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First Aid for the Obstetrics & Gynecology Clerkship PDF

417 Pages·2011·4.35 MB·English
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FIRST AID FOR THE® Obstetrics & Gynecology Clerkship Third Edition MATTHEW S. KAUFMAN, MD PRITI P. SCHACHEL, MD, FACOG Assistant Professor, Albert Einstein College of Co-Director of Academic Curriculum Medicine The Methodist Hospital-Houston Department of Hematology Obstetrics and Gynecology Residency Program North Shore–Long Island Jewish Medical Center Assistant Professor, Weill Cornell Medical College New Hyde Park, New York Houston, Texas JEANÉ SIMMONS HOLMES, MD, LATHA G. STEAD, MD, MS, FACOG FACEP Co-Director of Academic Curriculum Chief, Division of Clinical Research Obstetrics and Gynecology Residency Program Professor of Emergency Medicine The Methodist Hospital-Houston University of Florida College of Medicine at Gainesville Assistant OB/GYN Clerkship Director at Adjunct Professor of Emergency Medicine St. Joseph Medical Center Mayo Clinic, College of Medicine Department of Obstetrics and Gynecology Rochester, Minnesota Assistant Professor, Weill Cornell Medical College Editor-in-Chief,International Journal of Emergency Houston, Texas Medicine New York / Chicago / San Francisco / Lisbon / London / Madrid / Mexico City Milan / New Delhi / San Juan / Seoul / Singapore / Sydney / Toronto Copyright © 2011 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. ISBN: 978-0-07-166409-7 MHID: 0-07-166409-2 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-163419-9, MHID: 0-07-163419-3. All trademarks are trademarks of their respective owners. Rather than put a trademark symbol after every occurrence of a trademarked name, we use names in an editorial fashion only, and to the benefi t of the trademark owner, with no intention of infringement of the trademark. Where such designations appear in this book, they have been printed with initial caps. McGraw-Hill eBooks are available at special quantity discounts to use as premiums and sales promotions, or for use in corporate training programs. 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You may use the work for your own noncommercial and personal use; any other use of the work is strictly prohibited. Your right to use the work may be terminated if you fail to comply with these terms. THE WORK IS PROVIDED “AS IS.” McGRAW-HILL AND ITS LICENSORS MAKE NO GUARANTEES OR WARRANTIES AS TO THE ACCURACY, ADEQUACY OR COMPLETENESS OF OR RESULTS TO BE OBTAINED FROM USING THE WORK, INCLUDING ANY INFORMATION THAT CAN BE ACCESSED THROUGH THE WORK VIA HYPERLINK OR OTHERWISE, AND EXPRESSLY DISCLAIM ANY WARRANTY, EXPRESS OR IMPLIED, INCLUDING BUT NOT LIMITED TO IMPLIED WARRANTIES OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE. McGraw-Hill and its licensors do not warrant or guarantee that the functions contained in the work will meet your requirements or that its operation will be uninterrupted or error free. Neither McGraw-Hill nor its licensors shall be liable to you or anyone else for any inaccuracy, error or omission, regardless of cause, in the work or for any damages resulting therefrom. McGraw-Hill has no responsibility for the content of any information accessed through the work. Under no circumstances shall McGraw-Hill and/or its licensors be liable for any indirect, incidental, special, punitive, consequential or similar damages that result from the use of or inability to use the work, even if any of them has been advised of the possibility of such damages. This limitation of liability shall apply to any claim or cause whatsoever whether such claim or cause arises in contract, tort or otherwise. CONTRIBUTORS MARQUITA D. ANDERSON MAE KATHLEEN HAYES Class of 2010 Class of 2010 University of Texas Medical School at Houston University of Texas Medical School at Houston Houston, Texas Houston, Texas 16/Infertility 5/Intrapartum 23/Pelvic Masses JAMIE G. HERNANDEZ MARTINA T. AYAD Class of 2010 Class of 2010 University of Texas Medical School at Houston University of Texas Medical School at Houston Houston, Texas Houston, Texas 13/Contraception and Sterilization 14/Menstruation 15/Premenstrual Syndrome/Premenstrual Dysphoric CATHLEEN G. HOFFMAN Disorder Class of 2010 17/Amenorrhea University of Texas Medical School at Houston 18/Hyperandrogenism Houston, Texas 19/Hyperprolactemia and Galactorrhea Section I: How to Succeed in the Obstetrics and 20/Abnormal Uterine Bleeding Gynecology Clerkship LAUREN K. BANKS Class of 2010 CHRISTOPHER A. HOLLWEG, MPH Class of 2011 University of Texas Medical School at Houston St. George’s University School of Medicine Houston, Texas Granada 8/Obstetrical Complications of Pregnancy Minicases and Vignettes ARIELLE L. CAPERS Class of 2010 ROXANNA A. IRANI, PHD Class of 2011 University of Texas Medical Branch at Galveston University of Texas Medical School at Houston Galveston, Texas Houston, Texas 6/Postpartum 4/Antepartum 