Office Gynecology: A Case-Based Approach

doi:10.1017/9781108227469

This case-based guide covers 100 gynecologic problems commonly encountered in office practice settings, from the simple to the complex. It encourages evidence-based care and incorporates up-to-date guidance on evaluation and management in office practice. Clinical problems are discussed in a clear, case-based format. The book integrates current guidelines and recommendations, supplemented with carefully-researched and vetted expert opinion for situations for which no guidelines exist. Each gynecologic problem is assessed through a brief case presentation followed by an in-depth discussion with visual aids. Question and answer sections feature teaching points. Cases and discussions are detailed enough to guide practice, yet remain focused and concise, with each case designed to be read in the time available when seeing a patient in clinical practice. An invaluable reference guide for gynecologists, family physicians, internal medicine providers, and other women's health care providers who offer office-based gynecologic care.

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Office Gynecology
pp i-ii
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Office Gynecology - Title page
pp iii-iii
A Case-Based Approach
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Copyright page
pp iv-iv
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Contents
pp v-viii
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Contributors
pp ix-xii
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Preface
pp xiii-xiv
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Section I - Pelvic Pain
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Case 1 - A 27-Year-Old Woman with Recurrent Visits for Severe Pelvic Pain
pp 1-3
- By Lee A. Learman
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Case 2 - A 25-Year-Old Woman with Deep Dyspareunia
pp 4-6
- By Kate A. McCracken
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Case 3 - A 16-Year-Old Adolescent with Ongoing Dysmenorrhea Despite Oral Contraceptive Pill Use
pp 7-9
- By Geri D. Hewitt
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Case 4 - A 37-Year-Old Woman with Pain at the Lateral Aspect of Her Pfannenstiel Incision
pp 10-12
- By Christopher M. Morosky
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Case 5 - A 26-Year-Old Woman with Chronic Pelvic Pain and Negative Work-Up
pp 13-15
- By Misa Perron-Burdick
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Case 6 - A 30-Year-Old Woman with Endometriosis with Worsening Pelvic Pain Despite Continuous Oral Contraceptives
pp 16-18
- By William D. Po
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Case 7 - A 47-Year-Old Woman with Severe Menstrual Cramps and Painful Intercourse
pp 19-21
- By Abimbola Famuyide
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Section II - Vaginal Discharge and Sexually Transmitted Infections
pp 22-43
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Case 8 - A 28-Year-Old Woman with Metronidazole Allergy and Trichomonas Infection
pp 23-25
- By Anita Tamirisa
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Case 9 - A 24-Year-Old Woman with Mucopurulent Cervicitis
pp 26-28
- By Jaime J. Alleyn
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Case 10 - A 27-Year-Old Woman with Trichomonas Requesting a Prescription for Her Partner
pp 29-31
- By Rita Tsai
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Case 11 - A 33-Year-Old Woman with Multiple Visits for Vaginal Discharge and Itching
pp 32-35
- By Shelly Holmstrom
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Case 12 - A 24-Year-Old Woman with Trichomonas in the First Trimester of Pregnancy
pp 36-38
- By Mark Turrentine
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Case 13 - A 16-Year-Old Adolescent Requesting Confidential Treatment for Chlamydia Exposure (Understanding State Laws Regarding Minors and Resources)
pp 39-41
- By Kavita Shah Arora
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Case 14 - A 75-Year-Old Woman Complaining of Greenish Discharge
pp 42-43
- By Amy R. Stagg
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Section III - Amenorrhea and Abnormal Vaginal Bleeding
pp 44-63
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Case 15 - A 32-Year-Old Woman with Friable Cervix
pp 45-46
- By Julianna Schantz-Dunn
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Case 16 - A 28-Year-Old Woman with Secondary Amenorrhea and Family History of Mental Retardation (Fragile X Premutation)
pp 47-50
- By Frederick Friedman Jr
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Case 17 - A 27-Year-Old Female Runner with Secondary Amenorrhea
pp 51-53
- By Janeen L. Arbuckle
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Case 18 - A 38-Year-Old Woman with Secondary Amenorrhea Six Months after Gastric Bypass
pp 54-56
- By Kyle Andrew Biggs
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Case 19 - A 25-Year-Old Woman with a Levonorgestrel Intrauterine Device (LNG-IUD), New Onset Spotting, and a Positive Pregnancy Test
pp 57-58
- By Jeffrey Rothenberg
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Case 20 - A 30-Year-Old Woman with Irregular Periods (Hypothyroidism)
pp 59-60
- By Scott Graziano
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Case 21 - A 25-Year-Old Woman with Midcycle Spotting
pp 61-63
- By Ann Lee Chang, Tod C. Aeby
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A Case-Based Approach

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