The JOHN HOPKINS Manual of Gynecology and Obstetrics
Incluye Gastos de Importación
Compact, authoritative, and easy to consult, The Johns Hopkins Manual® of Gynecology and Obstetrics, 7th Edition, is a trusted, on-the-spot reference for virtually any issue you’ll encounter in obstetrics, high-risk obstetrics, gynecology, reproductive endocrinology, infertility, and gynecologic oncology. Culled from the collective expertise of residents and attending physicians at The Johns Hopkins University and edited by Drs. Betty Chou, Chantel Cross, James Stuart Ferriss, and Andrew J. Satin, this thoroughly revised edition is ideal for quick reference or as a highly effective review tool for medical students, resident trainees, and physicians in practice.Offers practical, dependable guidance in an easy-to-use, outline format modeled after The Washington Manual® of Medical Therapeutics
Contains new and updated information from cover to cover, including two new chapters on maternal physiology, obstetric emergencies, LGBTQ and transgender care, fertility preservation, fetal therapy and in utero interventions, and disparities in OB-GYN outcomes.
Provides portable, point-of-care information for house officers, medical students, and practitioners who encounter obstetric and gynecologic diseases and disorders in practice
Covers key topics such as female pelvic medicine/reconstructive surgery, multifetal pregnancy, substance abuse, psychiatric diseases, neoplastic diseases, hereditary cancer syndromes, UTIs and STIs, and more
Features clear illustrations and numerous tables throughout, as well as quick access to medication doses
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Especialidad
- Ginecología y obstetricia
Compact, authoritative, and easy to consult, The Johns Hopkins Manual® of Gynecology and Obstetrics, 7th Edition, is a trusted, on-the-spot reference for virtually any issue you’ll encounter in obstetrics, high-risk obstetrics, gynecology, reproductive endocrinology, infertility, and gynecologic oncology. Culled from the collective expertise of residents and attending physicians at The Johns Hopkins University and edited by Drs. Betty Chou, Chantel Cross, James Stuart Ferriss, and Andrew J. Satin, this thoroughly revised edition is ideal for quick reference or as a highly effective review tool for medical students, resident trainees, and physicians in practice.Offers practical, dependable guidance in an easy-to-use, outline format modeled after The Washington Manual® of Medical Therapeutics
Contains new and updated information from cover to cover, including two new chapters on maternal physiology, obstetric emergencies, LGBTQ and transgender care, fertility preservation, fetal therapy and in utero interventions, and disparities in OB-GYN outcomes.
Provides portable, point-of-care information for house officers, medical students, and practitioners who encounter obstetric and gynecologic diseases and disorders in practice
Covers key topics such as female pelvic medicine/reconstructive surgery, multifetal pregnancy, substance abuse, psychiatric diseases, neoplastic diseases, hereditary cancer syndromes, UTIs and STIs, and more
