Case files. Obstetrics and gynecology PDF
Preview Case files. Obstetrics and gynecology
FOURTH EDITION CASE FILES ® Obstetrics and Gynecology Eugene C. Toy, MD Patti Jayne Ross, MD The John S. Dunn, Senior Academic Professor Chair and Program Director University of Texas Health Science Center The Methodist Hospital Ob/Gyn Department of Obstetrics and Gynecology Residency Program University of Texas Medical School Houston, Texas at Houston Vice Chair of Academic Affairs Houston, Texas Department of Obstetrics and Gynecology The Methodist Hospital John C. Jennings, MD Houston, Texas Regional Dean, School of Medicine/ Roden Professor of Obstetrics and Clinical Professor and Clerkship Director Gynecology Department of Obstetrics and Gynecology Texas Tech University Health Sciences University of Texas Medical School Center at Houston Odessa, Texas Houston, Texas Associate Clinical Professor Weill Cornell College of Medicine Benton Baker III, MD Professor of Obstetrics and Gynecology University of Texas Medical School at Houston Houston, Texas New York Chicago San Francisco Lisbon London Madrid Mexico City Milan New Delhi San Juan Seoul Singapore Sydney Toronto Copyright © 2013 by The McGraw-Hill Companies, Inc. All rights reserved. Except as permitted under the United States Copyright Act of 1976, no part of this publication may be reproduced or distributed in any form or by any means, or stored in a database or retrieval system, without the prior written permission of the publisher. 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DEDICATION To my loving and supportive wife, Terri, and my four delightful children, Andy, Michael, Allison, and Christina, who provide me with daily inspiration. —ECT With love and gratitude, to Mom, Joy, Ben, Anne, Jessica, Jim, John, and Col. Alvin Sholk. —BB III To the residents, faculty, and staff at Christus—St. Joseph Hospital and The Methodist Hospital—Houston Ob/Gyn Residency. —ECT AND BB III To Dr. James Knight, and Tulane Medical School, for giving me the opportunity to fulfi ll my dreams. To my parents, Mary and Jimmy Ross, for their love, inspiration, and devotion. —PJR To my wife, Sue Ellen, my three daughters, Beth, Allison, and Amy, their husbands, and my fi ve grandchildren. —JCJ Finally, to the wonderful medical students from the University of Texas—Houston Medical School, who graciously gave constructive feedback and enthusiastically received this curriculum. —THE AUTHORS This page intentionally left blank CONTENTS Contributors / vii Preface / xv Acknowledgments / xvii Introduction / xix Section I How to Approach Clinical Problems ........................................................................1 Part 1. Approach to the Patient ................................................................................2 Part 2. Approach to Clinical Problem Solving .......................................................10 Part 3. Approach to Reading ..................................................................................12 Part 4. Approach to Surgery ...................................................................................17 Section II Clinical Cases ..........................................................................................................19 Sixty Case Scenarios ...............................................................................................21 Section III Review Questions .................................................................................................511 Section IV Listing of Cases .....................................................................................................519 Listing by Case Number .......................................................................................521 Listing by Disorder (Alphabetical) .......................................................................522 Index / 525 This page intentionally left blank CONTRIBUTORS Patricia Bellows, MD Resident in Ob/Gyn Baylor College of Medicine Houston, Texas Anemia in Pregnancy Katie Bolt, MD Resident Department of Obstetrics and Gynecology The Methodist Hospital—Houston Houston, Texas Thyroid Storm in Pregnancy Gizelle Brooks-Carter, MD Faculty The Methodist Obstetrics and Gynecology Residency Houston, Texas Twin Gestation with Vasa Previa Amenorrhea after Postpartum Hemorrhage Kathleen Cammack Medical Student University of Texas Medical School at Houston Houston, Texas Approach to PID Approach to Ectopic Pregnancy Lori Cavender, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Fibroadenoma of the Breast Dominant Breast Mass Michael P. Coselli, MD, FACS General Surgeon The Methodist Hospital—Houston Houston, Texas Breast Mass in a 50-Year-Old Breast, Abnormal Mammogram vii viii CONTRIBUTORS Juan Franco, MD, FACOG Faculty Department of Obstetrics and Gynecology The Methodist Hospital—Houston Houston, Texas Pruritus (Cholestasis) of Pregnancy Galactorrhea Due to Hypothyroidism Lauren Giacobbe, MD Resident Department of Obstetrics and Gynecology The Methodist Hospital—Houston Houston, Texas Placental Abruption Placenta Previa Tracilyn Hall, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Postmenopausal Bleeding Ovarian Tumor (Struma Ovarii) Brandon Haney, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Threatened Abortion Konrad Harms, MD, FACOG Assistant Professor Department of Obstetrics and Gynecology Weill Cornell Medical College Associate Program Director Department of Obstetrics and Gynecology The Methodist Hospital—Houston Houston, Texas Polycystic Ovarian Syndrome Preeclampsia and Hepatic Rupture Eric Haufrect, MD Clinical Professor Department of Obstetrics and Gynecology Weill Cornell Medical College Vice Chair Department of Obstetrics and Gynecology The Methodist Hospital—Houston Houston, Texas Uterine Inversion CONTRIBUTORS ix M. Kathleen Hayes, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Uterine Fibroids Timothy Hickman, MD Director, Houston IVF Houston, Texas Approach to Infertility Stephen Hilgers, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Parvovirus Infection in Pregnancy Cathleen Hoffman, MD Resident The Methodist Obstetrics and Gynecology Residency Houston, Texas Urinary Incontinence Lisa M. Hollier, MD, MPH Associate Professor Department of Obstetrics, Gynecology, and Reproductive Sciences University of Texas Medical School at Houston Houston, Texas Syphilitic Chancre Jeané Simmons Holmes, MD, FACOG Assistant Professor Weill Cornell Medical College Faculty The Methodist Obstetrics and Gynecology Residency Houston, Texas Chlamydial Cervicitis and HIV in Pregnancy Ureteral Injury after Hysterectomy Alan L. Kaplan, MD Chairman Department of Obstetrics and Gynecology The Methodist Hospital—Houston Professor Department of Obstetrics and Gynecology Weill Cornell Medical College Houston, Texas Cervical Cancer Ovarian Tumor (Struma Ovarii)
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