Williams Gynecology Study Guide

278 Pages·2012·13.92 MB·English

by  Claudia Werner

GYNECOLOGY
SECOND EDITION
STUDY GUIDE
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GYNECOLOGY
SECOND EDITION
STUDY GUIDE
Claudia L. Werner, MD
MedicalDirectorofDysplasiaServices
Co-DirectorVulvologyClinic
ParklandHealthandHospitalSystem,Dallas,Texas
AssociateProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
Elysia Moschos, MD
AssociateProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
William F. Griffith, MD
MedicalDirector,IntermediateCareCenterDirector,VulvologyClinic
Co-Director,DysplasiaServices
ParklandHealthandHospitalSystem,Dallas,Texas
AssociateProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
Victor E. Beshay, MD
AssistantProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
David D. Rahn, MD
AssistantProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
Debra L. Richardson, MD, FACOG
AssistantProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
Barbara L. Hoffman, MD
AssociateProfessor,DepartmentofObstetricsandGynecology
UniversityofTexasSouthwesternMedicalCenteratDallas
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ISBN: 978-0-07-177205-1
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Toourmentorsandpatients,whoinspireustostriveforexcellenceingynecology,
and
Toourfamilies,whoseloveandsupportmakethispossible
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CONTENTS
Preface.............................................................................................................. ix
SECTION 1
BENIGN GENERAL GYNECOLOGY
1. Well Woman Care...............................2 8. Abnormal Uterine Bleeding.................. 43
2. Techniques Used for Imaging 9. Pelvic Mass.................................... 48
in Gynecology ...................................8
10. Endometriosis ................................. 56
3. Gynecologic Infection......................... 14
11. Pelvic Pain..................................... 61
4. Benign Disorders of the Lower
12. Breast Disease................................. 67
Reproductive Tract ............................ 22
13. Psychosocial Issues and
5. Contraception and Sterilization .............. 27
Female Sexuality.............................. 74
6. First-Trimester Abortion....................... 33
14. Pediatric Gynecology ......................... 78
7. Ectopic Pregnancy............................. 38
SECTION 2
REPRODUCTIVE ENDOCRINOLOGY,
INFERTILITY, AND THE MENOPAUSE
15. Reproductive Endocrinology ................. 86 19. Evaluation of the Infertile Couple...........109
16. Amenorrhea................................... 93 20. Treatment of the Infertile Couple...........114
17. Polycystic Ovarian Syndrome and 21. Menopausal Transition.......................119
Hyperandrogenism............................ 98
22. The Mature Woman..........................123
18. Anatomic Disorders..........................103
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viii Contents
SECTION 3
FEMALE PELVIC MEDICINE AND RECONSTRUCTIVE SURGERY
23. Urinary Incontinence.........................130 25. Anal Incontinence and Functional
Anorectal Disorders..........................143
24. Pelvic Organ Prolapse........................137
26. Genitourinary Fistula and
Urethral Diverticulum........................148
SECTION 4
GYNECOLOGIC ONCOLOGY
27. Principles of Chemotherapy.................154 33. Endometrial Cancer..........................184
28. Principles of Radiation Therapy.............159 34. Uterine Sarcoma..............................190
29. Preinvasive Lesions of the Lower 35. Epithelial Ovarian Cancer....................196
Genital Tract ..................................163
36. Ovarian Germ Cell and Sex
30. Cervical Cancer...............................169 Cord-Stromal Tumors.........................202
31. Vulvar Cancer.................................174 37. Gestational Trophoblastic Disease..........207
32. Vaginal Cancer................................179
SECTION 5
ASPECTS OF GYNECOLOGIC SURGERY
38. Anatomy......................................216 40. Intraoperative Considerations...............229
39. Perioperative Considerations................222
SECTION 6
ATLAS OF GYNECOLOGIC SURGERY
41. Surgeries for Benign Gynecologic 43. Surgeries for Pelvic Floor Disorders ........250
Conditions.....................................236
44. Surgeries for Gynecologic Malignacies.....256
42. Minimally Invasive Surgery .................243
Index ..............................................................................................................261
PREFACE
TheWilliamsGynecologySecondEditionStudyGuideisdesigned edition,wehavealsoincludedmorethan200full-colorimages
toassesscomprehensionandretentionofinformationpresented as question material. In addition, clinical case questions have
inthesecondeditionofWilliamsGynecology.Thequestionsfor been added to test implementation of content learned. At the
eachsectionhavebeenselectedtoemphasizethekeypointsfrom endofeachchapter,answersarefound,andapageguidedirects
each chapter. In total, 1244 questions have been created from readerstothetextsectionthatcontainstheanswer.Webelieve
the44chapters.Questionsareinamultiple-choiceformat,and thatourmoreclinicalapproachtranslatesintoamoreaccurate
one single best answer should be chosen for each. With this testofimportantclinicalknowledge.
ClaudiaL.Werner,MD
ElysiaMoschos,MD
WilliamF.Griffith,MD
VictorE.Beshay,MD
DavidD.Rahn,MD
DebraL.Richardson,MD
BarbaraL.Hoffman,MD
ix