Features clear illustrations and numerous tables throughout, as well as quick access to medication doses
- Cover
- Title Page
- Copyright
- Contributors
- Preface
- Contents
- Part I: Obstetrics
- 1 Prepregnancy Counseling and Prenatal Care
- PREPREGNANCY CARE AND COUNSELING
- Health Optimization and Medical Assessment
- Substance Use Assessment
- Psychiatric Health
- Review of Medications
- Infectious Disease Screening
- Immunizations
- Social Assessment
- Family History
- Maternal Age
- Nutritional Assessment
- Environmental Hazards and Toxins
- ROUTINE PRENATAL CARE
- Pregnancy Dating
- Nutrition, Weight Gain, and Exercise
- Immunizations
- Genetic Screening
- Screening Tests
- Diagnostic Tests
- 2 Maternal Physiology
- REPRODUCTIVE TRACT
- The Uterus
- Uterine Activity
- The Breasts
- HEMATOLOGIC
- Blood
- Coagulation
- CARDIOVASCULAR
- The Heart
- Cardiac Output
- Blood Pressure
- PULMONARY
- The Thorax
- Pulmonary Function
- Oxygen Consumption and Delivery
- Acid–Base Status
- GASTROINTESTINAL
- Metabolism
- GI Motility
- Liver and Gallbladder
- RENAL
- Kidneys
- Urinary Tract
- ENDOCRINE
- Pituitary Gland
- Thyroid Gland
- Adrenal Glands
- Pancreas
- IMMUNOLOGIC
- 3 Normal Labor and Delivery, Operative Delivery, and Malpresentations
- STAGES AND PHASES OF LABOR
- MECHANISM OF LABOR
- MANAGEMENT OF NORMAL LABOR AND DELIVERY
- Initial Assessment
- Management of Labor
- Induction of Labor
- Oxytocin Administration
- Labor Progress Assessment: Historical and Contemporary
- Interventions for Abnormal Labor
- FETAL HEART RATE EVALUATION
- Management of Nonreassuring Fetal Heart Rate Patterns
- ASSISTED SPONTANEOUS VAGINAL DELIVERY
- OPERATIVE VAGINAL DELIVERY
- Forceps Delivery
- Vacuum Delivery
- OBSTETRIC LACERATIONS
- SHOULDER DYSTOCIA
- CESAREAN SECTION
- VAGINAL BIRTH AFTER CESAREAN SECTION
- MALPRESENTATIONS
- Breech Presentation
- External Cephalic Version
- Abnormal Lie
- Obstetric Anesthesia
- TYPES OF OBSTETRIC ANALGESIA/ANESTHESIA
- Local Injection (Field Block)
- Peripheral Nerve Block (Pudendal, Paracervical)
- Regional Anesthesia (Epidural, Spinal)
- Systemic Analgesia
- General Anesthesia
- Anesthesia Consultation
- 4 Complications of Labor and Delivery
- UTERINE DEHISCENCE OR RUPTURE
- UMBILICAL CORD PROLAPSE
- EMBOLIC DISEASE
- Amniotic Fluid Embolism
- Venous Thromboembolism
- Postpartum Hemorrhage
- UTERINE INVERSION
- INTRA-AMNIOTIC INFECTION
- POSTPARTUM ENDOMYOMETRITIS
- SEPTIC PELVIC THROMBOPHLEBITIS
- 5 Antepartum Fetal Assessment
- BACKGROUND
- METHODS OF FETAL ASSESSMENT
- Fetal Movement
- Fetal Heart Rate Monitoring
- Fetal Heart Monitoring With Ultrasonography
- Fetal Blood Flow/Velocity/Dopplers
- CONFOUNDING FACTORS IN FETAL ASSESSMENT
- OVERALL SURVEILLANCE STRATEGY
- INDICATIONS FOR FETAL TESTING
- 6 Congenital Anomalies
- EPIDEMIOLOGY
- ETIOLOGY
- SCREENING AND MANAGEMENT
- CHROMOSOMAL ABNORMALITIES WITH ASSOCIATED CONGENITAL ANOMALIES
- Trisomy 21 (Down Syndrome)
- Trisomy 13 and 18
- DiGeorge Syndrome
- Turner Syndrome
