Williams Gynecology Study Guide PDF
Preview Williams Gynecology Study Guide
GYNECOLOGY SECOND EDITION STUDY GUIDE NOTICE Medicineisanever-changingscience.Asnewresearchandclinicalexperiencebroadenourknowl- edge,changesintreatmentanddrugtherapyarerequired.Theauthorsandthepublisherofthis work have checked with sources believed to be reliable in their efforts to provide information thatiscompleteandgenerallyinaccordwiththestandardsacceptedatthetimeofpublication. However, in view of the possibility of human error or changes in medical sciences, neither the authorsnorthepublishernoranyotherpartywhohasbeeninvolvedinthepreparationorpub- licationofthisworkwarrantsthattheinformationcontainedhereinisineveryrespectaccurate or complete, and they disclaim all responsibility for any errors or omissions or for the results obtainedfromuseoftheinformationcontainedinthiswork.Readersareencouragedtoconfirm theinformationcontainedhereinwithothersources.Forexampleandinparticular,readersare advisedtochecktheproductinformationsheetincludedinthepackageofeachdrugtheyplanto administertobecertainthattheinformationcontainedinthisworkisaccurateandthatchanges havenotbeenmadeintherecommendeddoseorinthecontraindicationsforadministration.This recommendationisofparticularimportanceinconnectionwithneworinfrequentlyuseddrugs. 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 NewYork Chicago SanFrancisco Lisbon London Madrid MexicoCity Milan NewDelhi SanJuan Seoul Singapore Sydney Toronto Copyright © 2012 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: 978-0-07-177205-1 MHID: 0-07-177205-7 The material in this eBook also appears in the print version of this title: ISBN: 978-0-07-175091-2, MHID: 0-07-175091-6. All trademarks are trademarks of their respective owners. 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Toourmentorsandpatients,whoinspireustostriveforexcellenceingynecology, and Toourfamilies,whoseloveandsupportmakethispossible This page intentionally left blank 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 vii 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
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