, this handbook explains how to arrive at a differential diagnosis and how to prevent, manage, or treat an emergency. The 'Obstetric emergencies' section covers topics from early pregnancy through to post-delivery complications, whilst the 'Gynaecologic emergencies' section addresses those issues that could potentially pose a threat to a women's fertility or even her life. 

    Addressing new topics on issues that have become more prevalent, such as substance misuse in pregnancy, and violence against women and children, the second edition ofEmergencies in Obstetrics and Gynaecology is an essential read. A new topic on 'preoperative assessment' outlines how to manage consent, the risks, benefits, and what the patient should expect.

  • Ob/Gyn Secrets
    La comanda in aproximativ 4 saptamani
    17800lei 150.00 lei


    Description:

    For 30 years, the highly regarded Secrets Series® has provided students and practitioners in all areas of health care with concise, focused, and engaging resources for quick reference and exam review. Ob/Gyn Secrets, 4th Edition, by Drs. Amanda Mularz, Steven Dalati, and Ryan A. Pedigo, features the Secrets’ popular question-and-answer format that also includes lists, tables, and an easy-to-read style – making reference and review quick, easy, and enjoyable.

    Features:

    • Top 100 Secrets and Key Points boxes provide a fast overview of the secrets you must know for success in practice.
    • The proven Secrets® format gives you the most return for your time – concise, easy to read, engaging, and highly effective.
    • Portable size makes it easy to carry with you for quick reference or review anywhere, anytime.

    New To This Edition:

    • NEW: Expert Consult access provides an enhanced e-book version with the print, available online or on mobile devices.
    • This edition features updated content to keep you current with what’s new in obstetrics and gynecology, including new technologies that can improve your patient care.
    • A new author team leads a team from prominent institutions, bringing a fresh perspective to this best-selling review.

    Table Of Contents:

    Section I. General Gynecology

    1 The Menstrual Cycle

    2 Premenstual Syndrome and Dysmenorrhea

    3 Abnormal Uterine Bleeding

    4 Endometriosis and Adenomyosis

    5 Leiomyomatous Uterus

    6 Anovulation

    7 Female Sexual Dysfunction

    8 Menopause

    9 Benign Lesions of the Vulva and Vagina

    10 Lower Genital Tract Infections

    11 Pelvic Inflammatory Disease

    12 Ectopic Pregnancy

    13 Induced Abortion

    14 Contraception

    15 Benign Adnexal Masses

    16 Acute and Chronic Pelvic Pain

    17 Urinary Incontinence

    18 Pelvic Organ Prolapse

    19 Breast Disease

    20 Intimate Partner Violence

    Section II. Reproductive Endocrinology

    21 Puberty

    22 Amenorrhea

    23 Infertility

    24 Ovulation Induction and In vitro Fertilization

    25 Spontaneous Abortion and Recurrent Pregnancy Loss

    26 Hirsutism and Polycystic Ovarian Syndrome

    Section III. Gynecologic Oncology

    27 Precancerous Lesions of the Lower Genital Tract

    28 Vulvar and Vaginal Cancer

    29 Cervical Cancer

    30 Endometrial Hyperplasia and Uterine Cancer

    31 Ovarian Cancer

    32 Gestational Trophoblastic Disease

    Section IV. General Obstetrics

    33 Normal Physiology of Pregnancy

    34 Pathophysiology of the Placenta

    35 Preconception Counseling

    36 Comprehensive Prenatal Care

    37 Nutrition and Exercise in Pregnancy

    38 Obstetric Ultrasound

    39 Prenatal Diagnosis

    40 Antepartum Fetal Surveillance

    Section V. Complications of Pregnancy

    41 Genetics in Pregnancy

    42 Cervical Insufficiency and Cerclage

    43 Nausea and Vomiting in Pregnancy

    44 Disorders of Fetal Growth

    45 Amniotic Fluid Disorders

    46 Alloimmunization

    47 Renal Disease in Pregnancy

    48 Pregestational and Gestational Diabetes

    49 Hypertension in Pregnancy

    50 Thyroid Disease in Pregnancy

    51 Autoimmune Diseases in Pregnancy

    52 Neurologic Issues in Pregnancy

    53 Pulmonary Disease in Pregnancy

    54 Cardiovascular Disease in Pregnancy

    55 Infections in Pregnancy

    56 Surgery During Pregnancy

    57 Trauma in Pregnancy

    58 Alcohol and Drug Abuse During Pregnancy

    59 Obesity in Pregnancy

    60 Multiple Gestation

    Section VI. Labor, Delivery, and Postpartum

    61 Labor and Vaginal Delivery

    62 Intrapartum Fetal Surveillance

    63 Cesarean Delivery and Vaginal Birth After Cesarean Delivery

    64 Obstetric Anesthesia

    65 Preterm Labor and Preterm Premature Rupture of Membranes

    66 Placenta Previa and Placental Abruption

    67 Malpresentation

    68 Postpartum Hemorrhage

    69 Newborn Resuscitation

    70 Postpartum Care

       

    Bottom of Form

     

  • 18900lei 170.00 lei

     

    Written by the authors of the renowned embryology textbooks The Developing Human and Before We Are Born, Concise Clinical Embryology: An Integrated, Case-Based Approach offers essential, high-yield information and high-quality clinical cases to illustrate key principles of embryology and their relevance to everyday practice. Ideally tailored to the needs of today's medical students and medical courses, this concise text clearly explains how embryology relates to other medical disciplines and its importance in safe, effective clinical practice. Abundant illustrations throughout help you grasp highly visual concepts quickly and easily.

    ·         Provides easily digestible, clinically oriented coverage of human development, establishing key principles in a week-by-week, stage-by-stage approach, before moving on to fetal organ development by body system.

    ·         Includes clinical cases and follow-up questions in each chapter that help relate key principles to everyday practice, aid in problem-based learning, and offer review for exam preparation.

    ·         Covers the latest advances in embryology, including normal and abnormal embryogenesis, causes of birth defects, and the role of genes in human development.

    ·         Contains superb illustrations from cover to cover, including diagnostic images, full color figures, histology, and more.

    ·         Summarizes molecular biology highlights throughout the text.

    ·         Enhanced eBook version included with purchase. Your enhanced eBook allows you to access 18 3D animations with expert commentary, plus all of the text, figures, and references from the book on a variety of devices.

     

  • 180.00 lei

     

    Description:

    This book aims to address some common problems which are seen regularly in gynaecology, sexual and reproductive health, but are often not considered in great detail. It is designed to provide direction on subjects which are peripheral to a specialty, but have a significant impact on patients’ lives nonetheless, and require expertise and intervention. These include cases on contraception and sexual health in transgender individuals, female genital mutilation, cervical screening in pregnancy, perimenopause, domestic violence, contact tracing and contraception.

    We hope it is helpful to hospital doctors, GPs, nurses, allied health care professionals and students alike.

    Mind the Gaps will help readers deal effectively with clinical and ethical dilemmas they may face in their practice, reducing the likelihood that problems are overlooked and ultimately improving outcomes for patients.



    Features:

    • Case-based approach covering important but under represented patient conditions
    • Presents the extensive knowledge and experience of distinguished editors Shreelata Datta and Usha Kumar
    • Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text and figures from the book on a variety of devices.



    Table Of Contents:

    Chapter 1 Recurrent Thrush

    Chapter 2 Herpes Simplex Virus

    Chapter 3 Lichen Sclerosis

    Chapter 4 Lichen Planus

    Chapter 5 Genital Warts

    Chapter 6 The Immunocompromised Patient with Genito-urinary presentations

    Chapter 7 Intermenstrual / Postcoital Bleeding

    Chapter 8 Premenstrual Syndrome

    Chapter 9 Postmenopausal bleeding

    Chapter 10 Domestic violence

    Chapter 11 Issues Pertinent to Migrant Women-Female genital mutilation

    Chapter 12 Toxic Shock Syndrome

    Chapter 13 Cervical Screening in pregnancy

    Chapter 14 Chickenpox in pregnancy

    Chapter 15 Confidentiality

    Chapter 16 Contact tracing

    Chapter 17 Contraception for postpartum women

    Chapter 18 Contraception for women aged over 40 and in the perimenopause

    Chapter 19 Polycystic Ovarian Syndrome (PCOS) and Contraception

    Chapter 20 Contraception for women with obesity

    Chapter 21 Contraception for women with eating disorders

    Chapter 22 Contraception for women with epilepsy

    Chapter 23 Emergency contraception

    Chapter 24 Contraception and Sexual Health in Transgender individuals

    Chapter 25 HIV and Contraception

    Chapter 26 Contraception and mental health

    Appendix 1 The UK Medical Eligibility Criteria for contraceptive use

    Appendix 2 Contraception choices and effectiveness of contraceptive methods

    Appendix 3 Abbreviations

       

  • 185.00 lei

    Uses a step-by-step approach to fertility management from basic to advanced procedures. All the chapters are written in the form of a one page algorithm that catalogues the line of action, and one page text elaborating the algorithm. This simple format makes this book an excellent choice and a ready reckoner for practising fertility specialists. The beauty of the book lies in its crisp, clear cut, and extremely practical approach. Algorithm-based practice-oriented book. Covers all aspects of infertility management from basics to advanced. Chapters are relevant to routine practice. Step-by-step management of each condition from diagnosis to treatment.

  • 195.00 lei

     

    Description:

    Concise and easy to read, Obstetrics & Gynecology Morning Report: Beyond the Pearls is a case-based reference that covers the key material included on the USMLE Step 2 and Step 3, as well as the OB-GYN clerkship. Focusing on the practical information you need to know, it teaches how to analyze a clinical vignette in the style of a morning report conference, sharpening your clinical decision-making skills and helping you formulate an evidence-based approach to realistic patient scenarios.



    Features:


    • Each case has been carefully chosen and covers scenarios and questions frequently encountered on the Obstetrics and Gynecology boards, shelf exams, and clinical practice, integrating both basic science and clinical pearls.
    • "Beyond the Pearls" tips and secrets (all evidence-based with references) provide deep coverage of core material.
    • "Morning Report"/"Grand Rounds" format begins with the chief complaints to the labs, relevant images, and includes a "pearl" at the end of the case. Questions are placed throughout the case to mimic practical decision making both in the hospital and on the board exam.
    • Written and edited by experienced teachers and clinicians; each case has been reviewed by board certified attending/practicing physicians.



    Table Of Contents:


    Meriwether 1e: Obstetric-Gynecology Morning Report

    OBSTETRICS

    Prenatal Care and Pregnancy Management

    1. A 34-Year-Old Woman with Cervical Dysplasia in Pregnancy

    2. A 23-Year-Old Woman with Hyperemesis Gravidarum

    3. A 31-Year-Old Woman with Rash in Pregnancy

    4. A 38-Year-Old Woman with GDM

    5. A 27-Year-Old Woman with Human Immunodeficiency Virus in Pregnancy

    6. A 30-Year-Old Woman with Gestational Trophoblastic Disease

    7. A 28-Year-Old Woman Presenting with Symptoms of Depression in the Postpartum Period

    8. A 25-Year-Old Woman with Pica in Pregnancy

    9. A 27-Year-Old Woman with Opiate Dependence in Pregnancy

    10. A 29-Year-Old G1P0 Woman with Hypothyroidism in Pregnancy

    11. A 30-Year-Old Woman Undergoes Carrier Screening

    Obstetrics & Peripartum Management

    12. A 36-Year-Old Woman with Headache in Pregnancy

    13. A 20-Year-Old Woman with Preterm Premature Rupture of Membranes

    14. A 36-Year-Old Woman at 33 Weeks Gestation with Bleeding

    15. A 36-Year-Old Woman with Placental Abruption

    16. A 35-Year-Old Woman with Lower Extremity Swelling

    17. A 31-Year-Old Female Admitted for Induction Of Labor

    18. A 35-Year-Old Pregnant Female with Abdominal Pain

    19. A 32-Year-Old Woman with Severe Postpartum Headache

    20. A 25-Year-Old Female with Obesity in Pregnancy

    21. A 33-Year Old Woman with Postpartum Vaginal Edema

    Maternal-Fetal Medicine

    22. A 16-Year-Old Female with Diabetic Ketoacidosis in Pregnancy

    23. A 38-Year-Old Female with Abnormal Quad Screen

    24. A 17-Year-Old Woman with a History of Sickle Cell Disease Presenting with Bone Pain

    25. A 28-Year-Old Female with Valvular Heart Disease in Pregnancy

    26. A 25-Year-Old Woman Undergoes Non-Invasive Aneuploidy Screening

    27. A 27-Year-Old Woman with Vaginal Bleeding in Pregnancy

    28. A 27-Year-Old Woman with History of Asthma

    29. A 34-Year-Old Female with Sleep Disturbance During Pregnancy

    30. A 25-Year-Old Female in her Third Trimester of Pregnancy

    31. A 29-Year-Old Female with Systemic Lupus Erythematosus Planning Pregnancy

    32. A 29-Year-Old Woman with Shortness of Breath

    GYNECOLOGY

    General Gynecology

    33. A 42-Year Old With Heavy Vaginal Bleeding

    34. A 38-Year-Old Female with Acute Pelvic Pain

    35. A 17-Year-Old Female with Recent Onset of Pelvic Pain

    36. A 28-Year-Old Woman with Abdominal Pain and Vaginal Bleeding

    37. A 19-Year-Old with Postoperative Fever And Lower Abdominal Pain

    38. A 34-Year-Old Female with Postoperative Flank Pain

    39. A 35-Year-Old Female with an Abnormal Pap Smear

    40. A 28-Year-Old Woman with a History of a Pulmonary Embolism who Desires Contraception

    41. A 56-Year-Old Woman with Menopausal Symptoms

    42. A 22-Year-Old Woman with Painful Menses

    Reproductive Endocrinology and Infertility

    43. A 26-Year-Old Woman with Irregular Menses

    44. A 25-Year Old with Recurrent Pregnancy Loss

    45. A 17-Year-Old Female with Absent Menses

    46. A 33-Year-Old Female with Infertility and Endometriosis

    47. A 22-Year-Old Female with Amenorrhea

    Pediatric Gynecology

    48. A 3-Year-Old Girl with Vaginal Discharge

    49. A 15-Year-Old Concerned About Not Having Her Period

    50. A 14-Year-Old Girl with Heavy Menstrual Bleeding Since Menarche

    51. An 11-Year-Old with Gender Identity Concerns

    Gynecologic Oncology

    52. A 65-Year-Old Post-Menopausal Woman with Abdominal Distension

    53. A 52-Year-Old Perimenopausal Woman with Irregular Bleeding

    54. A 58-Year-Old Woman with Post-Menopausal Bleeding

    55. A 35-Year-Old Woman with a Family History of Ovarian Cancer

    56. A 29-Year-Old Female with Vaginal Bleeding

    57. A 63-Year-Old with Known Ovarian Cancer and New-Onset Abdominal Symptoms

    Female Pelvic Medicine and Pelvic Surgery

    58. A 57-Year-Old Woman with Pain on Sexual Intercourse

    59. A 62-Year-Old Female with Urinary Urgency and Incontinence

    60. A 51-Year-Old with Frequent Urinary Tract Infections and Vaginal Dryness and Burning

    61. A 32-Year-Old Woman with Urinary Leakage on Exercise

    62. A 43-Year-Old Woman with Pelvic Pain, Symptoms of Bladder Infections Despite Negative Urine Cultures

    63. A 65-Year-Old with Vaginal Bulge and Pelvic Pressure

    64. A 63-Year-Old Woman with Fecal Incontinence

       

     

  • 22600lei 200.00 lei

     

    Description:

    This is the sixth edition of a popular, highly readable primer in obstetrics and gynaecology. It has been thoroughly updated and aligns with the undergraduate curriculum in O&G devised by the Royal College of Obstetrics and Gynaecology.

