First Aid for the Obstetrics & Gynecology Clerkship

417 Pages·2011·4.35 MB·English

by  Kaufman, Matthew S.

FIRST AID
FOR
THE®
Obstetrics &
Gynecology
Clerkship
Third Edition
MATTHEW S. KAUFMAN, MD PRITI P. SCHACHEL, MD, FACOG
Assistant Professor, Albert Einstein College of Co-Director of Academic Curriculum
Medicine The Methodist Hospital-Houston
Department of Hematology Obstetrics and Gynecology Residency Program
North Shore–Long Island Jewish Medical Center Assistant Professor, Weill Cornell Medical College
New Hyde Park, New York Houston, Texas
JEANÉ SIMMONS HOLMES, MD, LATHA G. STEAD, MD, MS,
FACOG FACEP
Co-Director of Academic Curriculum Chief, Division of Clinical Research
Obstetrics and Gynecology Residency Program Professor of Emergency Medicine
The Methodist Hospital-Houston University of Florida College of Medicine at Gainesville
Assistant OB/GYN Clerkship Director at Adjunct Professor of Emergency Medicine
St. Joseph Medical Center Mayo Clinic, College of Medicine
Department of Obstetrics and Gynecology Rochester, Minnesota
Assistant Professor, Weill Cornell Medical College Editor-in-Chief,International Journal of Emergency
Houston, Texas Medicine
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ISBN: 978-0-07-166409-7
MHID: 0-07-166409-2
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CONTRIBUTORS
MARQUITA D. ANDERSON MAE KATHLEEN HAYES
Class of 2010 Class of 2010
University of Texas Medical School at Houston University of Texas Medical School at Houston
Houston, Texas Houston, Texas
16/Infertility 5/Intrapartum
23/Pelvic Masses
JAMIE G. HERNANDEZ
MARTINA T. AYAD Class of 2010
Class of 2010 University of Texas Medical School at Houston
University of Texas Medical School at Houston Houston, Texas
Houston, Texas 13/Contraception and Sterilization
14/Menstruation
15/Premenstrual Syndrome/Premenstrual Dysphoric
CATHLEEN G. HOFFMAN
Disorder
Class of 2010
17/Amenorrhea
University of Texas Medical School at Houston
18/Hyperandrogenism
Houston, Texas
19/Hyperprolactemia and Galactorrhea
Section I: How to Succeed in the Obstetrics and
20/Abnormal Uterine Bleeding
Gynecology Clerkship
LAUREN K. BANKS
Class of 2010 CHRISTOPHER A. HOLLWEG, MPH
Class of 2011
University of Texas Medical School at Houston
St. George’s University School of Medicine
Houston, Texas
Granada
8/Obstetrical Complications of Pregnancy
Minicases and Vignettes
ARIELLE L. CAPERS
Class of 2010 ROXANNA A. IRANI, PHD
Class of 2011
University of Texas Medical Branch at Galveston
University of Texas Medical School at Houston
Galveston, Texas
Houston, Texas
6/Postpartum
4/Antepartum
11/Abortions and Fetal Death
LAUREN P. GIBSON
Class of 2010
University of Texas Medical School at Houston CHARLIE C. KILPATRICK, MD
Assistant Professor
Houston, Texas
Department of Obstetrics, Gynecology and Reproduc-
7/Medical Conditions in Pregnancy
tive Sciences
9/Infections in Pregnancy
Lyndon Baines Johnson Hospital
University of Texas Health Science Center at Houston
TRACILYN HALL, MD Houston, Texas
Resident 10/Twin Gestation
The Methodist Hospital-Houston 32/Breast Disease
Obstetrics and Gynecology Residency Program
Houston, Texas
31/Sexually Transmitted Infections/Vaginitis
iii
VANESSA M. LOPEZ GAVIN P. PUTHOFF
Class of 2010 Class of 2010
University of Texas Medical School at Houston University of Texas Medical School at Houston
Houston, Texas Houston, Texas
21/Pelvic Pain 26/Endometrial Hyperplasia and Endometrial Cancer
22/Endometriosis/Adenomyosis 27/Ovarian Cancer and Fallopian Tube Cancer
MARGARET MARKHAM JENNY VAN WINKLE, MD
Class of 2010 Resident
University of Texas Medical School at Houston The Methodist Hospital-Houston
