Ob\Gyn Secrets

371 Pages·2016·5.626 MB·English

by  Amanda Mularz, Steven Dalati, Ryan A. Pedigo

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i
OB/GYN
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OB/GYN
FOURTH EDITION
AMANDA MULARZ, MD
Clinical Instructor
David Geffen School of Medicine at UCLA
Los Angeles, California;
Maternal-Fetal Medicine Fellow
Department of Obstetrics and Gynecology
Ronald Reagan-UCLA Medical Center
Los Angeles, California
STEVEN DALATI, MD
Assistant Clinical Professor of Obstetrics and Gynecology
David Geffen School of Medicine at UCLA
Los Angeles, California;
Department of Obstetrics and Gynecology
Olive View-UCLA Medical Center
Sylmar, California
RYAN PEDIGO, MD
Assistant Professor
David Geffen School of Medicine at UCLA
Los Angeles, California;
Attending Physician and Clerkship Director
Department of Emergency Medicine
Harbor-UCLA Medical Center
Torrance, California
1600 John F. Kennedy Blvd.
Ste 1800
Philadelphia, PA 19103-2899
OB/GYN SECRETS ISBN: 978-0-323-39922-7
Copyright © 2017 by Elsevier, Inc. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechani-
cal, including photocopying, recording, or any information storage and retrieval system, without permission in
writing from the publisher. Details on how to seek permission, further information about the Publisher’s permis-
sions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copy-
right Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher (other
than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and
using any information, methods, compounds, or experiments described herein. In using such information or
methods they should be mindful of their own safety and the safety of others, including parties for whom they
have a professional responsibility.
With respect to any drug or pharmaceutical products identified, readers are advised to check the most
current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be
administered, to verify the recommended dose or formula, the method and duration of administration, and
contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of
their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient,
and to take all appropriate safety precautions.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any lia-
bility for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise,
or from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Previous editions copyrighted 2003, 1997, and 1991 by Mosby, an imprint of Elsevier, Inc.
Library of Congress Cataloging-in-Publication Data
Ob/gyn secrets (Frederickson)
Ob/gyn secrets / [edited by] Amanda Mularz, Steven Dalati, Ryan Pedigo.-- Fourth edition.
p. ; cm. -- (Secrets series)
Includes bibliographical references and index.
ISBN 978-0-323-39922-7 (pbk. : alk. paper)
I. Mularz, Amanda, editor. II. Dalati, Steven, editor. III. Pedigo, Ryan, editor. IV. Title. V. Series:
Secrets series.
[DNLM: 1. Genital Diseases, Female--Examination Questions. 2. Pregnancy Complications--Examination
Questions. 3. Pregnancy. WP 18.2]
RG111
618.076--dc23
2015036610
Executive Content Strategist: James Merritt
Content Development Specialist: Margaret Nelson
Publishing Services Manager: Patricia Tannian
Project Manager: Stephanie Turza
Book Designer: Ryan Cook
Printed in United States of America
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To my husband, and all who contributed their time and effort
to make this possible; many thanks.
A.M.
To my colleagues, friends, and amazing wife, whose effort
and energy made this publication possible.
S.D.
To all of my mentors and teachers throughout my journey
who have always been there to support me, guide me,
and drive me to be better.
R.P.
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CONTENTS
TOP 100 SECRETS 1
I General GynecoloGy
CHAPTER 1 THE MENSTRUAL CYCLE 7
Jacob Casey, MD, and Judy H. Chen, MD
CHAPTER 2 PREMENSTRUAL SYNDROME AND DYSMENORRHEA 11
Alin Lina Akopians, MD, PhD
CHAPTER 3 ABNORMAL UTERINE BLEEDING 15
Hannah Newmark, MD
CHAPTER 4 ENDOMETRIOSIS AND ADENOMYOSIS 18
Julia Switzer, MD
CHAPTER 5 LEIOMYOMATOUS UTERUS 21
Elena Martinez, MD
CHAPTER 6 ANOVULATION 25
Jacob Casey, MD, and Judy H. Chen, MD
CHAPTER 7 FEMALE SEXUAL DYSFUNCTION 28
Whitney Sigala, MD
CHAPTER 8 MENOPAUSE 31
Rachel Rosenheck, MD, and Judy H. Chen, MD
CHAPTER 9 BENIGN LESIONS OF THE VULVA AND VAGINA 36
Susan Park, MD
CHAPTER 10 LOWER GENITAL TRACT INFECTIONS 40
Manpreet Singh, MD
CHAPTER 11 PELVIC INFLAMMATORY DISEASE 46
Mary Anne M. Baquing, MD
CHAPTER 12 ECTOPIC PREGNANCY 49
Ryan Pedigo, MD
CHAPTER 13 INDUCED ABORTION 54
Lirona Katzir, MD
CHAPTER 14 CONTRACEPTION 58
Elena Martinez, MD
CHAPTER 15 BENIGN ADNEXAL MASSES 65
Carrie E. Jung, MD
CHAPTER 16 ACUTE AND CHRONIC PELVIC PAIN 69
Judy H. Chen, MD
CHAPTER 17 URINARY INCONTINENCE 74
Erin Mellano, MD, and Cecilia K. Wieslander, MD
vii
viii CONTENTS
CHAPTER 18 PELVIC ORGAN PROLAPSE 79
Zaid Q. Chaudhry, MD, and Cecilia K. Wieslander, MD
CHAPTER 19 BREAST DISEASE 84
Susan Park, MD
CHAPTER 20 INTIMATE PARTNER VIOLENCE 88
Mae Zakhour, MD
II reproductive endocrinoloGy
CHAPTER 21 PUBERTY 90
Michelle S. Özcan, MD, and Travis W. McCoy, MD
CHAPTER 22 AMENORRHEA 96
Michelle S. Özcan, MD, and Travis W. McCoy, MD
CHAPTER 23 INFERTILITY 102
Lauren W. Sundheimer, MD, and Travis W. McCoy, MD
CHAPTER 24 OVULATION INDUCTION AND IN VITRO FERTILIZATION 108
Alexandra Walker, DO, and Travis W. McCoy, MD
CHAPTER 25 SPONTANEOUS ABORTION AND RECURRENT PREGNANCY LOSS 113
Paul Buzad, MD, and Travis W. McCoy, MD
CHAPTER 26 HIRSUTISM AND POLYCYSTIC OVARIAN SYNDROME 118
Danny Younes, MD, and Travis W. McCoy, MD
III GynecoloGic oncoloGy
CHAPTER 27 PRECANCEROUS LESIONS OF THE LOWER GENITAL TRACT 122
Lisa Garcia, MD
CHAPTER 28 VULVAR AND VAGINAL CANCER 126
Ramy Eskander, MD
CHAPTER 29 CERVICAL CANCER 131
Ramy Eskander, MD
CHAPTER 30 ENDOMETRIAL HYPERPLASIA AND UTERINE CANCER 135
Ramy Eskander, MD
CHAPTER 31 OVARIAN CANCER 139
Ramy Eskander, MD, and Mae Zakhour, MD
CHAPTER 32 GESTATIONAL TROPHOBLASTIC DISEASE 146
Ramy Eskander, MD
IV General obstetrics
CHAPTER 33 NORMAL PHYSIOLOGY OF PREGNANCY 149
Stacy M. Yadava, MD
CHAPTER 34 PATHOPHYSIOLOGY OF THE PLACENTA 152
Carlos Rangel, MD
CHAPTER 35 PRECONCEPTION COUNSELING 155
Anna Karina Celaya, MD
CHAPTER 36 COMPREHENSIVE PRENATAL CARE 157
Hai-Lang Duong, MD