    • Highly illustrated throughout
    • Essential information points at the end of chapters
    • Case histories
    • Practical procedures boxes
    • Alert (warnings or advice) and tick (guidance or definitions) boxes throughout
    • Over 100 self-assessment MCQs
    • Appendices: Principles of Perioperative Care; Governance, Audit and Research
    • Reflects the national undergraduate curriculum in obstetrics and gynaecology in the UK and Australia

    More information on:

    • Fetal development
    • Screening for fetal anomaly: non-invasive prenatal testing
    • Placenta accreta
    • Infections acquired in pregnancy: Zika, Rubella
    • Non-invasive prenatal testin
    • Fetal Doppler examination, e.g. middle cerebral artery, ductus venosus
    • Management of preterm labour: oxytocin antagonists
    • Induction of labour: components of Bishop score
    • Ectopic pregnancy: Caesarean scar ectopic, cornual ectopic
    • Emergency contraception: ulipristal acetate
    • Sterilization: salpingectomy
    • Genital tract infections: role of sexual health clinic, contact tracing
    • Cervix: update on HPV screening and vaccination
    • Ovary: update FIGO staging of ovarian carcinoma; "risk reducing surgery" for ovarian cancer
    • WHO surgical safety checklist added to Appendix A.
    • New self-assessment OSCE questions

     

     

    ·  Section 1. Essential reproductive science

    ·  Chapter 1. Anatomy of the female pelvis

    ·  The bony pelvis

    ·  The external genitalia

    ·  The internal genital organs

    ·  The blood supply to the pelvic organs

    ·  The pelvic lymphatic system

    ·  Nerves of the pelvis

    ·  The pelvic floor

    ·  The perineum

    ·  Chapter 2. Conception and implantation

    ·  Oogenesis

    ·  Hormonal events associated with ovulation

    ·  The endometrial cycle

    ·  Production of sperm

    ·  Fertilization

    ·  The physiology of coitus

    ·  Chapter 3. Physiological changes in pregnancy

    ·  Immunology of pregnancy

    ·  The uterus

    ·  The vagina

    ·  The cardiovascular system

    ·  The blood

    ·  Respiratory function

    ·  Renal function

    ·  The alimentary system

    ·  Nutrients in blood

    ·  Maternal weight gain

    ·  The breasts

    ·  The skin

    ·  Endocrine changes

    ·  Conclusion

    ·  Chapter 4. Placental and fetal growth and development

    ·  Early placental development

    ·  Further placental development

    ·  Uteroplacental blood flow

    ·  Placental transfer

    ·  Placental function

    ·  Fetal development

    ·  Amniotic fluid

    ·  Amniocentesis

    ·  Chapter 5. Perinatal and maternal mortality

    ·  Perinatal mortality

    ·  Maternal mortality

    ·  Section 2. Essential obstetrics

    ·  Chapter 6. History taking and examination in obstetrics

    ·  Taking a relevant and comprehensive history

    ·  Obstetric history

    ·  Previous medical history

    ·  Examination

    ·  Abdominal palpation

    ·  Palpation of fetal parts

    ·  Chapter 7. Normal pregnancy and antenatal care

    ·  Aims and patterns of routine antenatal care

    ·  Pre-conceptual care and vitamin supplementation

    ·  Changing demographics of pregnancy

    ·  The booking visit

    ·  Consideration of past obstetric history, including mode of delivery

    ·  Recommended routine screening tests

    ·  Screening for fetal anomaly

    ·  Schedules of routine antenatal care

    ·  Antenatal education

    ·  Substance use and misuse in pregnancy

    ·  Breast care

    ·  Social and cultural awareness

    ·  Safe prescribing in pregnancy

    ·  Chapter 8. Obstetric disorders

    ·  Hypertensive disorders of pregnancy

    ·  Antepartum haemorrhage

    ·  Multiple pregnancy

    ·  Prolonged pregnancy

    ·  Breech presentation

    ·  Unstable lie, transverse lie and shoulder presentation

    ·  Chapter 9. Maternal medicine

    ·  Introduction

    ·  Minor complaints of pregnancy

    ·  Medical problems arising in pregnancy

    ·  Pre-existing medical conditions and pregnancy

    ·  Conclusions

    ·  Chapter 10. Congenital abnormalities and assessment of fetal wellbeing

    ·  Neural tube defects

    ·  Congenital cardiac defects

    ·  Defects of the abdominal wall

    ·  Chromosomal abnormalities

    ·  Assessing fetal normality

    ·  Assessing the health of a normally formed fetus

    ·  Interventions

    ·  Conclusions

    ·  Chapter 11. Management of labour

    ·  Stages of labour

    ·  Onset of labour

    ·  Uterine activity in labour: the powers

    ·  The passages

    ·  The mechanism of labour

    ·  The third stage of labour

    ·  Pain in labour

    ·  The management of normal labour

    ·  Pain relief in labour

    ·  Posture in labour

    ·  Fetal monitoring

    ·  Pre-term delivery

    ·  Pre-labour rupture of the membranes

    ·  Induction of labour

    ·  Precipitate labour

    ·  Delay in progress in labour

    ·  Efficiency of uterine activity

    ·  Cephalopelvic disproportion

    ·  Cord presentation and cord prolapse

    ·  Chapter 12. Management of delivery

    ·  Normal vaginal delivery

    ·  Repair of episiotomy or perineal injury

    ·  Malpresentations

    ·  Malposition of the fetal head

    ·  Instrumental delivery

    ·  Caesarean section

    ·  Shoulder dystocia

    ·  Abnormalities of the third stage of labour

    ·  Chapter 13. Postpartum and early neonatal care

    ·  The normal postpartum period

    ·  Physiological changes

    ·  The importance of breast-feeding

    ·  Complications of the postpartum period

    ·  Contraception in the postnatal period

    ·  Neonatal problems

    ·  Conducting a routine postnatal clinical review

    ·  Chapter 14. Mental health and childbirth

    ·  The role of the obstetrician as relates to mental illness and childbirth

    ·  Taking a basic mental health history

    ·  Making a mental health plan

    ·  Making a mental health plan for pregnancy, birth and the postnatal period

    ·  Specific mental health diagnoses in pregnancy and the postnatal period

    ·  Principles of prescribing psychotropic medication in pregnancy

    ·  Capacity and mental health

    ·  Summary

    ·  Section 3. Essential gynaecology

    ·  Chapter 15. Basic clinical skills in gynaecology

    ·  History

    ·  Examination

    ·  Presenting your findings

    ·  Chapter 16. Gynaecological disorders

    ·  Introduction

    ·  Benign conditions of the upper genital tract

    ·  Lesions of the ovary

    ·  Endometriosis

    ·  Abnormal uterine bleeding

    ·  Heavy menstrual bleeding

    ·  Secondary amenorrhoea and oligomenorrhoea

    ·  Dysmenorrhoea

    ·  Premenstrual syndrome

    ·  Disorders of puberty

    ·  Benign conditions of the lower genital tract

    ·  Neoplastic lesions of the vaginal epithelium

    ·  Emergency gynaecology

    ·  Chapter 17. Infertility

    ·  History and examination

    ·  Female infertility

    ·  Male infertility

    ·  Investigation of infertility

    ·  Treatment of female subfertility

    ·  Ovarian hyperstimulation syndrome

    ·  Treatment of male infertility

    ·  Chapter 18. Early pregnancy care

    ·  Bleeding in early pregnancy

    ·  Miscarriage

    ·  Ectopic pregnancy

    ·  Gestational trophoblastic disease

    ·  Vomiting in early pregnancy

    ·  Chapter 19. Sexual and reproductive health

    ·  Contraception and termination of pregnancy

    ·  Genital tract infections

    ·  Disorders of female sexual function

    ·  Disorders of male sexual function

    ·  Chapter 20. Gynaecological oncology

    ·  Lesions of the vulva

    ·  Neoplastic lesions of the vaginal epithelium

    ·  Lesions of the cervix

    ·  Malignant disease of the uterus

    ·  Lesions of the ovary

    ·  Benign ovarian tumours

    ·  Ovarian malignancy

    ·  Principles of palliative care in gynaecological cancer

    ·  Chapter 21. Prolapse and disorders of the urinary tract

    ·  Uterovaginal prolapse

    ·  Urinary tract disorders

    ·  Appendices

  • Obstetric Medicine
    La comanda in aproximativ 4 saptamani
    23000lei 200.00 lei

    This handbook is filled with links to national and international guidelines, expert advice, and evidence-based management strategies for a range of acute and chronic conditions that can occur in the pregnant woman. It is an essential new addition to the literature for all physicians who work with pregnant patients in their practice.1 Hypertensive disorders of pregnancy; 2 Cardiology; 3 Respiratory; 4 Gastroenterology; 5 Liver disease; 6 Renal disease; 7 Neurology; 8 Rheumatology; 9 Haematology; 10 Venous thromboembolism; 11 Diabetes mellitus; 12 Endocrinology; 13 Infectious diseases; 14 Oncology; 15 Dermatology; 16 Perinatal mental health; 17 Ophthalmology

  • 205.00 lei

     

    Description:

    This book covers over 50 topics in obstetrics and gynaecology. Presenting clinical cases with exam-relevant questions and answers that explain the incorrect and correct answers followed by key theory, this book is written with revision in mind. Clear diagrams and clinical photographs help present both clinical and scientific information to help students learn in a systematic manner. The comprehensive nature of the book means that it is a resource for both students and trainees.

     

     

    Table of Contents:

     

    THE UNOFFICIAL GUIDE TO MEDICINE PROJECT

    FOREWORD

    INTRODUCTION

    ABBREVIATIONS

    CONTRIBUTORS

    CONTENTS

    SECTION 1: GYNAECOLOGY

    CHAPTER 1.01: INTRODUCTION

    GYNAECOLOGICAL ANATOMY AND EXAMINATION

    CHAPTER 1.02: HPO AXIS

    THE MENSTRUAL CYCLE AND PHYSIOLOGY OF THE HPO AXIS

    PUBERTY

    DISORDERS OF SEXUAL DEVELOPMENT

    SECONDARY AMENORRHOEA

    POLYCYSTIC OVARIAN SYNDROME

    INFERTILITY

    CHAPTER 1.03: EARLY PREGNANCY COMPLICATIONS

    HYPEREMESIS GRAVIDARUM

    MOLAR PREGNANCY

    ECTOPIC PREGNANCY

    MISCARRIAGE

    RECURRENT MISCARRIAGE

    TERMINATION OF PREGNANCY

    CHAPTER 1.04: BENIGN GYNAECOLOGY

    CONTRACEPTION

    EMERGENCY CONTRACEPTION

    MENORRHAGIA AND OTHER MENSTRUAL BLEEDING DISORDERS

    FIBROIDS

    PREMENSTRUAL DISORDER

    MENOPAUSE

    VULVAL DISORDERS

    CHAPTER 1.05: UROGYNAECOLOGY

    PELVIC ORGAN PROLAPSE

    URINARY INCONTINENCE

    CHAPTER 1.06: PELVIC PAIN

    ENDOMETRIOSIS

    SEXUALLY TRANSMITTED INFECTIONS

    BENIGN OVARIAN CYSTS

    CHAPTER 1.07: ONCO-GYNAECOLOGY

    GENERAL PRINCIPLES OF GYNAECOLOGICAL CANCER MANAGEMENT

    OVARIAN CANCER

    ENDOMETRIAL CANCER

    CERVICAL SCREENING

    CERVICAL CANCER

    VULVAL AND VAGINAL CANCERS

    CHAPTER 1.08: GYNAECOLOGY ANSWERS

    SECTION 2: OBSTETRICS

    CHAPTER 2.01: ANTENATAL CARE

    ORGANISATION AND PRINCIPLES OF ANTENATAL CARE

    OBSTETRIC ABDOMINAL PALPATION

    ANTENATAL SCREENING AND DIAGNOSTIC TESTS

    CHAPTER 2.02: MEDICAL DISORDERS IN PREGNANCY

    DIABETES IN PREGNANCY

    EPILEPSY IN PREGNANCY

    CARDIAC DISORDERS IN PREGNANCY

    THE IMPACT OF MATERNAL WEIGHT ON PREGNANCY

    THYROID DISEASE IN PREGNANCY

    HEPATITIS B IN PREGNANCY

    HIV IN PREGNANCY

    SICKLE CELL DISEASE IN PREGNANCY

    OBSTETRIC CHOLESTASIS

    CHAPTER 2.03: MULTIPLE PREGNANCY

    TWIN PREGNANCY

    CHAPTER 2.04: MANAGEMENT OF LABOUR

    NORMAL VAGINAL DELIVERY

    MONITORING THE FETUS

    INDUCTION AND AUGMENTATION

    PAIN RELIEF IN LABOUR

    MALPRESENTATION AND MALPOSITION OF THE FETUS

    BREECH

    CHAPTER 2.05: METHODS OF DELIVERY

    CAESAREAN SECTION

    VAGINAL BIRTH AFTER CAESAREAN SECTION (VBAC)

    ASSISTED DELIVERY AND INSTRUMENTAL BIRTHS

    CHAPTER 2.06: OBSTETRIC COMPLICATIONS

    ANTEPARTUM HAEMORRHAGE

    PRE-ECLAMPSIA AND PREGNANCY-INDUCED HYPERTENSION

    PRETERM LABOUR

    CHORIOAMNIONITIS

    SMALL FOR GESTATIONAL AGE BABIES AND INTRAUTERINE GROWTH RESTRICTION

    FETAL HAEMOLYTIC DISEASE

    CONGENITAL INTRAUTERINE INFECTIONS

    STILLBIRTH

    CHAPTER 2.07: OBSTETRIC EMERGENCIES

    CORD PROLAPSE

    SHOULDER DYSTOCIA

    RETAINED PLACENTA

    POSTPARTUM HAEMORRHAGE

    AMNIOTIC EMBOLISM

    MATERNAL COLLAPSE

    CHAPTER 2.08: POSTNATAL COMPLICATIONS

    VENOUS THROMBOEMBOLISM

    BACTERIAL SEPSIS FOLLOWING PREGNANCY

    PERINEAL TRAUMA

    MASTITIS

    POSTNATAL MENTAL HEALTH

    CHAPTER 2.09: OBSTETRICS ANSWERS

    SECTION 3: CAREERS

    CHAPTER 3.01: CAREERS IN OBSTETRICS AND GYNAECOLOGY

    INDEX

     

  • 225.00 lei

      Table of Contents:

    I. Obstetrics
    1. Labor & Delivery
    2. Clinic
    3. Diagnostic Imaging and Pregnancy
    4. Medications and Pregnancy

    II. Gynecology
    5. Gynecologic Surgery
    6. Writing Orders/Notes
    7. Common Post-Op Complications
    8. Contraception
    9. CDC Guidelines for STDs
    10. Miscellaneous Gynecology
    11. Cervical Cancer Screening - Pap Tests
    12. Miscellaneous Management Algorithms

    III. Gynecologic Oncology
    13. Common Medical Oncology Issues 14. Cervical Cancer
    15. Ovarian Cancer
    16. Uterine Cancer
    17. Vulvar Cancer
    18. Vaginal Cancer
    19. Anatomy

    IV. Reproductive Endocrinology and Infertility
    20. Mentrual Cycle
    21. Infertility
    22. Common Disorders Related to Infertility
    23. Normal and Abnormal Puberty
    24. Congenital Mullerian Anomalies
    25. Menopause
    26. Osteoporosis

    Urogynecology
    27. Normal Urinary Function
    28. Urinary Incontinence
    29. Stress Urinary Incontinence
    30. Overactive Bladder
    31. Pelvic Organ Prolapse
    32. Anatomy

  • 26300lei 230.00 lei

     

    Description:

    This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods.

    • Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either:
      • Tricycling, the 84/4 regimen, or totally continuous use (365/365),
      • OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days
    • New methods, and their importance or otherwise:
      • Intrauterine system: Jaydess®
      • Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press
      • 24/4 combined hormonal contraceptives: Zoely®, Eloine®
      • Diaphragm: Caya®
    • Updates
      • Quick starting and bridging (the Proving not Pregnant Protocol)
      • Emergency contraception (EC), how advice differs for ulipristal acetate EC
      • Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)

    Features:



    • Question and answer format
    • Important information boxes
    • Unwanted side effects boxes
    • Frequent patient questions at the end of relevant chapters
    • Management advice
    • Follow-up advice
    • Comes with free e-book on  ExpertConsult for the first time



    New To This Edition:


    This seventh edition has been completely revised and updated, incorporating relevant WHO and national guidance documents: therefore imparting best evidence-based practice for all methods.

    • Combined oral contraceptives (COCs) Based on the long-established evidence that 7 days of routinely not-taking pills in each cycle is too long for maintained ovarian suppression - and this necessarily leads to too little margin for errors in pill-taking - the authors recommend that providers switch to a new norm for all users of either:
      • Tricycling, the 84/4 regimen, or totally continuous use (365/365),
      • OR, for women who remain keen to see monthly pill-bleeds (which are completely unnecessary for health), one of the regimens (24/4 or 21/4) that shorten the contraception-non-taking time to 4 days
    • New methods, and their importance or otherwise:
      • Intrauterine system: Jaydess®
      • Subcutaneous, self-injectable alternative to Depo-Provera: Sayana® Press
      • 24/4 combined hormonal contraceptives: Zoely®, Eloine®
      • Diaphragm: Caya®
    • Updates
      • Quick starting and bridging (the Proving not Pregnant Protocol)
      • Emergency contraception (EC), how advice differs for ulipristal acetate EC
      • Drug metabolism (implications with norethisterone) and interactions (eg affecting lamotrigine)
    • Intermittent quizzes for CPD portfolio purposes
    • Now on ExpertConsult



    Table Of Contents:


    1. Introduction: the population explosion, sexual and contraceptive history-taking and counselling - the importance of fertility control

    2. Aspects of human fertility and fertility awareness: natural birth control

    3. Male methods of contraception

    4. Vaginal methods of contraception

    5. The combined oral contraceptive - selection and eligibility

    6. The combined oral contraceptive - follow-up arrangements and new routes of administration

    7. The progestogen-only pill

    8. Injectables and implants

    9. Intrauterine devices and systems

    10. Emergency (postcoital) contraception

    11. Contraception for the young, the not quite so young - and in future

    • Further reading
    • Websites
    • Appendices
       

     

  • 230.00 lei

    To its proponents, the ultrasound scanner is a safe, reliable, and indispensable aid to diagnosis. Its detractors, on the other hand, argue that its development and use are driven by the technological enthusiasms of doctors and engineers (and the commercial interests of manufacturers) and not by concern to improve the clinical care of women. In some U.S. states, an ultrasound scan is now required by legislation before a woman can obtain an abortion, adding a new dimension to an already controversial practice. "Imaging and Imagining the Fetus" engages both the development of a modern medical technology and the concerted critique of that technology. Malcolm Nicolson and John Fleming relate the technical and social history of ultrasound imaging – from early experiments in Glasgow in 1956 through wide deployment in the British hospital system by 1975 to its ubiquitous use in maternity clinics throughout the developed world by the end of the twentieth century. Obstetrician Ian Donald and engineer Tom Brown created ultrasound technology in Glasgow, where their prototypes were based on the industrial flaw detector, an instrument readily available to them in the shipbuilding city. As a physician, Donald supported the use of ultrasound for clinical purposes, and as a devout High Anglican he imbued the images with moral significance. He opposed abortion – decisions about which were increasingly guided by the ultrasound technology he pioneered – and he occasionally used ultrasound images to convince pregnant women not to abort the fetuses they could now see. "Imaging and Imagining the Fetus" explores why earlier innovators failed where Donald and Brown succeeded. It also shows how ultrasound developed into a "black box" technology whose users can fully appreciate the images they produce but do not, and have no need to, understand the technology, any more than do users of computers. These "images of the fetus may be produced by machines", the authors write, "but they live vividly in the human imagination".

