PULMONARY

Jul 3, 2016 by in OBSTETRICS Comments Off on PULMONARY

Spirometry (Am Fam Physician 2004;69(5):1107) • Indicated for dx of pulm dz, follow-up of known dz, preoperative eval of pts w/ known pulm dz or prior to thoracic procedures •…

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DISEASE

Jul 3, 2016 by in OBSTETRICS Comments Off on DISEASE

25–34 yo); low socioeconomic status; urban location (JAMA 2001;285:1186). Pathophysiology • HIV RNA virus targets CD4 receptor on T-lymphocytes • Destruction & impairment of CD4 cells → immunodeficiency → OIs…

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CARE

Jul 3, 2016 by in OBSTETRICS Comments Off on CARE

Considerations in Routine Prenatal Care • OB review of systems: Every encounter ask about VB, LOF, CTX, & FM, & other systems by complaint. 1st FM: 16–18 w if multiparous,…

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DERMATOLOGY

Jul 3, 2016 by in OBSTETRICS Comments Off on DERMATOLOGY

Lichen Sclerosus Epidemiology • Prevalence unk (often asymptomatic, underreported) (Obstet Gynecol Surv 2012;67:55) • Bimodal distribution: Prepubertal & postmenopausal females, w/ a mean age btw the 5th & 6th decade…

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INFERTILITY

Jul 3, 2016 by in OBSTETRICS Comments Off on INFERTILITY

>40 yo → greatest infertility. • Fecundity: Probability that a single menstrual cycle results in live birth History (Fertil Steril 2004;82:S169) • Gravidity, parity, Preg outcomes/assoc complications • Age at…

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SURGERY AND UROGYNECOLOGY

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• CNS involvement (pontine micturition center) – afferent signal through spinothalamic tracts & dorsal columns → intensity of signal reaches threshold of consciousness triggering void when socially acceptable → efferent…

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Musculoskeletal system

Jul 3, 2016 by in PEDIATRICS Comments Off on Musculoskeletal system

CHAPTER 18 Musculoskeletal system Karen G. Duderstadt; and Naomi A. Schapiro The assessment of the musculoskeletal system is challenging in pediatrics because of the variations in growth and development and…

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Neurological system

Jul 3, 2016 by in PEDIATRICS Comments Off on Neurological system

CHAPTER 19 Neurological system Karen G. Duderstadt For the pediatric health care provider, monitoring the development of the nervous system is one of the most important aspects of assessment in…

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Ears

Jul 3, 2016 by in PEDIATRICS Comments Off on Ears

CHAPTER 12 Ears Patricia Jackson Allen The ear is a sensory organ that functions as part of the complex sensory system for hearing and vestibular equilibrium. Visual inspection of the…

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Abdomen and rectum

Jul 3, 2016 by in PEDIATRICS Comments Off on Abdomen and rectum

CHAPTER 14 Abdomen and rectum Victoria F. Keeton The assessment of the abdomen and rectum involves the evaluation of multiple organ systems and functions including the gastrointestinal, renal, vascular, endocrine,…

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