11/Abortions and Fetal Death LAUREN P. GIBSON Class of 2010 University of Texas Medical School at Houston CHARLIE C. KILPATRICK, MD Assistant Professor Houston, Texas Department of Obstetrics, Gynecology and Reproduc- 7/Medical Conditions in Pregnancy tive Sciences 9/Infections in Pregnancy Lyndon Baines Johnson Hospital University of Texas Health Science Center at Houston TRACILYN HALL, MD Houston, Texas Resident 10/Twin Gestation The Methodist Hospital-Houston 32/Breast Disease Obstetrics and Gynecology Residency Program Houston, Texas 31/Sexually Transmitted Infections/Vaginitis iii VANESSA M. LOPEZ GAVIN P. PUTHOFF Class of 2010 Class of 2010 University of Texas Medical School at Houston University of Texas Medical School at Houston Houston, Texas Houston, Texas 21/Pelvic Pain 26/Endometrial Hyperplasia and Endometrial Cancer 22/Endometriosis/Adenomyosis 27/Ovarian Cancer and Fallopian Tube Cancer MARGARET MARKHAM JENNY VAN WINKLE, MD Class of 2010 Resident University of Texas Medical School at Houston The Methodist Hospital-Houston Houston, Texas Obstetrics and Gynecology Residency Program 24/Cervical Dysplasia Houston, Texas 25/Cervical Cancer 28/Vulvar Dysplasia, Vulvar Cancer, and Vaginal Cancer 29/Vulvar Disorders LYNDA E. MBAH Class of 2010 University of Texas Medical School at Houston GERILYNN S. VINE Houston, Texas Class of 2010 11/Abortions and Fetal Death University of Texas Medical School at Houston 12/Ectopic Pregnancy Houston, Texas 3/Physiology of Pregnancy KATHERINE M. NELSON Class of 2010 CRISTINA M. WALLACE University of Texas Medical School at Houston Class of 2010 Houston, Texas University of Texas Medical School at Houston 36/Menopause Houston, Texas 37/Pelvic Relaxation 1/Normal Anatomy 38/Urinary Incontinence 2/Diagnosis of Pregnancy BRIDGETTE J. PARISH, MD Resident The Methodist Hospital-Houston Obstetrics and Gynecology Residency Program Houston, Texas 30/Gestational Trophoblastic Disease MICHAEL L. PIRICS, MD Resident The Methodist Hospital-Houston Obstetrics and Gynecology Residency Program Houston, Texas 33/Women’s Health Maintenance 34/Female Sexuality 35/Ethics iv STUDENT REVIEWERS SILKE HEINISCH FRANK SANTORO Class of 2010 Class of 2009 Temple University School of Medicine University of Connecticut School of Medicine Philadelphia, Pennsylvania Farmington, Connecticut v This page intentionally left blank CONTENTS Introduction xi Acknowledgments xiii How to Contribute xv SECTION I: HOW TO SUCCEED IN THE OBSTETRICS & GYNECOLOGY CLERKSHIP 1 Cathleen G. Hoffman SECTION II: HIGH-YIELD FACTS IN OBSTETRICS 13 1. Reproductive Anatomy 15 Cristina M. Wallace 2. Diagnosis of Pregnancy 23 Cristina M. Wallace 3. Physiology of Pregnancy 29 Gerilynn S. Vine 4. Antepartum 41 Roxanna A. Irani, PhD 5. Intrapartum 65 Mae Kathleen Hayes 6. Postpartum 95 Arielle L. Capers 7. Medical Conditions in Pregnancy 111 Lauren P. Gibson 8. Obstetric Complications 129 Lauren K. Banks 9. Infections in Pregnancy 155 Lauren P. Gibson 10. Twin Gestation 167 Charles C. Kilpatrick, MD 11. Abortions and Fetal Death 171 Lynda E. Mbah Roxanna A. Irani, PhD vii 12. Ectopic Pregnancy 183 Lynda E. Mbah SECTION III: HIGH-YIELD FACTS IN GYNECOLOGY 189 13. Contraception and Sterilization 191 Jamie G. Hernandez 14. Menstruation 207 Martina T. Ayad 15. Premenstrual Syndrome/Premenstrual Dysphoric Disorder 211 Martina T. Ayad 16. Infertility 215 Marquita D. Anderson 17. Amenorrhea 221 Martina T. Ayad 18. Hyperandrogenism 231 Martina T. Ayad 19. Hyperprolactemia and Galactorrhea 237 Martina T. Ayad 20. Abnormal Uterine Bleeding 241 Martina T. Ayad 21. Pelvic Pain 249 Vanessa M. Lopez 22. Endometriosis/Adenomyosis 253 Vanessa M. Lopez 23. Differential Diagnoses of Pelvic Masses 259 Marquita D. Anderson 24. Cervical Dysplasia 269 Margaret Markham 25. Cervical Cancer 277 Margaret Markham 26. Endometrial Hyperplasia and Endometrial Cancer 285 Gavin P. Puthoff 27. Ovarian Cancer and Fallopian Tube Cancer 293 Gavin P. Puthoff 28. Vulvar Dysplasia, Vulvar Cancer, and Vaginal Cancer 303 Jenny Van Winkle, MD 29. Vulvar Disorders 309 Jenny Van Winkle, MD 30. Gestational Trophoblastic Disease 315 Bridgette J. Parish, MD 31. Sexually Transmitted Infections/Vaginitis 323 Tracilyn Hall, MD viii 32. Breast Disease 335 Charles C. Kilpatrick, MD 33. Women’s Health Maintenance 341 Michael L. Pirics, MD 34. Female Sexuality 351 Michael L. Pirics, MD 35. Ethics 357 Michael L. Pirics, MD 36. Menopause 361 Katherine M. Nelson 37. Pelvic Relaxation 367 Katherine M. Nelson 38. Urinary Incontinence 371 Katherine M. Nelson SECTION IV: CLASSIFIED 375 Opportunities 376 Web sites of Interest 377 Index 379 ix

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New York / Chicago / San Francisco / Lisbon / London / Madrid / Mexico City .. Michael L. Pirics, MD cology content on the USMLE Step 2 examination. 1. SECTION I. How to Succeed in the. Obstetrics &. Gynecology Clerkship.
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