By Guy I. Benrubi MD
Revised and up to date for its Fourth variation, this sensible, transportable, and cheap guide is designed for quick reference within the place of work or emergency room. It makes a speciality of analysis and therapy of universal emergencies in girl sufferers and lines a variety of therapy algorithms, bulleted lists, and tables, plus considerable illustrations together with ultrasound. assurance addresses all emergent stipulations and non-emergent difficulties, corresponding to sexually transmitted ailments, that regularly found in emergency departments. This version has been up to date to handle present demanding situations equivalent to issues coming up from scientific and surgical abortion, clinical and mental difficulties bobbing up from sexual attack and different gynecologic traumas, and emergent stipulations because of chemical-biological warfare.
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Additional resources for Handbook of Obstetric and Gynecologic Emergencies
Laparoscopic cholecystectomy has been performed during pregnancy but its safety is uncertain. In one small series, the laparoscopic approach was associated with adverse fetal outcomes (47). In other reports, however, laparoscopic cholecystectomy was safe if performed by a skilled laparoscopic surgeon and was not associated with fetal mortality, although tocolytic therapy was required in some patients (48,49). 2% to 2% of pregnancies (50). The ultrasound appearance of the mass suggests whether it is benign or malignant.
Diagnosis The diagnosis of DKA is made by clinical fi ndings and confi rmed by laboratory studies which include hyperglycemia, acidosis, and ketonemia. The patient with DKA may present with malaise, headache, nausea, vomiting, thirst, weight loss, and a change in mental status. Other frequent complaints include polydipsia, polyuria, and shortness of breath. The patient may also have a characteristic “fruity” breath resulting from increased acetone production (68). The differential diagnosis for high–anion gap metabolic acidosis in pregnancy includes lactic acidosis, chronic renal failure, salicylate overdose, and ingestion of ethylene glycol (73).
50. Davis LE, Lucas MJ, Hankins GD, Roark ML, Cunningham FG. Thyrotoxicosis complicating pregnancy. Am J Obstet Gynecol. 1989;160(1):63–70. 51. Tietgens ST, Leinung MC. Thyroid storm. Med Clin North Am. 1995;79(1):169–184. 52. ACOG. Thyroid Disease in Pregnancy. ACOG Technical Bulletin 37. Washington, DC: American College of Obstetricians and Gynecologists, 2002. 53. Hershman JM. Human chorionic gonadotropin and the thyroid: hyperemesis gravidarum and trophoblastic tumors. Thyroid. 1999;9(7):653–657.