  • Aesthetic Vaginal Plastic Surgery: A Practical Guide
    La comanda in aproximativ 4 saptamani
    26200lei 235.00 lei

     

    Fills a gap in the literature, regarding practical guides for successful aesthetic vaginal proceduresWritten in a concise and practical way, intended for direct surgical applicabilityFeatures figures and illustrations that present surgical procedures step-by-stepIncludes sections on internal and external procedures, as well as non-surgical procedures that detail use of lasers and fillers for rejuvenation

     

    This book schematically discusses the available techniques for aesthetic vaginoplasty, including vagina rejuvenation and other related surgical and non-surgical approaches. By furthering our understanding of the field, it promotes a better surgical practice on aesthetic vaginal surgeries. More specifically, this book will enable surgeons to correctly assess patients, choose and plan procedures, and reproduce the most common surgical aesthetic vaginal procedures.
    Each chapter is written in a pedagogical way, promoting a direct applicability. For each surgical procedure discussed, it features topics such as consultation and patient’s intentions, clinical examination, anatomy and important landmarks, surgical technique and possible complications. Aesthetic Vaginal Plastic Surgery: A Practical Guide is intended for any medical professional interested in vagina aesthetic and rejuvenation procedures, especially those in the fields of plastic surgery, gynecology and urology.

     

    Table of contents (18 chapters):

     

    Why Genital and Vaginal Rejuvenation

    Pages 3-11

    Triana, Lina

     

    Challenges When Starting My Vaginal Rejuvenation Practice

    Pages 13-24

    Triana, Lina

     

    Wedge Labiaplasty

    Pages 27-36

    Triana, Lina

     

    Lazy S Labiaplasty (Edge Labiaplasty)

    Pages 37-51

    Triana, Lina

     

    Longitudinal Hoodplasty

    Pages 53-66

    Triana, Lina

     

    Horseshoe Hoodplasty

    Pages 67-78

    Triana, Lina

     

    Labiaplasty and Hoodplasty Combined

    Pages 79-88

    Triana, Lina

     

    Labia Majora Augmentation

    Pages 89-97

    Triana, Lina

     

    Labia Majora Resection

    Pages 99-108

    Triana, Lina

     

    Pubic Region

    Pages 109-117

    Triana, Lina

     

    Hymenoplasty

    Pages 119-127

    Triana, Lina

     

    Perineoplasty

    Pages 131-144

    Triana, Lina

     

    Anterior Vaginoplasty

    Pages 145-158

    Triana, Lina

     

     

    Posterior Vaginoplasty

    Pages 159-170

    Triana, Lina

     

    Combination of Anterior and Posterior Vaginoplasty Plus Perineoplasty

    Pages 171-189

    Triana, Lina

     

     

    Labia Majora Non-surgical Options: Lightening, Fillers, and Skin Tightening

    Pages 193-197

    Triana, Lina

     

    Non-surgical Vaginal Tightening Procedures

    Pages 199-207

    Triana, Lina

     

    G Spot Enhancement

    Pages 209-215

    Triana, Lina

     

     

     

  • 235.00 lei

     

    Description:

    The fourth edition of this highly regarded textbook has been thoroughly overhauled. There is ¦ a new chapter bridging the gap between learning and doing (On-Call); ¦ new coverage of FGM and the Zika virus; ¦ sepsis has been updated; ¦ there is access to a further five chapters online; ¦ there are ten videos to guide learners through the more difficult, complex issues they might face in O&G; ¦ and new self-assessment has been written to help with testing understanding.



    Features:


    • Key points boxes throughout
    • Full-colour illustrations throughout
    • Over 350 illustrations
    • Comprehensive coverage



    New To This Edition:


    • New chapter covering On Call O&G with practical guidance and steps for acute and important issues likely to be encountered (hypertension, sepsis, bleeding, labour-ward emergencies etc.).
    • New sections on FGM.
    • Expanded areas in medical disorders in pregnancy and mental illness.
    • Comes with an e-book on StudentConsult.
    • Ten videos with experts guiding viewers through a range of essential issues, from on-call scenarios to fetal medicine.
    • Self-assessment. Over 40 SBAs and case-based questions.



    Table Of Contents:


    SECTION 1 FUNDAMENTALS

      1. Pelvic anatomy
      2. History and examination

    SECTION 2 GYNAECOLOGY

      1. Paediatric gynaecology and disorders of sex development
      2. The normal menstrual cycle and amenorrhoea
      3. Sub-fertility
      4. Early pregnancy care
      5. Menstrual disorders and premenstrual syndrome
      6. Pelvic pain and endometriosis
      7. The menopause and HRT
      8. Prolapse
      9. Incontinence
      10. Ovarian neoplasms
      11. Uterine neoplastic disease
      12. Cervical disease
      13. Trophoblastic disease
      14. Vulval disorders
      15. Gynaecological surgery

    SECTION 3 REPRODUCTIVE HEALTH

      1. Pelvic infection and STIs
      2. Psychosexual problems
      3. Abortion
      4. Contraception

    SECTION 4 OBSTETRICS

      1. Antenatal and postnatal care
      2. Maternal medicine
      3. Prenatal diagnosis
      4. Obstetric haemorrhage
      5. Fetal growth and surveillance
      6. Hypertension in pregnancy
      7. Prematurity
      8. Multiple pregnancy
      9. Normal labour and pain relief in labour
      10. Monitoring of the fetus in labour
      11. Induction
      12. Malpresentation and slow labour
      13. Emergencies in labour
      14. Operative delivery
      15. Stillbirth and neonatal mortality
      16. Neonatal resuscitation

    SECTION 5 ON CALL FOR OBSTETRICS & GYNAECOLOGY

      1. Practical obstetrics and gynaecology
      2. Self-assessment

    ONLINE CHAPTERS

    W1. Embryology

    W2. Imaging in gynaecology

    W3. Physiology of pregnancy

    W4. Obstetrics in under-resourced settings

    W5. Neonatal care

    W6. Self-assessment

    VIDEOS

    V1. Pelvic pain

    V2. The menopause

    V3. STIs

    V4. Contraception

    V5. Fetal medicine

    V6. Prematurity

    V7. Induction

    V8. Slow and precipitate labour

    V9. Stillbirth

    V10. On call

       

     

  • Vaginal Pessaries
    La comanda in aproximativ 4 saptamani
    240.00 lei

     

    Book Description:

    With mesh surgery for prolapse sometimes proving problematic, there has been a resurgence of professional medical interest in more traditional methods for the management of prolapse and of stress urinary incontinence. This concise guide to the practical aspects of pessary use will be of interest to all gynecologists involved in the clinical management of the patient with these problems.

    Contents: Historical review * Pessaries for pelvic organ prolapse * Incontinence pessaries * Pessary fitting * Pessary care * Outcomes of pessary use * Current clinical studies on vaginal pessaries

    Cover image of vaginal pessaries © 2019 Rick Hicaro, Jr., Chicago, IL 60647, USA

    Table of Contents:

    Preface
    Acknowledgments
    About the editors
    List of contributors

    1 Historical review
    Jaime B Long and Sonia Bhandari

    2 Pessaries for pelvic organ prolapse
    Michael D Moen and Anne F Wright

    3 Incontinence pessaries
    Sarah S Boyd

    4 Pessary fitting trial
    Hayley Barnes and Thythy Pham

    5 Pessary care
    Marko J Jachtorowycz

    6 Outcomes of pessary use
    Soo Kwon

    7 Current clinical studies in vaginal pessaries
    Kelly Jirschele

    Index

     

  • 30000lei 250.00 lei

     

    Description:

    This practical guide covers all aspects of gynaecological ultrasound, focusing on good technique, the ultrasound machine and reporting. Written by experts with a strong reputation for training in the field, this book takes a 'tips and tricks' approach. Chapters cover topics such as equipment familiarization, principles of transvaginal ultrasound, the awkward uterus, the difficult ovary, and ART-related procedures. The authors discuss the use of both basic ultrasound and 3D machines, and provide tips on how to optimize the image and gain useful clinical information even in the most challenging of assessments. With a multitude of images included to train the eye to identify normal anatomy and common pathologies, chapter summary boxes and case-based examples also provide an easy reference for assessing conditions and lesions. This book will greatly improve the scanning technique of trainees in obstetrics and gynaecology, sonographers, reproductive medicine practitioners, and gynaecologists of any level.

     

    ·  Chapter 1 Get to Know Your Machine and Scanning Environment

    ·  Chapter 2 Baseline Sonographic Assessment of the Female Pelvis

    ·  Chapter 3 Difficult Gynaecological Ultrasound Examination

    ·  Chapter 4 Sonographic Assessment of Uterine Fibroids and Adenomyosis

    ·  Chapter 5 Sonographic Assessment of Congenital Uterine Anomalies

    ·  Chapter 6 Sonographic Assessment of Endometrial Pathology

    ·  Chapter 7 Sonographic Assessment of Polycystic Ovaries

    ·  Chapter 8 Sonographic Assessment of Ovarian Cysts and Masses

    ·  Chapter 9 Sonographic Assessment of Pelvic Endometriosis

    ·  Chapter 10 Sonographic Assessment of Fallopian Tubes and Tubal Pathologies

    ·  Chapter 11 Role of Ultrasound in Assisted Reproductive Treatment

    ·  Chapter 12 Operative Ultrasound in Gynaecology

    ·  Chapter 13 Sonographic Assessment of Complications Related to Assisted Reproductive Techniques

    ·  Chapter 14 Sonographic Assessment of Early Pregnancy

    ·  Chapter 15 Tips and Tricks when Using Ultrasound in a Contraception Clinic

    ·  Chapter 16 Doppler Ultrasound in Gynaecology

     

  • 31200lei 250.00 lei

  • 260.00 lei

     

    Book Description:

    First published in 1919 as 'Diseases of Women', Gynaecology by Ten Teachers is well established as a concise, yet comprehensive, guide within its field. The twentieth edition has been thoroughly updated by a new team of 'teachers', integrating clinical material with the latest scientific developments that underpin patient care. Each chapter is highly structured, with learning objectives, definitions, aetiology, clinical features, investigations, treatments, case histories and key point summaries and additional reading where appropriate. New themes for this edition include 'professionalism' and 'global health' and information specific to both areas is threaded throughout the text. Along with its companion Obstetrics by Ten Teachers, the books will continue to provide an accessible 'one stop shop' in obstetrics and gynaecology for a new generation of doctors.

    Table of Contents:

    Gynaecological History and Examination, and Imaging Anatomy. Embryology and Sex Determination. Puberty and Control of the Menstrual Cycle. Reproductive Endocrinology. Implantation and Early Pregnancy. Contraception. Subfertility. Menopause and Post-Menopausal Health. Genitourinary Medicine and HIV. Urogynaecology and Pelvic Floor Problems. Benign Conditions of the Ovary and Pelvis. Benign Conditions of the Uterus and Endometrium. Benign Conditions of the Vagina and Vulva, and Psychosexual Problems. Malignant Disease of the Ovary. Malignant Disease of the Uterus and Endometrium. Malignant Disease of the Cervix, Vagina and Vulva. Surgery. Obstetric history and examination. Antenatal care. Normal fetal development and growth, Assessment of fetal wellbeing. Prenatal diagnosis. Antenatal obstetric complications. Multiple pregnancy. Pre-term labour. Hypertensive disorders of Pregnancy. Medical complications: Diabetes. Renal. Cardiac Haematological/SLE Others. Perinatal infections. Labour: Normal and abnormal. Operative delivery. Obstetric emergencies. The puerperium. The neonate.

     

  • 32500lei 280.00 lei

     

    Description:

    Extensively revised to incorporate recent research and current clinical practiceThe Developing Human: Clinically Oriented Embryology, 11th Edition, covers all aspects of normal and abnormal embryonic and fetal development. In a clear, concise manner and lavishly illustrated throughout, this textbook is designed to successfully meet the needs of medical and health sciences profession students, as well as those in graduate programs. It provides an easy-to-digest, comprehensive review of what can be a complex and challenging subjectBONUS online features such as multiple-choice questions and narrated animations further support student success.

    Table Of Contents:

    1  Introduction to Human Development
    2  First Week of Human Development
    3  Second Week of Human Development
    4  Third Week of Human Development
    5  Fourth to Eighth Weeks of Human Development
    6  Fetal Period: Ninth Week to Birth
    7  Placenta and Fetal Membranes
    8  Body Cavities, Mesenteries, and Diaphragm
    9  Pharyngeal Apparatus, Face, and Neck
    10  Respiratory System
    11  Alimentary System
    12  Urogenital System
    13  Cardiovascular System
    14  Skeletal System
    15  Muscular System
    16  Development of Limbs
    17  Nervous System
    18  Development of Eyes and Ears
    19  Integumentary System
    20  Human Birth Defects
    21  Common Signaling Pathways Used During Development

       

     

  • The Johns Hopkins Manual of Gynecology and Obstetrics
    La comanda in aproximativ 4 saptamani
    34600lei 300.00 lei

     

    Description:

    Portable and easy to consult, The Johns Hopkins Manual of Gynecology and Obstetrics is a trusted on-the-spot reference for virtually any issue you’ll encounter in obstetrics, high-risk obstetrics, gynecology, reproductive endocrinology, infertility, and gynecologic oncology. The updated 6th Edition has been reorganized for quick reference, and contains thoroughly revised information culled from the collective expertise of residents and attending physicians at The Johns Hopkins University.

     

    Table of Contents:

     

    Part I: Obstetrics

    1 Prepregnancy Counseling and Prenatal Care

    PREPREGNANCY CARE AND COUNSELING

    Health Optimization and Medical Assessment

    Substance Use Assessment

    Psychiatric Health

    Review of Medications

    Infectious Disease Screening

    Immunizations

    Social Assessment

    Family History

    Maternal Age

    Nutritional Assessment

    ROUTINE PRENATAL CARE

    Pregnancy Dating

    Nutrition, Weight Gain, and Exercise

    Immunizations

    Genetic Screening

    Screening Tests

    First Trimester Screening

    Second Trimester Screening

    Combined Screening

    Cell-Free Fetal DNA Screening

    Screening for Neural Tube Defects

    Ultrasonographic Screening

    Diagnostic Testing

    2 Normal Labor and Delivery, Operative Delivery, and Malpresentations

    STAGES AND PHASES OF LABOR

    MECHANISM OF LABOR

    MANAGEMENT OF NORMAL LABOR AND DELIVERY

    Initial Assessment

    History

    Physical Exam

    Standard Admission Procedures

    Management of Labor

    Induction of Labor

    Oxytocin Administration

    Labor Progress Assessment: Historical and Contemporary

    Interventions for Abnormal Labor

    FETAL HEART RATE EVALUATION

    Overall Assessment

    Management of Nonreassuring Fetal Heart Rate Patterns

    Noninvasive Management

    Invasive Management

    ASSISTED SPONTANEOUS VAGINAL DELIVERY

    OPERATIVE VAGINAL DELIVERY

    Forceps Delivery

    Vacuum Delivery

    OBSTETRIC LACERATIONS

    SHOULDER DYSTOCIA

    Management

    CESAREAN SECTION

    VAGINAL BIRTH AFTER CESAREAN SECTION

    MALPRESENTATIONS

    Breech Presentation

    External Cephalic Version

    Abnormal Lie

    3 Complications of Labor and Delivery

    UTERINE DEHISCENCE OR RUPTURE

    UMBILICAL CORD PROLAPSE

    EMBOLIC DISEASE

    Amniotic Fluid Embolism

    Venous Thromboembolism

    Postpartum Hemorrhage

    Uterine Atony

    Lacerations and Hematomas

    Retained Products of Conception

    Placenta Accreta Spectrum Disorders

    Coagulopathy

    UTERINE INVERSION

    CHORIOAMNIONITIS

    POSTPARTUM ENDOMYOMETRITIS

    SEPTIC PELVIC THROMBOPHLEBITIS

    4 Fetal Assessment

    BACKGROUND

    METHODS OF FETAL ASSESSMENT

    Fetal Movement

    Fetal Heart Rate Monitoring

    Fetal Heart Monitoring With Ultrasonography

    Fetal Blood Flow/Velocity and Dopplers

    CONFOUNDING FACTORS IN FETAL ASSESSMENT

    INDICATIONS FOR FETAL TESTING

    5 Prenatal Complications

    NAUSEA AND VOMITING OF PREGNANCY

    CERVICAL INSUFFICIENCY

    AMNIOTIC FLUID DISORDERS

    Polyhydramnios

    Oligohydramnios

    FETAL GROWTH RESTRICTION

    POSTTERM AND LATE-TERM PREGNANCY

    INTRAUTERINE FETAL DEMISE

    6 Preterm Labor and Preterm Prelabor Rupture of Membranes

    PRETERM LABOR

    Definitions

    Incidence and Significance

    Risk Factors

    Steps to Minimize Risk of Preterm Labor and Delivery

    Evaluation

    Management

    Route of Delivery Varies by Gestational Age

    PRETERM PRELABOR RUPTURE OF MEMBRANES

    Definitions

    Incidence and Significance

    Etiology

    Evaluation

    Management

    7 Third-Trimester Bleeding

    ABRUPTIO PLACENTAE

    Epidemiology

    Etiology

    Complications

    Diagnosis

    History and physical examination

    Laboratory tests

    Management

    Term Gestation, Hemodynamically Stable

    Preterm and Term Gestations, Hemodynamic Instability

    Preterm Gestation, Hemodynamically Stable

    PLACENTA PREVIA

    Epidemiology

    Etiology

    Complications

    Diagnosis

    History and Physical Exam

    Laboratory Studies

    Management

    Term Gestation, Hemodynamically Stable

    Preterm and Term Gestation, Hemodynamic Instability

    Preterm Gestation, Hemodynamically Stable

    LOW-LYING PLACENTA

    VASA PREVIA

    Epidemiology

    Etiology

    Complications

    History

    Diagnosis

    Management

    8 Perinatal Infections

    VIRAL INFECTIONS

    Human Immunodeficiency Virus

    Cytomegalovirus

    Varicella Zoster Virus

    Parvovirus B19

    Rubella (German Measles)

    Influenza

    Viral Hepatitis

    Hepatitis A

    Hepatitis B

    Hepatitis C

    Herpes Simplex Virus 1 and 2

    BACTERIAL INFECTIONS

    Group A Streptococcus (Bacteremia)