Houston, Texas Obstetrics and Gynecology Residency Program
24/Cervical Dysplasia Houston, Texas
25/Cervical Cancer 28/Vulvar Dysplasia, Vulvar Cancer, and Vaginal
Cancer
29/Vulvar Disorders
LYNDA E. MBAH
Class of 2010
University of Texas Medical School at Houston GERILYNN S. VINE
Houston, Texas Class of 2010
11/Abortions and Fetal Death University of Texas Medical School at Houston
12/Ectopic Pregnancy Houston, Texas
3/Physiology of Pregnancy
KATHERINE M. NELSON
Class of 2010 CRISTINA M. WALLACE
University of Texas Medical School at Houston Class of 2010
Houston, Texas University of Texas Medical School at Houston
36/Menopause Houston, Texas
37/Pelvic Relaxation 1/Normal Anatomy
38/Urinary Incontinence 2/Diagnosis of Pregnancy
BRIDGETTE J. PARISH, MD
Resident
The Methodist Hospital-Houston
Obstetrics and Gynecology Residency Program
Houston, Texas
30/Gestational Trophoblastic Disease
MICHAEL L. PIRICS, MD
Resident
The Methodist Hospital-Houston
Obstetrics and Gynecology Residency Program
Houston, Texas
33/Women’s Health Maintenance
34/Female Sexuality
35/Ethics
iv
STUDENT REVIEWERS
SILKE HEINISCH FRANK SANTORO
Class of 2010 Class of 2009
Temple University School of Medicine University of Connecticut School of Medicine
Philadelphia, Pennsylvania Farmington, Connecticut
v
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CONTENTS
Introduction xi
Acknowledgments xiii
How to Contribute xv
SECTION I: HOW TO SUCCEED IN THE OBSTETRICS & GYNECOLOGY CLERKSHIP 1
Cathleen G. Hoffman
SECTION II: HIGH-YIELD FACTS IN OBSTETRICS 13
1. Reproductive Anatomy 15
Cristina M. Wallace
2. Diagnosis of Pregnancy 23
Cristina M. Wallace
3. Physiology of Pregnancy 29
Gerilynn S. Vine
4. Antepartum 41
Roxanna A. Irani, PhD
5. Intrapartum 65
Mae Kathleen Hayes
6. Postpartum 95
Arielle L. Capers
7. Medical Conditions in Pregnancy 111
Lauren P. Gibson
8. Obstetric Complications 129
Lauren K. Banks
9. Infections in Pregnancy 155
Lauren P. Gibson
10. Twin Gestation 167
Charles C. Kilpatrick, MD
11. Abortions and Fetal Death 171
Lynda E. Mbah
Roxanna A. Irani, PhD
vii
12. Ectopic Pregnancy 183
Lynda E. Mbah
SECTION III: HIGH-YIELD FACTS IN GYNECOLOGY 189
13. Contraception and Sterilization 191
Jamie G. Hernandez
14. Menstruation 207
Martina T. Ayad
15. Premenstrual Syndrome/Premenstrual Dysphoric Disorder 211
Martina T. Ayad
16. Infertility 215
Marquita D. Anderson
17. Amenorrhea 221
Martina T. Ayad
18. Hyperandrogenism 231
Martina T. Ayad
19. Hyperprolactemia and Galactorrhea 237
Martina T. Ayad
20. Abnormal Uterine Bleeding 241
Martina T. Ayad
21. Pelvic Pain 249
Vanessa M. Lopez
22. Endometriosis/Adenomyosis 253
Vanessa M. Lopez
23. Differential Diagnoses of Pelvic Masses 259
Marquita D. Anderson
24. Cervical Dysplasia 269
Margaret Markham
25. Cervical Cancer 277
Margaret Markham
26. Endometrial Hyperplasia and Endometrial Cancer 285
Gavin P. Puthoff
27. Ovarian Cancer and Fallopian Tube Cancer 293
Gavin P. Puthoff
28. Vulvar Dysplasia, Vulvar Cancer, and Vaginal Cancer 303
Jenny Van Winkle, MD
29. Vulvar Disorders 309
Jenny Van Winkle, MD
30. Gestational Trophoblastic Disease 315
Bridgette J. Parish, MD
31. Sexually Transmitted Infections/Vaginitis 323
Tracilyn Hall, MD
viii
32. Breast Disease 335
Charles C. Kilpatrick, MD
33. Women’s Health Maintenance 341
Michael L. Pirics, MD
34. Female Sexuality 351
Michael L. Pirics, MD
35. Ethics 357
Michael L. Pirics, MD
36. Menopause 361
Katherine M. Nelson
37. Pelvic Relaxation 367
Katherine M. Nelson
38. Urinary Incontinence 371
Katherine M. Nelson
SECTION IV: CLASSIFIED 375
Opportunities 376
Web sites of Interest 377
Index 379
ix