Office care of geriatric patients
Figure 46-1 Life expectancy trends (from US Census Bureau [1]). Addressing the problems of an aging population has become a central part of health care. More than 75 million people…
Office care of sexually transmitted infections
Epidemiology Pelvic inflammatory disease (PID) encompasses infections of the upper female genital tract that including salpingitis, endometritis, tubo-ovarian abscess and/or pelvic peritonitis. The downstream sequelae of PID include ectopic pregnancy…
Office ultrasound
Figure 5-1 Normal uterus. Uterus Several uterine conditions can be diagnosed. These include congenital anomalies and submuscosal fibroids. Congenital anomalies With proper configuration, the internal contours of the uterus can…
Office emergencies
Figure 9-1 I-gel® spraglottic device (with permission from Intersurgical Ltd, Wokingham, Berkshire, United Kingdom). The 2010 American Heart Association (AHA) guidelines on cardiopulmonary resuscitation suggest that continuous monitoring of expired…
Office management of pelvic relaxation
Figure 21-1 Connective tissue support of the vagina. Level 1 (suspensory support) includes the uterosacral/cardinal ligament. Level 2 support includes the lateral attachment to the levator ani muscles through the…
Office management of female reproductive tract anomalies
Figure 33-1 Representative congenital anomalies of the uterus. Arcuate uterus and heart-shaped uterine fundus lie at the most minor end of the spectrum of müllerian fusion anomalies of the uterus,…
Sexual dysfunction
Figure 24-1 Female sexual response depicting three different women or one woman at different times. (Linear model as researched and developed by Masters and Johnson.) A baseline desire was believed…
Office care of breast disorders
Figure 34-1 Representation of the left breast with a 2 cm palpable mass in the upper outer quadrant at 1’o clock position, 6 cm from the nipple. Inspection of the breasts should…
Hyperandrogenism
Figure 29-1 Steroidogenesis pathway. (From David Richfield under the GNU Free Documentation License.) Adrenal androgen production is controlled by adrenocorticotropic hormone (ACTH). As just described, the main androgen produced is…
Office care of patients with leiomyomata of the uterus
Figure 23-1 Large benign fibroid. Figure 23-2 Multiple benign fibroids. Figure 23-3 Large fibroid uterus 20 weeks size on physical exam 0700. Leiomyoma are the most common tumor in women,[2]…