    Group B Streptococcus

    Listeria

    Lyme disease

    Syphilis

    PROTOZOAN INFECTIONS

    Toxoplasmosis

    Malaria

    EMERGING INFECTIONS

    West Nile

    Zika

    9 Congenital Anomalies

    EPIDEMIOLOGY

    ETIOLOGY

    SCREENING AND MANAGEMENT

    CHROMOSOMAL ABNORMALITIES WITH ASSOCIATED CONGENITAL ANOMALIES

    Trisomy 21 (Down Syndrome)

    Trisomy 13 and 18

    Turner Syndrome

    Triploidy

    COMMON SPECIFIC CONGENITAL ANOMALIES

    10 Multifetal Gestation

    DIAGNOSIS

    ANTEPARTUM MANAGEMENT

    MATERNAL COMPLICATIONS

    FETAL COMPLICATIONS

    DELIVERY

    SPECIAL CONSIDERATIONS

    11 Endocrine Disorders of Pregnancy

    DIABETES MELLITUS

    Pregestational Diabetes Mellitus

    Diagnosis

    Fetal Complications

    Neonatal Complications

    Maternal Complications

    Management of Pregestational Diabetes in Pregnancy

    Fetal Assessment for Pregestational Diabetes

    Labor and Delivery in Diabetic Pregnancies

    Postpartum Care for Diabetics

    Gestational Diabetes

    Screening and Diagnosis

    Fetal and Neonatal Complications

    Maternal Complications

    Gestational Diabetes Mellitus Management

    Fetal Assessment for Gestational Diabetes Mellitus

    Labor and Delivery

    Postpartum

    THYROID DISORDERS

    Thyroid Hormones in Pregnancy

    Hyperthyroid Conditions

    Hyperthyroid Management

    Hypothyroid Conditions

    Nodular Thyroid

    PARATHYROID DISORDERS

    Hyperparathyroidism

    Hypoparathyroidism

    PITUITARY DISORDERS

    Prolactinoma

    Acromegaly

    Diabetes Insipidus

    Other Pituitary Disorders

    ADRENAL DISORDERS

    Cushing Syndrome

    Hyperaldosteronism

    Pheochromocytoma

    Adrenal Insufficiency

    12 Hypertensive Disorders of Pregnancy

    DEFINITIONS OF HYPERTENSIVE DISORDERS

    CHRONIC HYPERTENSION

    GESTATIONAL HYPERTENSION

    PREECLAMPSIA

    Management of Preeclampsia

    Management of Preeclampsia Without Severe Features

    Management of Preeclampsia With Severe Features

    HELLP SYNDROME

    ECLAMPSIA

    13 Cardiopulmonary Disorders of Pregnancy

    CARDIAC DISORDERS

    Hemodynamic Changes During Pregnancy

    Cardiac Disease in Pregnancy

    Management of Patients With Known Cardiac Disease

    Antibiotic Prophylaxis for Endocarditis

    Congenital Heart Disease

    Heart Transplant Recipients

    Specific Cardiac Conditions

    Cardiomyopathy

    Valvular Disease

    Arrhythmias

    Ischemic Heart Disease

    Cardiovascular Drugs in Pregnancy

    RESPIRATORY DISORDERS

    Pulmonary Changes During Pregnancy

    Specific Respiratory Disorders

    Asthma

    Influenza

    Cystic Fibrosis

    Tuberculosis

    Acute Respiratory Distress Syndrome

    14 Genitourinary Assessment and Renal Disease in Pregnancy

    KIDNEY AND URINARY TRACT DISORDERS

    Renal Physiology in Pregnancy

    Urinary Tract Disorders in Pregnancy

    Urinary Tract Infection

    Pyelonephritis

    Nephrolithiasis

    Polycystic Kidney Disease

    Glomerular Disease

    Acute Kidney Injury

    Chronic Kidney Disease

    15 Gastrointestinal Disease in Pregnancy

    NONHEPATIC GASTROINTESTINAL DISORDERS

    Nausea and Vomiting of Pregnancy

    Acid Reflux

    Peptic Ulcer Disease

    Effects of Prior Bariatric Surgery on Pregnancy

    Inflammatory Bowel Disease

    Pancreatitis

    Appendicitis

    GALLBLADDER DISORDERS

    LIVER DISORDERS

    Hepatic Physiology in Pregnancy

    Hepatic Disorders Unique to Pregnancy

    Cholestasis of Pregnancy

    Acute Fatty Liver of Pregnancy

    Hepatic Disorders Not Directly Related to Pregnancy

    Hepatitis

    Cirrhosis

    Budd-Chiari Syndrome

    16 Autoimmune Disease in Pregnancy

    PATHOPHYSIOLOGY

    COMMON GENERAL MANAGEMENT CONCERNS

    AUTOIMMUNE DISORDERS ENCOUNTERED IN PREGNANCY

    Systemic Lupus Erythematosus

    Preconception

    Antenatal Period

    Postpartum

    Antiphospholipid Syndrome

    Sjögren Syndrome

    Addison Disease

    Autoimmune Thyroid Disease

    Type I Diabetes

    Rheumatoid Arthritis

    Scleroderma

    Preconception

    Antenatal

    Postpartum

    Dermatomyositis and Polymyositis

    Mixed Connective Tissue Disease

    Crohn Disease and Ulcerative Colitis

    Myasthenia Gravis

    Multiple Sclerosis

    Immune Thrombocytopenic Purpura

    Autoimmune Hemolytic Anemia

    Autoimmune Neutropenia

    Vasculitic Syndromes

    Autoimmune Bullous Disease

    Autoimmune Hepatitis

    17 Neurologic Diseases in Pregnancy

    HEADACHE

    Imaging/Diagnosis

    Common Obstetric Causes of Headache

    Primary Headaches

    Migraine

    Tension Headaches

    Cluster Headaches

    Secondary Headaches

    Cerebral Venous Thrombosis

    Pseudotumor Cerebri (Idiopathic Intracranial Hypertension)

    CARPAL TUNNEL SYNDROME

    CHRONIC NEUROLOGIC DISEASES

    Multiple Sclerosis

    Preconception

    Antepartum

    Postpartum

    Epilepsy

    Preconception

    Antepartum

    Postpartum

    Myasthenia Gravis

    Preconception

    Antepartum

    Postpartum

    Spinal Cord Injury

    Bell Palsy in Pregnancy

    POSTPARTUM COMPRESSION NERVE INJURIES

    18 Psychiatric Disorders in the Pregnant and Postpartum Patient

    MOOD DISORDERS AND PREGNANCY

    Major Depressive Disorder

    Postpartum Depressive Disorders

    Bipolar Affective Disorders

    Postpartum Mania and Psychosis

    ANXIETY DISORDERS AND PREGNANCY

    Pregnancy-Related Anxiety

    Generalized Anxiety Disorder

    Panic Disorder

    POSTTRAUMATIC STRESS DISORDER AND PREGNANCY

    OBSESSIVE-COMPULSIVE DISORDER AND PREGNANCY

    PRIMARY PSYCHOTIC DISORDERS AND PREGNANCY/POSTPARTUM

    PERIPARTUM TREATMENT OF PSYCHIATRIC ILLNESS

    Pharmacotherapy

    Strategies for Prepregnancy Planning and Unplanned Pregnancy

    Nonpharmacologic Therapies

    CARE OF THE DIFFICULT PREGNANT PATIENT

    19 Substance Use Disorders in Pregnancy

    DEFINITIONS AND GENERAL PRINCIPLES

    EPIDEMIOLOGY, PATHOPHYSIOLOGY, AND MATERNAL/FETAL EFFECTS BY DRUG CATEGORY

    Alcohol

    Benzodiazepines

    Club Drugs (Including MDMA [Ecstasy] and LSD [Acid])

    Cocaine

    Inhalants

    Marijuana

    Methamphetamines

    Opioids

    Tobacco

    SCREENING AND ROUTINE CARE

    MANAGEMENT AND REFERRAL

    TREATMENT

    LABOR AND DELIVERY PAIN MANAGEMENT

    BREASTFEEDING AND POSTPARTUM ISSUES

    20 Hematologic Disorders of Pregnancy

    MATERNAL HEMATOLOGIC DISORDERS

    Anemia

    Hemoglobinopathies

    Thrombocytopenia

    Thromboembolic Disease

    von Willebrand Disease

    FETAL HEMATOLOGIC DISORDERS

    Fetal Anemia and Alloimmunization

    Fetal Thrombocytopenia

    21 Neoplastic Diseases in Pregnancy

    GENERAL TREATMENT CONCEPTS

    Imaging

    Surgery

    Radiotherapy

    Chemotherapy

    SPECIFIC NEOPLASTIC CARCINOMAS

    Cervical Carcinoma

    Ovarian Carcinoma

    Breast Carcinoma

    Other Common Carcinoma in Reproductive-Aged Women

    Melanoma

    Hematologic

    OUTCOMES AND FOLLOW-UP

    Neonatal Outcomes

    Breastfeeding

    Future Pregnancy

    22 Skin Conditions in Pregnancy

    NORMAL AND COMMON CHANGES IN PREGNANCY

    Connective Tissue

    Vascular Changes Affecting Skin

    Changes in Skin Pigmentation in Pregnancy

    SKIN CONDITIONS UNIQUE TO PREGNANCY

    SKIN CONDITIONS OUTSIDE OF PREGNANCY AND THE RESPONSE TO PREGNANCY

    23 Surgical Disease and Trauma in Pregnancy

    PERIOPERATIVE CONSIDERATIONS FOR NONOBSTETRIC SURGERY

    Anatomic and Physiologic Changes in Pregnancy

    Timing of Surgery

    Diagnostic Imaging

    Anesthesia and Intraoperative Hemodynamics

    Surgical Technique

    Fetal Monitoring

    SURGICAL DISEASES IN PREGNANCY

    Acute Appendicitis

    Acute Cholecystitis

    Bowel Obstruction

    Ovarian Cysts and Torsion

    Breast Mass During Pregnancy

    Pregnancy After Bariatric Surgery

    TRAUMA IN PREGNANCY

    Specific Traumatic Injuries

    Blunt Trauma

    Penetrating Trauma

    Thermal Injuries/Burns

    Trauma Assessment in Pregnancy

    CARDIOPULMONARY RESUSCITATION IN PREGNANCY

    24 Postpartum Care and Breastfeeding

    ROUTINE POSTPARTUM CARE

    Normal Postpartum Physiology

    The Perineum

    Postpartum Immunizations and Injections

    Discharge From the Hospital

    The Postpartum Care Continuum: The “Fourth Trimester”

    COMMON POSTPARTUM COMPLICATIONS

    BREASTFEEDING

    Recommendations

    Contraindications to Breastfeeding

    Breastfeeding and Maternal Medications

    Breastfeeding and Contraception

    Lactational Mastitis

    Decreased Milk Supply

    Weaning

    25 Obstetric Anesthesia

    PAIN PATHWAYS

    OVERVIEW OF OBSTETRIC ANALGESIA/ANESTHESIA

    TYPES OF OBSTETRIC ANALGESIA/ANESTHESIA

    Local Injection (Field Block)

    Peripheral Nerve Block (Pudendal, Paracervical)

    Regional Anesthesia (Epidural, Spinal)

    Systemic Analgesia

    General Anesthesia

    Anesthesia Consultation

    Part II: General Gynecology

    26 Primary and Preventive Care

    ANNUAL WELL WOMAN VISIT

    CANCER

    Screening for Breast Cancer

    Screening for Lung Cancer

    Screening for Colorectal Cancer

    Screening for Endometrial Cancer

    Screening for Skin Cancer

    Screening for Ovarian Cancer

    Screening for Cervical Cancer

    HEART AND VASCULAR CONDITIONS

    Screening for Coronary Heart Disease

    Screening for Dyslipidemia

    Screening for Hypertension

    METABOLIC, ENDOCRINE, AND NUTRITIONAL CONDITIONS

    Screening for Diabetes

    Screening for Thyroid Disorders

    Screening for Osteoporosis

    Screening for Obesity

    Counseling on Nutrition

    INFECTIOUS DISEASES

    Screening for Human Immunodeficiency Virus

    Screening for Chlamydia and Gonorrhea

    SCREENING FOR OTHER MEDICAL CONDITIONS

    Screening for Depression

    Screening for Intimate Partner Violence

    Screening and Counseling for Substance Abuse

    Alcohol Abuse

    Tobacco Use

    COUNSELING

    CARE FOR LESBIANS, BISEXUAL, AND TRANSGENDER WOMEN

    IMMUNIZATIONS

    OTHER PRIMARY CARE PROBLEMS

    27 Infections of the Genital Tract

    SCREENING

    INFECTIONS OF THE LOWER FEMALE GENITAL TRACT

    Vulvar Infections

    Human Papillomavirus

    Molluscum Contagiosum

    Parasites

    Pediculosis Pubis

    Scabies

    Genital Ulcers

    Genital Herpes

    Syphilis

    Acute Genital Ulceration (Lipschütz Ulcers)

    Other Ulcerative Lesions

    Vaginitis

    Bacterial Vaginosis

    Trichomoniasis

    Vulvovaginal Candidiasis

    Cervicitis

    Chlamydia

    Gonorrhea

    Mycoplasma genitalium

    INFECTIONS OF THE UPPER GENITAL TRACT

    Pelvic Inflammatory Disease

    Tubo-ovarian Abscess

    Endometritis (Nonpuerperal)

    28 Contraception and Sterilization

    TIERS OF EFFECTIVENESS

    HIGHLY EFFECTIVE CONTRACEPTIVE METHODS

    Sterilization (Permanent Contraception)

    Female Sterilization

    Male Sterilization

    Long-Acting Reversible Contraception

    Intrauterine Contraception

    Implantable Contraception

    SHORT-ACTING HORMONAL CONTRACEPTIVE METHODS

    Progestin-only Methods

    Injectable Contraception

    Progestin-Only Pills

    Combined Hormonal Contraceptives

    Combined Oral Contraceptive Pills

    Transdermal Patch

    Intravaginal Ring

    BARRIER METHODS

    Condoms

    Male (“Outside”) Condom

    Female (“Inside”) Condom

    Diaphragm

    FERTILITY AWARENESS–BASED METHODS

    EMERGENCY (POSTCOITAL) CONTRACEPTION

    Levonorgestrel Emergency Contraceptive Pills

    Ulipristal Acetate Emergency Contraceptive Pills

    Copper Intrauterine Device

    29 Abortion

    PREGNANCY TERMINATION

    Epidemiology and Safety

    Evaluation and Counseling

    SURGICAL ABORTION

    Surgical Abortion in the First Trimester

    Surgical Abortion in the Second Trimester

    MEDICATION ABORTION

    Medication Abortion in the First Trimester

    Medication Abortion in the Second Trimester (Labor Induction)

    Follow-up

    COMPLICATIONS

    Complications of Surgical Abortion

    Complications of Medication Abortion

    30 First and Second Trimester Pregnancy Loss and Ectopic Pregnancy

    ASSESSMENT OF PREGNANCY LOCATION AND VIABILITY IN THE FIRST TRIMESTER

    EARLY PREGNANCY LOSS IN THE FIRST TRIMESTER

    SECOND-TRIMESTER PREGNANCY LOSS

    ECTOPIC PREGNANCY

    31 Abnormal Uterine Bleeding

    MENSTRUAL DIMENSIONS

    DIFFERENTIAL DIAGNOSIS OF ABNORMAL UTERINE BLEEDING

    Premenarchal Bleeding

    Reproductive-Aged Abnormal Bleeding

    Postmenopausal Bleeding

    EVALUATION OF ABNORMAL UTERINE BLEEDING

    History

    Physical Examination

    Laboratory Testing

    IMAGING TECHNIQUES AND TISSUE SAMPLING METHODS

    Ultrasonography

    Computed Tomography

    Magnetic Resonance Imaging

    Hysteroscopy

    Endometrial Sampling

    Dilation and Curettage

    SPECIFIC CAUSES OF ABNORMAL UTERINE BLEEDING

    Pregnancy-Associated Bleeding

    Abnormal Uterine Bleeding in Nonpregnant Women

    Structural Causes of Abnormal Uterine Bleeding

    Polyp (AUB-P)

    Adenomyosis (AUB-A)

    Leiomyoma (AUB-L)

    Malignancy and Hyperplasia (AUB-M)

    Nonstructural Causes of Abnormal Uterine Bleeding

    Coagulopathy (AUB-C)

    Ovulatory Dysfunction (AUB-O)

    Endometrial (AUB-E)

    Iatrogenic (AUB-I)

    Not Yet Classified (AUB-N)

