Download Gynecology and Obstetrics, 2004 Edition by Paul D. Chan MD, Susan M. Johnson MD PDF

By Paul D. Chan MD, Susan M. Johnson MD

Gynecology and Obstetrics summarizes prognosis and administration of universal issues that ensue in ladies. this article experiences licensed remedy guidance for either inpatients and outpatients. 149 pages.

Show description

Read or Download Gynecology and Obstetrics, 2004 Edition PDF

Similar obstetrics & gynecology books

Chesley's Hypertensive Disorders in Pregnancy, 3rd Edition

Hypertensive problems stay one the most important motives of maternal and fetal morbidity and loss of life. it's also a number one reason behind preterm delivery referred to now to be a hazard think about distant heart problems. regardless of this the hypertensive problems stay marginally studied and administration is usually debatable.

Tumors of the Fetus and Infant: An Atlas

Over the last 20 years, the notable advances in imaging recommendations, similar to ultrasound and quick or ultra-fast MRI, have resulted in the prognosis of more and more tumors on the prenatal level. This revised, abundantly illustrated moment version of Tumors of the Fetus and toddler: An Atlas provides an updated account of the scientific and pathological good points of neoplastic sickness and tumor-like stipulations within the fetus, neonate, and boy or girl and discusses significant tumor stories and instances from during the global.

Spontaneous Abortion: Diagnosis and Treatment

16 British experts pool their broad wisdom of spontaneous abortion in a single resource. Their dialogue is without delay appropriate to scientific events and is helping determine components of discussion and substitute equipment.

Additional info for Gynecology and Obstetrics, 2004 Edition

Sample text

Breast Masses A. The normal glandular tissue of the breast is nodular. Nodularity is a physiologic process and is not an indication of breast pathology. Dominant masses may be discrete or poorly defined, but they differ in character from the surrounding breast tissue. The differential diagnosis of a dominant breast mass includes macrocyst (clinically evident cyst), fibroadenoma, prominent areas of fibrocystic change, fat necrosis and cancer. B. Cystic Breast Masses 1. Cysts are a common cause of dominant breast masses in premenopausal women more than 40 years of age, but they are an infrequent cause of such masses in younger women.

About 8% of biop­ sies performed for nipple discharge demonstrate cancer. The duration, bilaterality or unilaterality of the discharge, and the presence of blood should be determined. A history of oral contraceptives, hor­ mone preparations, phenothiazines, nipple or breast stimulation or lactation should be sought. Dis­ charges that flow spontaneously are more likely to be pathologic than discharges that must be manually expressed. 2. Unilateral, pink colored, bloody or non-milky dis­ charge, or discharges associated with a mass are the discharges of most concern.

Physical examination A. The breasts should be inspected for asymmetry, deformity, skin retraction, erythema, peau d'orange (indicating breast edema), and nipple retraction, discoloration, or inversion. B. Palpation 1. The breasts should be palpated while the patient is sitting and then supine with the ipsilateral arm extended. The entire breast should be palpated systematically. 2. The mass should be evaluated for size, shape, tex­ ture, tenderness, fixation to skin or chest wall. The location of the mass should be documented with a diagram in the patient’s chart.

Download PDF sample

Rated 4.87 of 5 – based on 9 votes