    MANAGEMENT OF ABNORMAL UTERINE BLEEDING

    Medical Therapy

    Surgical Treatment

    32 Chronic Pelvic Pain

    TYPES OF PELVIC PAIN

    EVALUATION OF CHRONIC PELVIC PAIN

    Imaging and Laboratory Testing

    Laparoscopy and Consults

    DIFFERENTIAL DIAGNOSIS OF PELVIC PAIN

    MANAGEMENT OF CHRONIC PELVIC PAIN

    Medical Therapy

    Surgical Treatment

    Other Treatment Options

    33 Uterine Leiomyomas and Benign Adnexal Masses

    ADNEXAL MASSES

    Evaluation and Diagnosis

    Paratubal/Paraovarian Cysts

    Ovarian Masses

    Functional Ovarian Cysts

    Endometriomas

    Ovarian Teratomas

    Infectious Etiologies

    The Unstable Patient

    The Pediatric and Adolescent Population

    Pregnancy

    UTERINE MASSES

    Leiomyoma

    Etiology and Pathophysiology

    Classification and Types of Fibroids

    Clinical Manifestations and Diagnosis

    Treatment for Leiomyomas

    Observation

    Medical Therapy

    Surgical Therapy

    Myomectomy

    Hysterectomy

    Uterine Artery Embolization

    Magnetic Resonance Imaging–Guided Focused Ultrasound Surgery

    Radiofrequency Ablation

    Congenital Anomalies

    34 Breast Diseases

    ANATOMY

    BREAST EXAM

    COMMON BREAST DISORDERS AND COMPLAINTS

    Mastalgia

    Nipple Discharge

    Breast Infections

    Breast Mass

    BREAST CANCER

    Risk Factors

    Screening and Diagnosis

    Mammography

    Abnormal Mammogram

    Alternate Screening Modalities

    Premalignant Breast Lesions

    Malignant Breast Lesions

    Staging and Prognostic Factors

    Treatment

    Surgical or Local Treatment

    Systemic Therapy

    Metastatic or Advanced Disease

    Prevention

    Pregnancy and Breast Cancer

    35 Benign Vulvar Disorders

    ANATOMY OF THE VULVA

    INFECTIOUS DISEASES OF THE VULVA

    Sexually Transmitted Infections

    Bacterial Skin Infections of the Vulva

    DERMATOSES AND INFLAMMATORY CONDITIONS

    Behçet Syndrome

    Fox-Fordyce Disease

    Hidradenitis Suppurativa

    Atrophic Vulvovaginitis

    Contact Dermatitis

    Psoriasis

    Lichen Simplex Chronicus

    Lichen Planus

    Lichen Sclerosus

    VULVAR PAIN SYNDROMES

    Vulvodynia

    Vulvar Vestibulitis Syndrome

    Levator Ani Syndrome

    Vulvar Neuropathy

    BENIGN VULVAR LESIONS

    Urethral Caruncle

    Acrochordon

    Seborrheic Keratoses

    Lipoma

    BENIGN VULVAR CYSTS

    Bartholin Gland Cyst

    Epidermal Inclusion Cysts

    Mucus Cysts

    Gartner Duct Cysts

    Skene Duct Cysts

    36 Female Sexual Function and Dysfunction

    EPIDEMIOLOGY

    PHYSIOLOGY OF SEXUAL FUNCTION

    THEORIES OF SEXUAL FUNCTION

    DIAGNOSIS OF SEXUAL DISORDERS

    Screening

    Physical Exam

    SEXUAL DYSFUNCTION DISORDERS

    Desire

    Arousal

    Treatments for Both Desire and Arousal Disorders in Women

    Orgasmic

    Pain

    Genitopelvic Pain/Penetration Disorder

    Vaginismus and Vulvodynia

    Assessment and Exam for Vaginismus and Vulvodynia

    Treatment for Vaginismus and Vulvodynia

    SEXUAL FUNCTION AND SPECIAL POPULATIONS

    37 Intimate Partner and Sexual Violence

    INTIMATE PARTNER VIOLENCE

    Definitions

    Background and Statistics

    Routine Intimate Partner Violence Screening

    Suspecting Intimate Partner Violence

    Assessment of Risk

    Interventions

    Special Populations

    Pregnancy

    Elder Abuse

    Child Abuse

    Abuse of Disabled Women

    Women With Undocumented Immigrant Status

    Sex Workers

    SEXUAL VIOLENCE

    Definitions

    Background

    Evaluation and Management

    Resources

    Patient History

    Physical Examination

    Diagnostic Testing

    Treatment

    Psychosocial Sequelae

    Special Populations

    Children

    Adolescents

    Human Trafficking

    Female Genital Mutilation

    38 Pediatric Gynecology

    GYNECOLOGIC EVALUATION OF A PREPUBERTAL CHILD

    General Pediatric Physical Exam

    Pediatric Pelvic Exam: Positioning

    Pediatric Pelvic Exam: Assessment

    Pediatric Exam: Documentation

    GYNECOLOGIC EVALUATION OF AN ADOLESCENT

    Special Considerations in Care of the Adolescent

    Adolescent Gynecologic Exam

    COMMON PEDIATRIC GYNECOLOGY COMPLAINTS

    Vulvovaginitis

    History: Key Points

    Physical Examination

    Etiologies of Vulvovaginitis

    Prepubertal Vaginal Bleeding

    Vulvovaginitis

    Urethral Prolapse

    Genital Tumors

    Endometrial Shedding

    Trauma and Sexual Abuse

    Traumatic Injuries

    Sexual Abuse

    Labial Adhesions

    Adnexal Masses/Ovarian Torsion

    Surgical Considerations for Laparoscopy in Children

    DISORDERS OF PUBERTY

    Delayed Puberty

    Hypergonadotropic Hypogonadism (High Follicle-Stimulating Hormone)

    Hypogonadotropic Hypogonadism (Low Follicle-Stimulating Hormone)

    Eugonadism (Normal Follicle-Stimulating Hormone)

    Key Points in Evaluation and Management of Delayed Puberty

    Precocious Puberty

    Gonadotropin-Dependent Disorders—Central Precocious Puberty

    Gonadotropin-Independent Disorders—Pseudoprecocious Puberty

    Key Points in Evaluation and Management of Precocious Puberty

    Premature Thelarche

    AMBIGUOUS GENITALIA

    Male Feminization

    Female Virilization

    CONGENITAL ANOMALIES OF THE FEMALE REPRODUCTIVE TRACT

    Part III: Reproductive Endocrinology and Infertility

    39 The Menstrual Cycle

    MENSTRUAL CYCLE OVERVIEW

    PHASES OF THE MENSTRUAL CYCLE

    The Early Follicular Phase

    The Midfollicular Phase

    The Late-Follicular Phase

    The Luteal Phase

    40 Infertility and Assisted Reproductive Technologies

    INFERTILITY

    Definitions

    Incidence

    DIFFERENTIAL DIAGNOSIS

    Ovarian Factor

    Uterine Factor

    Tubal Factor

    Cervical Factor

    Male Factor

    Recurrent Implantation Failure

    EVALUATION

    Indications for Evaluation

    History and Physical Examination

    Evaluation for Ovarian Factor

    Evaluation for Structural Factor

    Evaluation for Male Factor

    TREATMENT FOR INFERTILITY

    Treatment of Ovulatory Disorders

    Treatment of Endometriosis

    Treatment of Uterine Factor

    Treatment of Tubal Factor

    Treatment of Recurrent Implantation Failure

    Treatment of Male Factors

    TREATMENTS BEYOND OVULATION INDUCTION WITH TIMED INTERCOURSE

    Intrauterine Insemination

    Assisted Reproductive Technologies

    Preimplantation Genetic Testing

    CONTROLLED OVARIAN HYPERSTIMULATION AND PROTOCOLS FOR IN VITRO FERTILIZATION

    OOCYTE RETRIEVAL, CULTURE, FERTILIZATION, AND TRANSFER

    THIRD-PARTY REPRODUCTION

    COMPLICATIONS OF ASSISTED REPRODUCTIVE TECHNOLOGIES

    Ovarian Hyperstimulation Syndrome

    Multiple Pregnancy

    Heterotopic Pregnancy

    Fetal/Neonatal Effects

    Effects of Intracytoplasmic Sperm Injection

    FERTILITY PRESERVATION

    Embryo Cryopreservation

    Oocyte Cryopreservation

    Ovarian Tissue Cryopreservation

    Gonadotropin-Releasing Hormone Agonists Treatment Prior to Chemotherapy

    Ovarian Transposition

    41 Recurrent Pregnancy Loss

    EPIDEMIOLOGY AND DEFINITION

    ETIOLOGIES

    Genetic

    Uterine Pathology

    Endocrine/Metabolic Dysfunction

    Antiphospholipid Syndrome

    Hereditary Thrombophilias

    Immune Dysfunction

    Male Factors

    Infection and Environmental Exposures

    Psychological Factors

    EVALUATION

    TREATMENT PRINCIPLES

    42 Menstrual Disorders: Endometriosis, Dysmenorrhea, and Premenstrual Dysphoric Disorder

    ENDOMETRIOSIS

    Theories of the Pathogenesis of Endometriosis

    Patient Characteristics

    Clinical Presentation

    Abnormal Clinical Findings Associated With Endometriosis

    Diagnosis of Endometriosis

    Treatment

    Surgical Treatment

    Endometriosis and Infertility

    Endometriosis and Ovarian Malignancy

    DYSMENORRHEA

    Pertinent Findings in History and Physical Exam

    Treatment of Dysmenorrhea

    PREMENSTRUAL DISORDER: PREMENSTRUAL DYSPHORIA AND PREMENSTRUAL DYSPHORIC DISORDER

    Evaluation and Diagnosis

    Treatment

    43 Evaluation of Amenorrhea

    DEFINITION

    EVALUATION OF AMENORRHEA

    When to Evaluate for Amenorrhea

    Pertinent History for Amenorrhea

    Physical Examination for Amenorrhea

    Laboratory Evaluation of Amenorrhea

    Imaging Evaluation of Amenorrhea

    Further Evaluation and Other Considerations

    Progesterone Withdrawal for Evaluation of Amenorrhea

    Differential Diagnosis for Primary Amenorrhea

    Differential Diagnosis for Secondary Amenorrhea

    ETIOLOGIES OF AMENORRHEA—SYSTEMATIC EVALUATION

    Genital Outflow Tract and Uterine Abnormalities Resulting in Amenorrhea

    Ovarian Abnormalities Resulting in Amenorrhea (Hypergonadotropic Hypogonadism)

    Hypothalamic Dysfunction Resulting in Amenorrhea (Hypogonadotropic Hypogonadism)

    Pituitary Disorders Resulting in Amenorrhea

    Normogonadotropic Amenorrhea

    44 Polycystic Ovary Syndrome and Hyperandrogenism

    DEFINITION AND ANDROGEN PHYSIOLOGY

    SIGNS AND SYMPTOMS OF HYPERANDROGENISM

    Normal Hair Growth and Physiology

    Hirsutism

    Hypertrichosis

    Hair Loss

    Virilization and Clitoromegaly

    Skin Changes

    Voice Changes

    ANDROGENS IN THE FEMALE

    Testosterone

    Androstenedione

    Dehydroepiandrosterone and Dehydroepiandrosterone Sulfate

    Dihydrotestosterone

    Sex Hormone–Binding Globulins

    CAUSES OF HYPERANDROGENISM

    DIAGNOSIS OF HYPERANDROGENISM

    History and Physical Examination

    Laboratory Evaluation

    POLYCYSTIC OVARY SYNDROME

    Diagnosis of Polycystic Ovary Syndrome

    Pathophysiology of Polycystic Ovary Syndrome

    Consequences of PCOS

    Treatment for Hyperandrogenism/Polycystic Ovary Syndrome

    Fertility Treatment for Polycystic Ovary Syndrome

    NONCLASSICAL (LATE-ONSET) CONGENITAL ADRENAL HYPERPLASIA

    Epidemiology

    Signs and Symptoms

    Diagnosis

    Treatment

    ANDROGEN-PRODUCING OVARIAN OR ADRENAL TUMORS

    CUSHING SYNDROME

    Signs and Symptoms

    Diagnosis

    Treatment

    IDIOPATHIC AND DRUG-INDUCED HIRSUTISM

    45 Definitions and Epidemiology of Menopause

    PHYSIOLOGY OF MENOPAUSE

    Natural Menopause

    Primary Ovarian Insufficiency

    Medical Menopause

    Surgical Menopause

    SYMPTOMS

    Menstrual Cycle Disturbances

    Vasomotor Menopause Symptoms

    Genitourinary Syndrome of Menopause

    Cognitive Changes

    Depression and Anxiety

    SPECIAL CONCERNS FOR MENOPAUSAL WOMEN

    Bone Health

    Cardiovascular Health

    HORMONAL REPLACEMENT THERAPY STUDY SUMMARIES

    Nurses’ Health Study Observational Study

    Women’s Health Initiative Prospective Randomized Controlled Trial

    Heart and Estrogen/Progestin Replacement Study Prospective Randomized Controlled Trial

    Kronos Early Estrogen Prevention Study

    Postmenopausal Estrogen/Progestin Interventions Trial Prospective Randomized Controlled Trial

    Women’s Health Initiative Memory Study

    Part IV: Female Pelvic Medicine and Reconstructive Surgery

    46 Urinary Incontinence and Lower Urinary Tract Symptoms

    IMPACT ON HEALTH

    ETIOLOGY AND RISK FACTORS

    TYPES OF URINARY INCONTINENCE AND LOWER URINARY TRACT SYMPTOMS

    PATIENT EVALUATION

    History

    Physical Exam

    Diagnostic Tests

    TREATMENT

    Conservative Treatment of Lower Urinary Tract Symptoms/Urinary Incontinence

    Nonsurgical Treatment of Stress Urinary Incontinence

    Surgical Treatment of Stress Urinary Incontinence

    Conservative Treatment of Overactive Bladder

    Medical Management of Overactive Bladder

    Surgical Management of Overactive Bladder

    Treatment of Mixed Urinary Incontinence

    URINARY RETENTION

    Etiology

    Treatment for Urinary Retention

    47 Pelvic Organ Prolapse

    EPIDEMIOLOGY

    RISK FACTORS

    PELVIC ORGAN PROLAPSE SIGNS AND SYMPTOMS

    RECOMMENDED EVALUATION FOR PATIENT WITH SUSPECTED PROLAPSE

    TREATMENT OF PELVIC ORGAN PROLAPSE

    Surgical Procedures for Pelvic Organ Prolapse

    Reconstructive Surgery

    Obliterative Procedures

    Augmented Surgery

    Use of Mesh in Vaginal Prolapse Surgery

    48 Anal Incontinence

    ETIOLOGY

    PATIENT EVALUATION

    TREATMENT

    Conservative Treatments

    Procedural Treatments

    Surgical Treatments

    Part V: Gynecologic Oncology

    49 Cervical Intraepithelial Neoplasia

    EPIDEMIOLOGY OF CERVICAL NEOPLASIA

    PRIMARY PREVENTION

    Vaccination

    Other Primary Prevention

    SCREENING GUIDELINES

    Special Populations

    SCREENING METHODS

    Pap Smear Cytology

    Human Papillomavirus Testing

    DIAGNOSTIC CATEGORIES: CYTOLOGY

    Atypical Squamous Cells

    Atypical Glandular Cells

    Low-Grade Squamous Intraepithelial Lesions

    High-Grade Squamous Intraepithelial Lesions

    MANAGEMENT STRATEGIES: CYTOLOGIC ABNORMALITIES

    Atypical Squamous Cells of Undetermined Significance

    Special Populations

    Atypical Squamous Cells Cannot Exclude High-Grade

    Atypical Glandular Cells

    Special Populations

    Low-Grade Squamous Intraepithelial Lesion

    Special Populations

    High-Grade Squamous Intraepithelial Lesion

    Special Populations

    MANAGEMENT STRATEGIES: hrHPV POSITIVE ON PRIMARY SCREENING

    DIAGNOSTIC CATEGORIES VIA COLPOSCOPY: HISTOLOGY

    Cervical Intraepithelial Neoplasia 1

    Cervical Intraepithelial Neoplasia 2/3

    Adenocarcinoma In Situ

    MANAGEMENT STRATEGIES: HISTOLOGIC ABNORMALITIES

    Treatment Modalities

    Ablative Methods

    Excisional Methods

    Management of Cervical Intraepithelial Neoplasia 1

    Special Populations

    Management of Cervical Intraepithelial Neoplasia 2/3

    Special Populations

    Management of Adenocarcinoma In Situ

    Special Populations

    50 Cervical Cancer

    EPIDEMIOLOGY OF CERVICAL CANCER

    SCREENING, PRESENTATION, AND DIAGNOSIS

    Clinical Presentation

    Diagnosis of Cervical Cancer

    DISEASE PROGRESSION, STAGING, AND PROGNOSIS

    Routes of Cervical Cancer Spread

    Staging of Cervical Cancer

    Prognostic Factors for Cervical Cancer

    Histologic Subtype

    Histologic Grade

    Other Prognostic Factors

    MANAGEMENT OF CERVICAL CANCER

    Surgical Management

    Fertility-Preserving Surgical Options

    Primary Chemoradiation Therapy

    Chemotherapy

    Immunotherapy

    Combined Modalities

    Management by Stage of Disease

    Treatment-Related Complications

    Posttreatment Surveillance and Recurrence

    Special Management Issues

    Cervical Cancer in Pregnancy

    Cervical Cancer in Human Immunodeficiency Virus–Infected Women

    Cervical Hemorrhage

    Obstructive Uropathy

    Venous Thromboembolism

    CERVICAL CANCER AND GLOBAL HEALTH

    51 Cancer of the Uterine Corpus

    EPIDEMIOLOGY OF UTERINE CANCER

    RISK FACTORS FOR UTERINE CANCER

    SCREENING

    PRESENTATION, EVALUATION, AND DIAGNOSIS

    Clinical Presentation

    Evaluation

    STAGING AND PROGNOSIS

    Pretreatment Evaluation

    Staging of Uterine Cancer

    Surgical Staging Procedures

    Cytoreduction

    Histopathologic Factors for Uterine Cancer

    PROGNOSTIC FACTORS

    MANAGEMENT OF UTERINE CANCER

    Management of High-Risk Uterine Cancer

    Radiation Therapy

    Cytoreductive Surgery

    Chemotherapy and Immunotherapy

    Special Considerations

    Clear Cell and Uterine Serous Carcinoma

    Carcinosarcoma

    Fertility Preservation

    Incomplete Surgical Staging

    Medical Contraindications to Surgery

    POSTTREATMENT SURVEILLANCE

    UTERINE SARCOMA

    Leiomyosarcoma

    Endometrial Stromal Sarcoma

    Prognosis for Uterine Sarcoma

    52 Ovarian Cancer

    EPIDEMIOLOGY OF OVARIAN CANCER

    EPITHELIAL OVARIAN TUMORS

    Risk Factors

    Screening and Prevention

    Presentation and Diagnosis

    Staging and Prognosis

    Prognostic Factors

    Management of Epithelial Ovarian Cancer

    Tumors of Low Malignant Potential

    Early Invasive Disease (Stage I or II)

    Advanced Invasive Disease

    Posttreatment Surveillance

    Complications of Advanced Ovarian Cancer

    Survival

    Peritoneal Carcinoma

    GERM CELL OVARIAN TUMORS

    Epidemiology

    Pathology

    Diagnosis

    Germ Cell Tumor Types

    Management of Germ Cell Tumors

    SEX CORD–STROMAL OVARIAN TUMORS

    Granulosa Cell Tumor

    Sertoli-Leydig Cell Tumor

    SPECIAL CONSIDERATIONS IN OVARIAN CANCER

    53 Hereditary Cancer Syndromes

    IDENTIFICATION OF HIGH-RISK WOMEN AND REFERRAL STRATEGIES

    SPECIFIC HEREDITARY GYNECOLOGIC CANCER SYNDROMES

    Hereditary Breast and Ovarian Cancer

    BRCA1 and BRCA2

    Other Ovarian Cancer–Associated Gene Mutations

    Lynch Syndrome

    Cowden Syndrome

    Peutz-Jeghers Syndrome

    Li-Fraumeni Syndrome

    Newly Defined Nonsyndrome Mutations

    TARGETED THERAPY FOR MUTATION CARRIERS

    54 Premalignant and Malignant Disease of the Vulva and Vagina

    PREMALIGNANT NEOPLASTIC DISEASES OF THE VULVA AND VAGINA

    Vulvar Intraepithelial Neoplasia

    Vaginal Intraepithelial Neoplasia

    Treatment of Vulvar Intraepithelial Neoplasia and Vaginal Intraepithelial Neoplasia

    MALIGNANT NEOPLASTIC DISEASES OF THE VULVA

    Vulvar Squamous Cell Carcinoma

    Verrucous Carcinoma

    Basal Cell Carcinoma

    Melanoma

    Paget Disease of the Vulva

    Bartholin Gland Carcinoma

    Vulvar Sarcoma

    MALIGNANT NEOPLASTIC DISEASES OF THE VAGINA

    Squamous Cell Vaginal Cancer

    Adenocarcinoma of the Vagina

    Melanoma

    Sarcoma

    Embryonal Rhabdomyosarcoma (Sarcoma Botryoides)

    55 Gestational Trophoblastic Disease

    TYPES OF TROPHOBLASTIC CELLS

    CLASSIFICATION OF GESTATIONAL TROPHOBLASTIC DISEASE: ETIOLOGY, PATHOLOGY, AND CLINICAL PRESENTATION

    Nonneoplastic Trophoblastic Lesions: Exaggerated Placental Sites and Placental Site Nodules

    Exaggerated Placental Sites

    Placental Site Nodules

    Molar Pregnancy: Complete and Incomplete Mole

    Complete Mole

    Incomplete Mole

    Gestational Trophoblastic Neoplasia: Invasive Mole, Choriocarcinoma, and Placenta Site and Epithelioid Trophoblastic Tumor

    Invasive Mole

    Choriocarcinoma

    Placental Site and Epithelioid Trophoblastic Tumor

    DIAGNOSIS AND MANAGEMENT

    Nonneoplastic Trophoblastic Lesions

    Molar Pregnancy

    Risk Factors

    Imaging and Lab Evaluation

    Pathologic Diagnosis

    Management

    Considerations for Future Pregnancies

    Persistent Gestational Trophoblastic Disease/Gestational Trophoblastic Neoplasia

    Risk Factors

    Imaging and Lab Evaluation

    Diagnostic Criteria

    Staging and Management of Gestational Trophoblastic Neoplasia

    Management of Nonmetastatic Disease and Low-Risk Metastatic Disease

    Management of High-Risk or Metastatic Disease

    Considerations for Future Pregnancies

    Management of Intermediate Trophoblastic Tumors: Placental Site Trophoblastic Tumor and Epithelioid Trophoblastic Tumor

    56 Chemotherapy, Antineoplastic Therapy, and Radiation Therapy

    CELL CYCLE

    CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS

    Chemotherapy

    Targeted Therapy

    Hormonal Therapy

    COMMON SIDE EFFECTS OF CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS

    RADIATION THERAPY

    Clinical Radiation Sources

    Common Side Effects of Radiation Therapy

    PRIMARY TREATMENT MODALITIES ACCORDING TO CANCER SITE

    Epithelial Ovarian Cancer

    Nonepithelial Ovarian Cancers

    Cervical Cancer

    Vulvar Cancer

    Vaginal Cancer

    Uterine Cancers

    Endometrioid Endometrial Carcinoma

    Uterine Leiomyosarcomas

    Uterine Carcinosarcomas

    Gestational Trophoblastic Tumors

    57 Palliative and End-of-Life Care

    DEFINITIONS

    Palliative Care

    Hospice Care

    SYMPTOM MANAGEMENT

    Pain

    Dyspnea

    Anorexia/Cachexia

    Nausea/Vomiting

    Ascites

    Malignant Bowel Obstruction

    Constipation

    Sleep/Wake Disturbances

    Fatigue

    Delirium

    Mood Disorders

    COMMUNICATION

    ADVANCE CARE PLANNING

    END-OF-LIFE CARE ISSUES

    CAREGIVER SUPPORT

    Part VI: Surgery in Obstetrics and Gynecology

    58 Anatomy of the Female Pelvis

    ABDOMINAL WALL

    Layers of the Anterior Abdominal Wall

    Vasculature of the Abdominal Wall

    PELVIC VISCERA

    Vagina

    Uterus

    Ligaments of the Uterus

    Adnexae

    Ureter

    SURGICAL SPACES OF THE PELVIS

    VASCULATURE OF THE ABDOMEN AND PELVIS

    VULVA AND PERINEUM

    External Anatomy

    Superficial Compartment of the Vulva

    Pelvic Floor

    Posterior Triangle

    NERVES OF THE PELVIS AND PERINEUM

    Pelvic Diaphragm

    Perineum

    LYMPHATIC DRAINAGE OF THE PELVIS

    59 Surgical Approaches in Gynecologic Surgery

    MINIMALLY INVASIVE SURGERY IN GYNECOLOGY

    Benefits of Minimally Invasive Surgery

    Laparoscopy

    Robot-Assisted Laparoscopic Surgery

    Laparoendoscopic Single Site/Single-Site Incision Laparoscopic Surgery

    Minimally Invasive Hysterectomy

    Transvaginal Hysterectomy

    Laparoscopically Assisted Vaginal Hysterectomy

    Laparoscopic Hysterectomy (Including Robotic Assisted)

    Minimally Invasive Myomectomy

    Laparoscopic Entry Techniques

    Laparoscopic Entry Sites

    Port Placement

    Removal of Large Specimens

    Port Closure and Trocar Site Complications

    Uterine Manipulation During Minimally Invasive Surgery Procedures

    Minimally Invasive Surgery in the Obese Patient

    LAPAROTOMY IN OPERATIVE GYNECOLOGY

    Abdominal Wall Incisions

    Closure Techniques

    60 Perioperative Care and Complications of Gynecologic Surgery

    PREOPERATIVE CARE

    Informed Consent

    Medical Evaluation and Optimization

    Preoperative Evaluation

    Preoperative Management

    Hemorrhage Prevention Optimization

    INTRAOPERATIVE COMPLICATIONS

    Hemorrhage

    Ureteral Injury

    Bladder Injury

    Bowel Injury

    Nerve Injury

    Complications Specific to Laparoscopy

    Complications Specific to Hysteroscopy

    POSTOPERATIVE COMPLICATIONS

    Postoperative Fever

    Postoperative Infection

    Wound Infection

    Incisional or Vaginal Cuff Cellulitis

    Necrotizing Fasciitis

    Venous Thromboembolism

    Imaging

    Therapy

    Ileus and Bowel Obstruction

    Diarrhea

    Genitourinary Fistulae

    ENHANCED RECOVERY AFTER SURGERY

    Preadmission/Preoperatively

    Intraoperatively

    Postoperatively

    Outcomes

    61 Critical Care

    CARDIOVASCULAR CRITICAL CARE

    Heart Failure

    Acute Coronary Syndrome

    Cardiac Arrhythmias

    Hypotension and Shock

    RESPIRATORY CRITICAL CARE

    Acute Respiratory Distress Syndrome

    Oxygen Therapy

    FLUIDS AND ELECTROLYTES

    Hyponatremia

    Hypernatremia

    Hypokalemia

    Hyperkalemia

    Hypocalcemia

    Hypercalcemia

    Acid-Base Disorders

    RENAL FAILURE

    HEMATOLOGIC CRITICAL CARE

    Anemia

    Thrombocytopenia

    Disseminated Intravascular Coagulation

    INFECTIOUS DISEASES

    Sepsis

    SPECIAL OBSTETRIC CONSIDERATIONS IN CRITICAL CARE

    62 Quality, Safety, and Value in Women’s Health

    BACKGROUND

    QUALITY ASSURANCE

    CONTINUOUS IMPROVEMENT

    CLINICAL INNOVATION

    Index

     

  • 37000lei 300.00 lei

    Features:

    Authoritative, world-known editors and author team.

    Presents a contemporary and pragmatic summary ofrecent developments in operative obstetrics.

    Contextualises practice in the history of obstetric practice.

    Accurate line drawings throughout clearly demonstrating relevant procedures and equipment.

    Advice and management for obstetricians working in resource-limited areas.

    New To This Edition:

    New chapter to cover labour and delivery in high-BMI women

    Extensive coverage of Caesarean section to reflect current critical thinking

    New chapters exploring assisted vaginal delivery in greater depth

    Management areas and guidelines fully updated (e.g. for fetal monitoring in labour).

    Covers significant new research, e.g. the WOMAN trial.

    New editor, Michael Robson

    Table Of Contents:

    ANTENATAL

    1. Human birth

    Richard Greene

    2. Preterm labour and delivery

    Jane E. Norman

    3. Cervical cerclage

    Shane Patrick Higgins

    4. Antepartum haemorrhage: an overview

    Alan Cameron

    5. Vasa praevia

    Marie Anne Ledingham and Andrew Thomson

    6. Abruption

    Fiona Nugent, Andrew Thomson

    7. Induction of labour

    Tracey A. Johnston

    LABOUR AND DELIVERY

    8. Assessment and management of labour and delivery

    Michael Robson

    9. Fetal surveillance in labour

    Sabaratnam Arulkumaran

    10. Fetal asphyxia

    Sabaratnam Arulkumaran

    11. Acute tocolysis

    Edwin Chandraharan

    12. Cord prolapse

    Austin Ugwumadu

    13. The use of oxytocin to accelerate or induce labour

    Michael Robson

    14. Malpresentations and malposition

    Michael Robson and Thomas Baskett

    15. Assisted vaginal delivery: an overview

    Stephen O’Brien, Dimitrios Siassakos and Kim Hinshaw

    16. Assisted vaginal delivery: non-rotational forceps and manual rotation

    Simon Cunningham and Kim Hinshaw

    17. Assisted vaginal delivery: vacuum

    Thomas van den Akker and Kim Hinshaw

    18. Assisted vaginal delivery: rotational forceps

    Karl Olah and Kim Hinshaw

    19. Shoulder dystocia

    Joanna Crofts

    20. Breech delivery

    Lawrence Impey and Anita Hedditch

    21. Twin and triplet delivery

    Austin Ugwumadu

    22. Labour and delivery after previous caesarean

    Michael Robson

    23. Uterine rupture

    Jose Miguel Palacios-Jaraquemada and Donal Brennan

    24. Caesarean section: controversies, audit and indications

    Michael Robson

    25. Caesarean section: procedure

    Thomas Bergholt

    26. Caesarean section: clinical challenges

    Sara Paterson-Brown

    27. Additional procedures at caesarean section: salpionghectomy, myomectomy, ovarian surgery and hysterectomy

    Donal Brennan and Jose Miguel Palacios-Jaraquemada

    28. Placenta praevia and the morbidly adherent placenta

    Donal Brennan and Jose Miguel Palacios-Jaraquemada

    29. Haemorrhagic shock, disseminated intravascular coagulation and obstetric resuscitation

    Jennifer M. Walsh and Niamh Ellen Hayes

    30. Thromboprophylaxis in labour and delivery

    Niamh Ellen Hayes and Jennifer M. Walsh

    31. Amniotic fluid embolism

    Derek Tuffnell

    32. Analgesia and anaesthesia in labour and delivery

    Siaghal Mac Colgáin

    33. Labour and delivery in high-BMI women

    Dan Farine and Cynthia Maxwell

    POSTPARTUM

    34. Postpartum haemorrhage

    Andrew Weeks

    35. Retained placenta

    Andrew Weeks

    36. Uterine and vaginal tamponade

    Andrew Weeks

    37. Uterine compression sutures

    Andrew Weeks

    38. Pelvic vessel ligation and embolization: obstetric and radiological perspective

    Donal Brennan, David Paul Brophy and Jose Miguel Palacios-Jaraquemada

    39. Lower genital tract trauma

    Abdul Hameed Sultan and Bharati R. Thakar

    40. Acute uterine inversion

    Sabaratnam Arulkumaran

    41. Symphysiotomy

    Priya Soma-Pillay and Robert Pattinson

    42. Destructive operations on the fetus

    Priya Soma-Pillay and Robert Pattinson

    ORGANIZATIONAL ASPECTS

    43. Perinatal audit in labour and delivery - safety, consistency and quality

    Michael Robson

    44. Competence and skills training

    Timothy Draycott, Emily Hotton and Sophie Renwick

       

     


  • 310.00 lei

     Published in collaboration with the American College of Obstetrics and Gynecology, this highly respected resource provides the foundational knowledge medical students need to complete an Ob/Gyn rotation, pass national standardized exams, and competently care for women in clinical practice.

  • Examination Obstetrics & Gynaecology, 4e
    La comanda in aproximativ 4 saptamani
    310.00 lei

     

    Description:

    Examination Obstetrics & Gynaecology is an accessible rapid reference appropriate for daily use in a busy ward, clinic or surgery. Fully revised and updated, this practical guide is a definitive resource for medical trainees undertaking speciality training.

    Building on resources developed during the authors' specialist training in Obstetrics & Gynaecology, and refined by practical clinical experience, it provides a summary of important and essential information needed in women's health. Organised in a note and checklist format, it utilises a step-by-step guide to diagnosis, investigations and suggested treatments appropriate to primary consultation prior to specialist referral.



    Features:


    • Sample Objective Structured Clinical Examination OSCE cases from O&G examiner's perspectives to assist with examination preparation
    • 24 chapters dedicated to gynaecology, and 32 chapters to obstetrics

     

    Table Of Contents:


    Gynaecology
    1 -
     Gynaecological history and examination
    2 - Amenorrhoea
    3 - Abnormal uterine bleeding  
    4 - Endometriosis
    5 - Polycystic ovarian syndrome
    6 - Hirsutism
    7 - Contraception
    8 - Miscarriage and abortion
    9 -Ectopic pregnancy
    10 - Infertility
    11 - Pelvic infections
    12 - Menopause and premature ovarian failure
    13 - Intersex variations
    14 - Paediatric and adolescent gynaecological disorders
    15 - Chronic pelvic pain
    16 - Lower urinary tract symptoms
    17 - Pelvic organ prolapse
    18 - Cervical neoplasia
    19 - Uterine neoplasia
    20 - Ovarian neoplasms
    21 - Premalignant and malignant vulvar diseases
    22 - Vaginal disease
    23 - Benign vulvar disease
    24 - Gestational trophoblastic disease   

    Obstetrics
    25 -
     Antenatal care
    26 - Antenatal diagnosis of fetal and chromosomal abnormalities
    27 - Assessing fetal wellbeing
    28 - Drugs and drugs of abuse in pregnancy
    29 - Infections in pregnancy
    30 - Red blood cell and platelet alloimmunisation in pregnancy
    31 -Antepartum haemorrhage
    32 - Fetal complications in later pregnancy
    33 - Breech presentation
    34 - Multiple pregnancy
    35 - Preterm prelabour rupture of membranes
    36 - Preterm labour
    37 - Induction of labour
    38 - Malpresentation and malposition
    39 - Operative delivery
    40 - Pain relief in labour
    41 - Labour ward emergencies
    42 - Maternal mortality
    43 - Perinatal mortality, birth asphyxia and cerebral palsy
    44 - Hypertension in pregnancy
    45 - Diabetes in pregnancy
    46 - Thromboembolism in pregnancy
    47 - Cardiac disease in pregnancy
    48 - Connective tissue disease in pregnancy
    49 - Haematology and pregnancy
    50 - Gastrointestinal disorders in pregnancy
    51 - Neurological disease in pregnancy
    52 - Thyroid disease in pregnancy
    53 - Renal disease in pregnancy
    54 - The puerperium
    55 - Perinatal mental health
    56 - Perineal trauma
    57 - Membership exam tips and tricks

       

    Bottom of Form

     

  • Pocket Obstetrics and Gynecology
    La comanda in aproximativ 4 saptamani
    320.00 lei

     

    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. This practical, high-yield Pocket Notebook title is an ideal on-the-go reference for trainees and practitioners of obstetrics and gynecology. Written by residents with oversight from fellows and faculty experts, and perfect for initial care plans during rounds, this easy-to-use, loose-leaf resource is packed with up-to-date information answering the clinical questions you face every day. Pocket Obstetrics and Gynecology, Second Edition, is an indispensable quick resource you won’t want to be without!

     

     

    Table of Contents:

     

    WELL-WOMAN VISIT AND PRIMARY CARE

    Well-Woman (Annual) Exam

    Benign Breast Disease

    Breast Cancer

    Cervical Cancer Screening

    Lipids and Cholesterol

    Obesity

    Osteoporosis

    Skin Cancer Screening

    Domestic Violence

    Substance Abuse

    Depression and Psychiatric Disease Screening

    Contraception and Sterilization

    Emergency Contraception (EC)

    Vaccinations

    Women’s Health Epidemiology and Research

    EMERGENCY ROOM

    Imaging in OBGYN

    Ultrasound in Early Pregnancy

    Acute Pelvic Pain

    Ectopic Pregnancy

    Early Pregnancy Failure

    Ovarian Cysts

    Adnexal Torsion

    Pelvic Inflammatory Disease (PID)

    Acute Uterine Bleeding

    Trauma in Pregnancy

    Sexual Assault

    OPERATIVE OB-GYN

    Perioperative Patient Management

    Postoperative Ileus

    Postoperative Fever

    Surgical Site Infections (SSI)

    Perioperative DVT/PE

    Sepsis

    Perioperative Oliguria

    Bowel Obstruction

    Complications of Laparoscopy

    Complications of Hysteroscopy

    OB-GYN ANESTHESIA

    Gynecologic Anesthesia

    Parenteral Analgesia in Obstetrics

    Neuraxial Anesthesia in Obstetrics

    Local Anesthetics in Obstetrics

    Nonpharmacologic Analgesia in Obstetrics

    General Anesthesia in Obstetrics

    Postoperative Pain Management

    Inhalational Analgesia in Obstetrics

    GENERAL GYNECOLOGY

    Vulvovaginitis

    Bartholin Gland Cyst and Abscess

    Uterine Fibroids

    Adenomyosis

    Endometriosis

    Abnormal Uterine Bleeding (AUB)

    Postmenopausal Bleeding

    Dysmenorrhea

    Premenstrual Syndrome (PMS) and Premenstrual Dysphoric Disorder (PMDD)

    Chronic Pelvic Pain

    Vulvar Pain/Vulvodynia

    Female Sexual Dysfunction

    Menopause

    Hormone Therapy

    Pregnancy Termination

    Adnexal Masses

    PEDIATRIC AND ADOLESCENT GYNECOLOGY

    Puberty

    Precocious Puberty

    Delayed Puberty

    Amenorrhea

    Androgen Insensitivity Syndrome

    Congenital Adrenal Hyperplasia (CAH)

    PELVIC SURGERY AND UROGYNECOLOGY

    Physiology and Mechanisms of Micturition

    Physiology and Mechanisms of Defecation

    Pelvic Organ Prolapse (POP)

    Urinary Incontinence

    Overactive Bladder and Urge Incontinence

    Stress Incontinence

    Overflow Incontinence

    Bypass Incontinence and Urogenital Fistulae

    Interstitial Cystitis

    Anal Incontinence

    INFERTILITY

    Infertility Evaluation

    Premature Ovarian Insufficiency (POI)

    Polycystic Ovarian Syndrome (PCOS)

    Tubal Factor Infertility

    Recurrent Pregnancy Loss (RPL)

    Müllerian Anomalies

    Male Factor Infertility

    Ovulation Induction and Assisted Reproduction

    Fertility Preservation

    Preimplantation Genetic Testing

    Ovarian Hyperstimulation Syndrome (OHSS)

    PRENATAL CARE

    Routine Prenatal Visits

    Nutrition in Pregnancy

    Clinical Pelvimetry

    Common Prenatal Complaints

    Fetal Ultrasound: Anatomy and Echocardiography

    Congenital Anomalies

    Genetic Screening

    Amniocentesis and Chorionic Villus Sampling (CVS)

    NORMAL LABOR AND DELIVERY

    Antenatal Fetal Testing

    Fetal Lung Maturity Testing by Amniocentesis

    Newborn Respiratory Distress

    Group B Streptococcal Disease

    Spontaneous Labor and Delivery

    Induction of Labor (IOL)

    Intrapartum Fetal Monitoring

    Operative Vaginal Delivery

    Vaginal Birth After Cesarean

    Fetal Cord Blood Gas Analysis

    Routine Postpartum Care

    Breastfeeding

    Affiliated Obstetrical Providers

    COMPLICATED PREGNANCY AND DELIVERY

    Gestational Hypertensive Disorders

    Hydrops Fetalis

    Intrauterine Growth Restriction

    Multiple Gestation

    Cervical Insufficiency & Short Cervix

    Preterm Premature Rupture of Membranes

    Preterm Labor

    Postpartum Hemorrhage (PPH)

    Placental Abruption

    Placenta Previa

    Vasa Previa

    Placenta Accreta

    Uterine Inversion

    Amniotic Fluid Embolism

    Malpresentation

    Fetal Meconium

    Intraamniotic Infection

    Endomyometritis

    CARDIOLOGY AND CARDIOVASCULAR DISEASE

    Cardiovascular Disease in Pregnancy

    Cardiovascular Changes in Pregnancy

    Chronic Hypertension (CHTN)

    Hypertensive Crisis

    Pregnancy-Related Hypertension

    Coronary Artery Disease/Acute Coronary Syndrome

    Pulmonary Hypertension

    Valvular Heart Disease

    Peripartum Cardiomyopathy

    PULMONARY

    Pulmonary Function Testing

    Respiratory Changes in Pregnancy

    Arterial Blood Gas (ABG) Analysis

    Pneumonia

    Pulmonary Edema

    Influenza in Pregnancy

    Asthma and Pregnancy

    Anaphylaxis

    NEPHROLOGY AND URINARY TRACT

    Urinary System Changes in Pregnancy

    Acute Kidney Injury (AKI)

    Chronic Kidney Disease

    Urinary Tract Infection (UTI)

    Pyelonephritis

    Nephrolithiasis

    Fluids and Electrolytes

    GASTROENTEROLOGY

    Gastrointestinal Changes in Pregnancy

    Cholelithiasis

    Cholecystitis

    Pancreatitis

    Appendicitis

    Irritable Bowel Syndrome (IBS)

    Inflammatory Bowel Disease

    Viral Hepatitis

    Intrahepatic Cholestasis of Pregnancy (ICP)

    HELLP Syndrome

    Acute Fatty Liver of Pregnancy (AFLP)

    Total Parenteral Nutrition (TPN)

    HEMATOLOGY

    Hematologic Changes of Pregnancy

    Anemia

    Hemoglobinopathies

    Thrombocytopenia (Plt <150000/µL)

    Venous Thromboembolic Disease

    Thrombophilia Evaluation

    Coagulopathies

    Antiphospholipid Antibody Syndrome (APS)

    Alloimmunization

    Neonatal Alloimmune Thrombocytopenia (NAIT)

    Blood Products for Hemorrhage and Critical Care

    ENDOCRINOLOGY

    Hormonal Regulation

    Type I Diabetes Mellitus

    Diabetic Ketoacidosis (DKA)

    Type II Diabetes Mellitus

    Hyperosmolar Hyperglycemic State

    Diabetes in Pregnancy

    Gestational Diabetes (GDM)

    Hypothyroidism

    Hyperthyroidism

    Adrenal Disorders

    Hyperandrogenism

    Hirsutism

    Parathyroid Disorders

    Pituitary Disorders

    NEUROLOGY

    Headache (HA)

    Migraine

    Seizure Disorders

    Eclampsia

    Stroke in Pregnancy

    Cerebral Venous Thrombosis

    Multiple Sclerosis in Pregnancy

    Neuropathies in Pregnancy

    PSYCHIATRY

    Substance Abuse

    Depression

    Anxiety Disorders

    Bipolar Disorder

    Psychosis

    Schizophrenia

    DERMATOLOGY

    Dermatologic Changes in Pregnancy

    Lichen Sclerosus

    Lichen Simplex Chronicus

    Lichen Planus

    Psoriasis

    Hidradenitis Suppurativa

    Apocrine Miliaria

    Gyn-Derm Cysts

    Common Dermatologic Manifestations of Systemic Disease

    INFECTIOUS DISEASE

    HIV/AIDS in Women

    TORCH Infections

    Other Infections in Pregnancy

    Human Papilloma Virus (HPV)

    Syphilis

    Molluscum Contagiosum

    Chancroid

    Pubic Lice

    Genital Ulcers

    GYNECOLOGIC ONCOLOGY

    Types of Hysterectomy

    Cervical Cancer

    Uterine Cancer

    Epithelial Ovarian Cancer (EOC)

    Germ Cell Tumors

    Sex Cord-Stromal Tumors

    Vaginal Cancer

    Vulvar Cancer

    Gestational Trophoblastic Neoplasia

    Chemotherapy

    Radiation Therapy

    APPENDIX 1: OB-GYN ANATOMY PRIMER

    OB-Gyn Anatomy Primer

    APPENDIX 2: COMMON PROCEDURES AND SURGERIES

    Intrauterine Device Insertion (IUD)

    Subdermal Device Insertion

    Bartholin Abscess Incision and Drainage

    Loop Electrosurgical Excision Procedure (LEEP)

    Endometrial Biopsy

    Amniocentesis

    Dilatation and Curettage (Evacuation)

    Cold Knife Conization (CKC)

    Operative Hysteroscopy

    Endometrial Ablation

    Hysteroscopic Tubal Ligation

    Operative Laparoscopy

    Total Abdominal Hysterectomy

    Vaginal Hysterectomy

    Cesarean Section

    Postpartum Tubal Ligation

    Cervical Cerclage

    Repair of Obstetrical Laceration

    Pudendal Nerve Block

    Male Circumcision

    Common Surgical Instruments

    APPENDIX 3: DRUG REFERENCE

    Medications in Obstetrics & Gynecology

    APPENDIX 4: ACLS ALGORITHMS

    ACLS Algorithms

    APPENDIX 5: NRP ALGORITHM

    Neonatal Resuscitation Program Algorithm

    ABBREVIATIONS

    INDEX

     

  • 35300lei 320.00 lei

     

    Gynaecological disorders are often treated through minimally invasive laparoscopic, or open abdominal access surgery, rather than through vaginal surgery.

    This book is a guide to vaginal hysterectomy for gynaecologists.

    Divided into seven sections, each further sub-divided into a series of case studies, topics cover vaginal hysterectomy in different disorders and circumstances, including uterine debulking, patients who have previously had a caesarean section, previous uterine surgery, adnexal pathology, nullipara, and endometrial cancer. The final section describes special cases.

    Authored by an internationally recognised team of experts in the field, the text is further enhanced by clinical photographs and diagrams.

    Key points:

    • Guide to vaginal hysterectomy (VH) for gynaecologists
    • Presented as a series of case studies describing VH procedures for different disorders and circumstances
    • Includes section on special cases
    • Internationally recognised author team
    •  

    Table of Contents:

     

    Section 1: Vaginal Hysterectomy with Uterine Debulking Introduction 3 Case 1: Vaginal Hysterectomy (VH) with Uterine Debulking 8 Case 2: Vaginal Hysterectomy (VH) with Uterine Debulking Plus Bilateral Salpingo-oophorectomy (BSO) (CA125: 516) 9 Case 3: Vaginal Hysterectomy with Uterine Debulking Plus Ovarian Cystectomy 10 Case 4: Vaginal Hysterectomy with Massive Uterine Debulking Plus Bilateral Salpingo-oophorectomy (Right Hydrosalpinx) 11 Case 5: Vaginal Hysterectomy with Debulking Plus Bilateral Salpingo-oophorectomy with H/O Two Caesarean Sections 13 Case 6: Vaginal Hysterectomy with Uterine Debulking Plus Bilateral Salpingo-oophorectomy and Laparoscopic Cholecystectomy 14 Case 7: Nullipara: Large Debulking and Adnexectomy 17 Case 8: Nullipara and Obese: Debulking with Bilateral Salpingectomy 19 Case 9: Massive Debulking of Kilogram Uterus with Bilateral Salpingectomy-1 20 Case 10: Massive Debulking of Kilogram Uterus with Bilateral Salpingectomy-2 21 Case 11: Debulking of Large Adenomyoma, Bilateral Salpingectomy-1 22 Case 12: Debulking of Large Adenomyoma, Bilateral Salpingectomy-2 23 Case 13: Large Debulking with Bilateral Salpingectomy for Recurrent Postmenopause Bleeding 24 Case 14: Early Debulking with the Aid of Vasopressin 25 Section 2A: Vaginal Hysterectomy with History of Caesarean Section(s) Introduction 29 Case 15: VH with Left Ovarian Cystectomy 30 Case 16: VH Plus Stress Urinary Incontinence (SUI) Repair 32 Case 17: VH with Uterine Debulking 33 Case 18: VH with Right Ovarian Cystectomy Plus ?Endometrial Hyperplasia 34 Case 19: VH with Left Salpingo-oophorectomy for Ovarian Endometrial Cyst in a Morbidly Obese Patient 35 Case 20: VH with BSO for Right Ovarian Endometriotic Cyst 37 Case 21: VH with BSO for Abnormal Uterine Bleeding (AUB) with History of Caesarean Sections and Rupture Uterus 39 Case 22: VH Plus Vaginal Cuff with BSO for Postmenopausal Bleeder in a Morbidly Obese and Diabetic Patient 41 Case 23: VH with Altered Approach to Vesicouterine Peritoneum (VUP) 42 Case 24: VH in Heavy Cigarette Smoker with H/O Two Classical Caesarean Sections via Midline Vertical Laparotomy 46 Case 25: VH with Uterine Debulking Plus Bilateral Salpingectomy of Tubal Remnants after Four Caesarean Sections and No Vaginal Births 47 Case 26: VH Plus Bilateral Salpingectomy after One Caesarean and No Vaginal Births 48 Case 27: VH with Uterine Debulking after Six Midline Vertical Laparotomies (Five Caesarean Sections and One Ectopic Pregnancy) in a Morbidly Obese Cigarette Smoker 49 Section 2B: Vaginal Hysterectomy with History of Uterine Surgery in Past Case 28: VH in Nullipara with H/O Abdominal Myomectomy 53 Case 29: VH Plus Salpingectomy in Primipara with H/O Abdominal Myomectomy and Recurrent Large Fibroids 54 Contents Prelims.indd 13 10-04-2017 16:55:29 xiv Advanced Vaginal Surgery Section 3: Vaginal Hysterectomy with Adnexal Pathology Introduction 57 Case 30: VH with BSO for Large Bilateral Hydrosalpinx 60 Case 31: VH with Left Salpingo-oophorectomy for Ovarian Endometrial Cyst in Morbidly Obese with Past History of Two Caesarean Sections 62 Case 32: VH with BSO for Left Ovarian Endometrial Cyst and Right Ovarian Teratoma with H/O Two Caesarean Sections 64 Case 33: VH with BSO for Bilateral Ovarian Endometrial Cysts with Positive “Dimple Sign” 66 Case 34: VH with BSO for a Solid Ovarian Tumor 68 Case 35: VH with BSO for ?Endometrial Polyp with an Ovarian Solid Tumor 69 Case 36: VH with BSO followed by Laparotomy for Ovarian Cyst (Failed “Trial Vaginal Route” because of Ovarian “CA”) 70 Case 37: VH with BSO and Right Broad Ligament Myomectomy for Right Broad Ligament Fibroid (BLF) 71 Case 38: VH with BSO for Twisted Left Ovarian Cyst 73 Section 4: Nullipara and Vaginal Hysterectomy Case 39: VH in Nullipara with Intact Hymen 77 Case 40: VH with Uterine Debulking 79 Case 41: VH with Uterine Debulking Plus Right Ovarian Endometrial Cystectomy (H/O Myomectomy) 80 Case 42: VH with BSO for Bilateral Large Hydrosalpinx 81 Case 43: VH Plus Vaginal Cuff with BSO in Obese, Diabetic with Endometrial Cancer 82 Case 44: VH with BSO for Twisted Left Ovarian Cyst 83 Section 5: Vaginal Hysterectomy for Endometrial Cancer Introduction 87 Case 45: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Endometrial Complex Hyperplasia with Atypia 91 Case 46: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Corpus Cancer Syndrome for Endometrial Cancer (CA) 93 Case 47: VH Plus Vaginal Cuff with BSO for Endometrial CA 95 Case 48: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Corpus Cancer Syndrome. Failed “Trial Vaginal Route”. Abdominal Surgery for LNR for Endometrial CA 96 Case 49: VH Plus Vaginal Cuff with BSO for Endometrial Complex Hyperplasia with Atypia. Corpus CA Syndrome Plus a History of Cardiac Bypass 98 Case 50: VH Plus Vaginal Cuff with BSO for Well-differentiated Endometrial Adenocarcinoma 99 Case 51: VH Plus Vaginal Cuff with BSO: Postmenopausal Bleeder with Endometrial CA with History of Two Caesarean Sections Followed by Incisional Hernia Repair 100 Case 52: VH Plus Vaginal Cuff with BSO Plus Laparoscopic Cholecystectomy for Postmenopausal Bleeder with Multiple Gallstones 101 Case 53: Laparoscopic Cholecystectomy and VH Plus Vaginal Cuff with BSO: “Failed Trial Vaginal Route Case” Abdominal LNR for Endometrial CA 102 Section 6: Failed Trial Vaginal Hysterectomy/Trial Vaginal Route Case 54: Undiagnosed Uteroabdominal Band 107 Case 55: Uterocervical Adhesions with Abdominal Wall 108 Case 56: Diminished “Uterus-free” Space (Altered Uterocervical Angle) 110 Case 57: Ovarian Endometriosis with Positive “Dimple Sign” 111 Case 58: Large-sized Uterus 112 Case 59: Ovarian Malignancy 113 Prelims.indd 14 10-04-2017 16:55:29 Contents xv Case 60: Uterine Bulk Impedes Descent 115 Case 61: Extensive Adhesions from PID (Pelvic Inflammatory Disease) Limits Descent for VH 116 Case 62: Unanticipated Uterine Adhesions to Abdominal Wall-1 117 Case 63: Unanticipated Uterine Adhesions to Abdominal Wall-2 118 Case 64: Unanticipated Uterine Adhesions to Abdominal Wall-3 119 Case 65: Parasitic Myoma and Inaccessible Adnexa Leads to Laparoscopic Completion of VH 120 Section 7: Special Cases: Vaginal Hysterectomy Case 66: VH Plus H/O Rupture Uterus and Two Caesarean Sections 123 Case 67: VH Plus Broad Ligament Myomectomy without Laparoscopy Plus Contralateral Endometriotic Cyst 125 Case 68: VH for CIN III 126 Case 69: VH for Metastatic Breast Cancer Plus Uterine Adenomyosis 127 Case 70: VH: Prophylactic for Hydatidiform Mole 128 Case 71: VH with BSO for Twisted Ovarian Cyst 129 Case 72: VH for Uterine Fibroids with H/O Failed Abdominal Hysterectomy 130 Case 73: VH under Local Anesthesia for Pulmonary Fibrosis 132 Case 74: VH with Altered Approach to VUP (VH with BSO) 134 Case 75: VH with Bicornuate Uterus 135 Case 76: Bladder Stone Removal at VH Plus Anterior and Posterior Repair 136 Case 77: Vaginal Hysterectomy as Emergency Procedure for Cornual Ectopic Pregnancy 138 Case 78: Vaginal Supracervical Hysterectomy 10 Years after Mesh Hysteropexy 139 Case 79: Vaginal Hysterectomy (VH): Incarcerated Prolapse due to Cervical Leiomyoma and an Intramural Myoma 140 Case 80: VH in Nullipara with Ongoing Chemotherapy for Non-gynecologic Malignancies 141 Case 81: VH for Endometrial Carcinoma in Morbidly Obese with History of Caesarean Section 142 Index 143 Prelims.indd 15 10-04-2017 16:55:30

  • 36000lei 340.00 lei

     

    Description:

    Provide top-level obstetrics and gynecology telephone triage that is safe, efficient, and effective, with Telephone Triage for Obstetrics & Gynecology, 3rd Edition.   This at-your-fingertips guide offers a wide range of current, evidence-based protocols, backed by proven patient-questioning techniques, quick-reference charts, and real-life patient scenarios. Adaptable to  private practice, hospital, clinic, or call center, this invaluable guide will help ensure that your telephone triage standards stay high, while your practice serves individual patient situations with empathy and accuracy, right from the start.   Be expertly guided through the telephone triage rigors of data-gathering, protocols, and patient education, with these vital features: NEW chapter on incorporating internet research into advice on specific protoc NEW and expanded protocols that offer updated content on preconceptual screening, infectious disease impacts on pregnancy, infertility management, and emergency contraception Quick-reference sections that arrange protocols alphabetically for fast locating Easy-to-follow, data-gathering, flowchart format that helps you quickly determine the nature and urgency of the caller’s problem, and choose the appropriate intervention Easy-to-explain patient-education sections after each protocol  Basic Triage Assessment Forms that address specific problems and require vital patient data Guidance on developing “telephone charisma” and the power of sympathetic listening Effective patient questioning techniques—pertinent questions to ask, types of questions, time management, getting clarification  Real-life call scenarios that point out problems with not listening fully to the patient, skipping relevant questions, or exerting judgments Covers telephone triage basics, including logistical and legal considerations, assessments, telephone communication basics and challenges, and more Offers obstetric protocols, including overviews of preconceptual and infertility, early management of unintended pregnancy, fetal prenatal screening, early pregnancy evaluation and surveillance, and more Offers gynecologic protocols, including overviews of abnormal bleeding and spotting, amenorrhea, barrier contraceptives, breast complaints, emergency contraception, injectable contraceptives, intrauterine contraception, menopausal concerns, and more Vital guidance for all gynecologic nurses, obstetric nurses, certified nurse midwives, OB/GYN nurse practitioners, all triage nurses, and health professionals at call centers

     

    Table of Contents:

     

    Part I: Telephone Triage Basics

    Chapter 1: Telephone Triage in Women’s Health Care: Logistical and Legal Considerations

    THE ORIGIN AND EVOLUTION OF TRIAGE

    BASIC CONSIDERATIONS IN ESTABLISHING A TELEPHONE TRIAGE SYSTEM

    Are “Protocols” or “Guidelines” the Appropriate Format?

    What’s the First Step in Drafting Protocols or Guidelines?

    Who Should Handle the Calls?

    How Should Calls Be Documented?

    A WORD ON CONFIDENTIALITY, THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT, AND THE AMERICAN RECOVERY AND REINVESTMENT ACT

    What Information Is Pertinent for Each Patient Who Calls?

    HANDLING OUT-OF-STATE CALLS

    REDUCING LEGAL RISKS/IMPROVING PATIENT CARE

    Chapter 2: Assessing the Obstetric/Gynecologic Patient by Telephone

    THE EVIDENCE FOR ASSESSMENT BY TELEPHONE

    THE BASIC DATA

    THE NATURE OF THE PROBLEM

    THE REAL NATURE OF THE PROBLEM

    EXPLORING SYMPTOMS

    TIME MANAGEMENT IN TELEPHONE TRIAGE

    Chapter 3: Communication Basics and Challenges in Telephone Triage

    HELPFUL THERAPEUTIC COMMUNICATION TECHNIQUES

    COMMUNICATION BASICS IN TELEPHONE TRIAGE

    Self-Awareness

    Tele Charisma

    Paralanguage

    Establish Trust

    Use an Empathetic Approach

    Allow Enough Time

    Judicious Use of Open-ended Questions

    Significance of Closing

    COMMON CHALLENGES IN TELEPHONE TRIAGE

    Maintaining Composure

    Giving Bad News

    Providing Comfort

    Communicating with Assertiveness

    Care for the Caregiver

    RESOURCES IN COMMUNITY

    Chapter 4: The Use of Online Information Retrieval in Telephone Triage: Professional Resources and Social Media

    IMPORTANT TERMS

    WEB PAGE ORGANIZATION AND NAVIGATION

    INTERNET SEARCH ENGINES

    CHOOSING KEYWORDS

    Table 4-1: Internet Search Tracking Form

    ENTERING KEYWORDS

    Table 4-2: Examples of Keywords, Operators, and Results From Internet Searches

    RESULTS DISPLAY

    Table 4-3: Results From Keyword Search High Risk Pregnancy

    EVALUATING WEB PAGE CONTENT

    PATIENTS, CAREGIVERS, AND THE INTERNET

    SCHOLARLY SEARCH ENGINES/DATABASES

    A WORD ON SOCIAL MEDIA

    MEDICAL PROFESSIONAL EDUCATION

    Patient Education

    POTENTIAL BARRIERS AND CAUTIONS

    PROPER USE OF THE INTERNET AND SOCIAL MEDIA

    Part II: Obstetric Protocols

    Chapter 5: Preconceptual and Infertility Overview

    BASIC TRIAGE ASSESSMENT FORM FOR PREGNANCY

    BASIC TRIAGE ASSESSMENT FORM FOR AN OBSTETRIC PATIENT’S EXPOSURE TO ENVIRONMENTAL AND HOUSEHOLD CHEMICALS

    BASIC TRIAGE ASSESSMENT FORM FOR AN OBSTETRIC PATIENT’S EXPOSURE TO COMMUNICABLE DISEASES

    Table 5-1: Exposure to Selected Communicable Diseases in Pregnancy

    Table 5-2: Recommendations for Vaccine Use in Pregnant Women

    Cleaning Agents

    Key Questions

    Actions

    STEP A: Use of Cleaning Agents

    Cord Blood Banking

    Key Questions

    Actions

    STEP A: Definition of Cord Blood Banking

    STEP B: Arranging for Cord Blood Banking

    STEP C: Controversies Surrounding Cord Blood Banking

    Patient Education

    Food Safety in Pregnancy

    Key Questions

    Actions

    STEP A: Basic Rules of Food Safety

    STEP B: Food Safety Advice for Consuming Fish

    STEP C: Food Safety Advice for Selected Dairy Products

    STEP D: Food Safety Advice for Deli Meats, etc.

    STEP E: Safety Advice for Avoiding Toxoplasmosis Exposure

    Patient Education

    Hair Dye and Permanent Wave Exposure

    Key Questions

    Actions

    STEP A: Hair Dye or Permanent Wave

    Medication Use During Preconception, Pregnancy, and Lactation

    Table 5-3: Risk Categories for Medications Prescribed in Preconception, Pregnancy, and Lactation

    Key Questions

    Actions

    STEP A: Current Medication Use

    Paint Exposure

    Key Questions

    Actions

    STEP A: Latex Paints

    STEP B: Spray Paints

    STEP C: Oil- or Lead-Based Paints

    STEP D: Sealants and Shellacs

    STEP E: Artists’ Paints

    Patient Education

    Pesticide Use

    Key Questions

    Actions

    STEP A: Pesticide Use

    Common 30-Day Female Infertility Workup for Women With 28- to 30-Day Cycles

    Table 5-4: Commonly Used Infertility Medications

    Key Questions

    Actions

    STEP A: Getting Started

    STEP B: Menses After Completion of the Infertility Workup

    STEP C: No Menses After Completion of the Infertility Workup

    Patient Education

    Chapter 6: Early Management of Unintended Pregnancy Overview

    BASIC TRIAGE ASSESSMENT FORM FOR EARLY UNINTENDED PREGNANCY

    Counseling Options for Early Unintended Pregnancy

    Key Questions

    Actions

    STEP A: Discussing Options for Unintended Pregnancy

    STEP B: Referral to a Counselor or Other Care Provider

    Patient Education

    Chapter 7: Prenatal Screening Overview and Tests for Ongoing Fetal Surveillance

    PRENATAL SCREENING OVERVIEW

    TESTS FOR ONGOING FETAL SURVEILLANCE

    Early Prenatal Genetic Screening for Aneuploidy (Abnormal Chromosomes)

    Key Questions

    Actions

    STEP A: Chorionic Villus Sampling and Amniocentesis

    STEP B: First Trimester Combined Screening, Serum Integrated Screening, and the Quadruple Second Trimester Screen

    Patient Education

    Early Prenatal Screening for Carrier Status

    Key Questions

    Actions

    STEP A: Desires Carrier Screening

    STEP B: Positive Screening Test

    Patient Education

    Antepartum Fetal Surveillance by Biophysical Profile

    Key Questions

    Actions

    STEP A: Indications for a Biophysical Profile

    STEP B: What a Biophysical Profile Involves

    STEP C: Understanding Biophysical Profile Results

    Patient Education

    Antepartum Fetal Surveillance by Contraction Stress Test

    Key Questions

    Actions

    STEP A: Indications for a Contraction Stress Test

    STEP B: What a Contraction Stress Test Involves

    STEP C: Understanding Contraction Stress Test Results

    Patient Education

    Antepartum Fetal Surveillance by Fetal Movement (Kick) Counts

    Key Questions

    Actions

    STEP A: Indications for Counting Fetal Movements

    STEP B: What Counting Fetal Movement (Kicks) Involves

    STEP C: Understanding Fetal Movement (Kick) Count Results

    Patient Education

    Antepartum Fetal Surveillance by Nonstress Test

    Key Questions

    Actions

    STEP A: Indications for a Nonstress Test

    STEP B: What a Nonstress Test Involves

    STEP C: Understanding Nonstress Test Results

    Patient Education

    Chapter 8: 1st Trimester Overview

    Table 8-1: Maternal Mental Health: Perinatal Depression and Anxiety Patient Safety Bundle From the Council on Patient Safety in Women’s Health Care

    1st Trimester Abdominal Pain

    Key Questions

    Actions

    STEP A: Vaginal Bleeding

    STEP B: Severe Abdominal Pain

    STEP C: Problems to Consider

    Patient Education

    1st Trimester Ambivalence Regarding Pregnancy

    Key Questions

    Actions

    STEP A: Ambivalence in Pregnancy

    STEP B: Possible Underlying Depression or Anxiety

    STEP C: History of Depression or Other Mental Health Disorders

    STEP D: Desire to Harm Oneself or Others

    Patient Education

    1st Trimester Anxiety

    Key Questions

    Actions

    STEP A: Ambivalence in Pregnancy

    STEP B: Possible Underlying Depression or Anxiety

    STEP C: History of Depression or Mental Health Disorders

    STEP D: Recognition and Treatment of a Panic Attack

    STEP E: Desire to Harm Oneself or Others

    Patient Education

    1st Trimester Bleeding

    Key Questions

    Actions

    STEP A: Pregnancy Confirmation

    STEP B: Vaginal Bleeding, Heavy

    STEP C: Vaginal Spotting or Irregular Bleeding

    STEP D: Ectopic Pregnancy Considerations

    STEP E: Spontaneous Abortion Considerations

    Patient Education

    1st Trimester Constipation

    Key Questions

    Actions

    STEP A: Pregnancy Related

    STEP B: Constipation With Additional Symptoms

    STEP C: History of Constipation/Medication Possibly Contributing

    STEP D: Blood in Stool

    Patient Education

    1st Trimester Depression

    Key Questions

    Actions

    STEP A: Ambivalence in Pregnancy

    STEP B: Possible Underlying Depression or Anxiety

    STEP C: History of Depression or Mental Health Disorder

    STEP D: Desire to Harm Oneself or Others

    Patient Education

    1st Trimester Dizziness/Fainting

    Key Questions

    Actions

    STEP A: Sudden, Severe Headache, or Neurologic Changes

    STEP B: Fainting, Loss of Consciousness

    STEP C: Ear Pain or Sinus Pressure

    STEP D: Syncope

    Patient Education

    1st Trimester Fatigue

    Key Questions

    Actions

    STEP A: Pregnancy-Related Fatigue

    STEP B: Preexisting Illnesses

    STEP C: Outside Stressors

    Patient Education

    1st Trimester Headache

    Key Questions

    Actions

    STEP A: Sudden, Severe Headache

    STEP B: Neurologic Symptoms

    STEP C: Respiratory Symptoms

    STEP D: Dull Headaches

    Patient Education

    1st Trimester Nausea/Vomiting

    Key Questions

    Actions

    STEP A: Food/Fluid Difficulties

    STEP B: Nausea/Vomiting in Pregnancy

    STEP C: Preexisting Food Intolerance or Gastrointestinal Problem

    STEP D: Fever/Abdominal Pain

    Patient Education

    1st Trimester Urinary Complaints

    Key Questions

    Actions

    STEP A: Frequent Urination Without Other Symptoms

    STEP B: Frequent Urination With Urinary Symptoms

    STEP C: Frequent Urination With Renal Symptoms

    STEP D: Sickle Cell Disease or Sickle Cell Carrier

    Patient Education

    1st Trimester Vaginal Discharge

    Key Questions

    Actions

    STEP A: Physiologic Discharge of Pregnancy

    STEP B: Symptoms of Vaginitis

    STEP C: Urinary Tract Symptoms

    STEP D: Possible Sexually Transmitted Infection Exposure

    STEP E: Vulvovaginitis Symptoms With Possible Lesions

    STEP F: History of Herpetic Lesions

    STEP G: Vulvovaginitis Symptoms, Etiology Unknown

    Patient Education

    Chapter 9: 2nd Trimester Overview

    2nd Trimester Abdominal Pain

    Key Questions

    Actions

    STEP A: Vaginal Bleeding Associated With Abdominal Pain

    STEP B: Symptoms Consistent With Contractions

    STEP C: Pain Confined to One Part of Abdomen, Relieved by Position Change

    STEP D: Pain Confined to One Part of Abdomen, Not Relieved by Position Change

    STEP E: Pain Associated With Other Symptoms

    Patient Education

    Monitoring for Contractions

    Gastritis

    2nd Trimester Anxiety/Depression

    Key Questions

    Actions

    STEP A: Anxiety in Pregnancy/Assessment and Treatment of Panic Attacks

    STEP B: Possible Underlying Depression or Anxiety

    STEP C: History of Depression or Previous Mental Health Issues

    STEP D: Desire to Harm Oneself or Others

    Patient Education

    2nd Trimester Backache

    Key Questions

    Actions

    STEP A: Preexisting Back Condition

    STEP B: Backache Accompanied by Possible Contractions

    STEP C: Backache Confined to One Part of Back, Relieved by Position Change

    STEP D: Backache Confined, Unrelieved by Position Change

    STEP E: Backache Associated With Other Symptoms

    Patient Education

    2nd Trimester Bleeding

    Key Questions

    Actions

    STEP A: Abdominal Pain Associated With Vaginal Bleeding

    STEP B: Painless Vaginal Bleeding

    STEP C: Vaginal Spotting Associated With Pain, Itching, or Odor

    STEP D: Other Possibilities

    Patient Education

    2nd Trimester Constipation

    Key Questions

    Actions

    STEP A: Pregnancy Related

    STEP B: Constipation With Additional Symptoms

    STEP C: History of Constipation

    STEP D: Blood in Stool

    Patient Education

    2nd Trimester Decreased Fetal Movement

    Key Questions

    Actions

    STEP A: Felt Fetal Movement in Last 24 Hours

    STEP B: Has Felt Fetal Movement Every Day for a Week

    STEP C: Inconsistent Fetal Movement

    STEP D: Prior Pregnancy Loss

    Patient Education

    2nd Trimester Fatigue

    Key Questions

    Actions

    STEP A: Pregnancy-Related Fatigue

    STEP B: Preexisting Illnesses

    STEP C: Outside Stressors

    2nd Trimester Headache

    Key Questions

    Actions

    STEP A: Sudden, Severe Headache

    STEP B: Neurologic Symptoms

    STEP C: Respiratory Symptoms

    STEP D: Dull Headaches

    2nd Trimester Indigestion

    Key Questions

    Actions

    STEP A: Onset Pregnancy Related

    STEP B: Indigestion With Additional Symptoms

    STEP C: History of Indigestion

    Patient Education

    2nd Trimester Nasal Congestion

    Key Questions

    Actions

    STEP A: Colored Nasal Congestion

    STEP B: Clear Nasal Congestion

    Patient Education

    2nd Trimester Nausea/Vomiting

    Key Questions

    Actions

    STEP A: Acute Inability to Retain Food or Liquids

    STEP B: Pregnancy-Related Symptoms

    STEP C: Possible Preterm Labor Symptoms

    STEP D: Preexisting Conditions

    STEP E: Possible Flu or Abdominal Problem

    Patient Education

    2nd Trimester Pelvic Pain/Pressure

    Key Questions

    Actions

    STEP A: Symptoms Consistent With Contractions

    STEP B: Nonrhythmic Pelvic Pressure

    STEP C: Vaginal Bleeding Associated With Pelvic Pain and Pressure

    STEP D: Pressure Confined to One Part of Pelvis

    STEP E: Pain Confined to One Part of Abdomen, Not Relieved by Position Change

    Patient Education

    2nd Trimester Swelling (Edema)

    Key Questions

    Actions

    STEP A: Swelling With Other Symptoms

    STEP B: Facial and Upper Extremity Swelling

    STEP C: Uncomplicated Edema (Swelling)

    Patient Education

    2nd Trimester Urinary Complaints

    Key Questions

    Actions

    STEP A: Frequent Urination Without Other Symptoms