- COMMON SPECIFIC CONGENITAL ANOMALIES
- 7 Prenatal Fetal Complications
- AMNIOTIC FLUID DISORDERS
- Polyhydramnios
- OLIGOHYDRAMNIOS
- FETAL GROWTH RESTRICTION
- FETAL HEMATOLOGIC DISORDERS
- Fetal Alloimmunization and Anemia
- FETAL THROMBOCYTOPENIA
- Maternal ITP-related Thrombocytopenia
- Neonatal Alloimmune Thrombocytopenia
- FETAL ARRHYTHMIAS
- Irregular Rhythms
- Tachyarrhythmias
- Bradyarrhythmias
- FETAL HYDROPS
- LATE-TERM AND POSTTERM PREGNANCY
- INTRAUTERINE FETAL DEMISE
- 8 Preterm Labor, Cervical Insufficiency and Preterm Prelabor Rupture of Membranes
- PRETERM LABOR
- Definitions
- Incidence and Significance
- Risk Factors
- Steps to Minimize Risk of Preterm Labor and Delivery
- Evaluation
- Management
- Route of Delivery Varies by Gestational Age
- CERVICAL INSUFFICIENCY
- Definitions
- Incidence and Significance
- Risk Factors
- Management
- PRETERM PRELABOR RUPTURE OF MEMBRANES
- Definitions
- Incidence and Significance
- Risk Factors
- Evaluation
- Management
- PERIVIABLE BIRTH
- Definition
- Management
- 9 Third-Trimester Bleeding and Placental Disorders
- PLACENTA PREVIA
- Epidemiology
- Diagnosis
- Complications
- Management
- PLACENTAL ABRUPTION
- Epidemiology
- Etiology
- Diagnosis
- Complications
- Management
- VASA PREVIA
- Epidemiology
- Etiology
- Diagnosis
- Management
- PLACENTA ACCRETA SPECTRUM
- Epidemiology
- Etiology
- Diagnosis
- Complications
- Management
- Surgical Planning
- 10 Perinatal Infections
- VIRAL INFECTIONS
- BACTERIAL INFECTIONS
- PROTOZOAN INFECTIONS
- 11 Multifetal Gestation
- DIAGNOSIS
- ANTEPARTUM MANAGEMENT
- MATERNAL COMPLICATIONS
- FETAL COMPLICATIONS
- DELIVERY
- SELECTIVE FETAL REDUCTION
- 12 Fetal Therapy and In Utero Interventions
- INTRODUCTION TO FETAL THERAPY
- TRANSPLACENTAL THERAPY
- Anesthesia Considerations for In Utero Procedures
- ULTRASOUND-GUIDED PROCEDURES
- FETOSCOPIC SURGERY
- OPEN FETAL SURGERY
- EXIT PROCEDURE
- 13 Hypertensive Disorders of Pregnancy
- DEFINITIONS
- CHRONIC HYPERTENSION
- GESTATIONAL HYPERTENSION
- PREECLAMPSIA
- MAGNESIUM SULFATE MANAGEMENT
- Acute Antihypertensive Therapy Options
- Late Postpartum Preeclampsia with Severe Features
- HELLP SYNDROME
- ECLAMPSIA
- 14 Endocrine Disorders of Pregnancy
- DIABETES MELLITUS
- Pregestational Diabetes Mellitus
- Gestational Diabetes
- THYROID DISORDERS
- Thyroid Hormones in Pregnancy
- Hyperthyroid Conditions
- Hypothyroid Conditions
- Nodular Thyroid
- PARATHYROID DISORDERS
- Hyperparathyroidism
- Hypoparathyroidism
- PITUITARY DISORDERS
- Prolactinoma
- Sheehan Syndrome
- ADRENAL DISORDERS
- Cushing Syndrome
- Pheochromocytoma
- Adrenal Insufficiency
- 15 Cardiopulmonary Disorders of Pregnancy
- CARDIAC DISORDERS
- Cardiac Disease in Pregnancy
- Acquired Heart Disease
- Cardiovascular Drugs in Pregnancy
- RESPIRATORY DISORDERS
- Pulmonary Changes During Pregnancy
- Specific Respiratory Disorders
- 16 Genitourinary Assessment and Renal Disease in Pregnancy
- ASYMPTOMATIC BACTERIURIA
- ACUTE CYSTITIS AND PYELONEPHRITIS
- NEPHROLITHIASIS
- MATERNAL CONGENITAL ANOMALIES OF THE KIDNEYS AND URINARY TRACT (CAKUT)
- NEPHRITIC SYNDROME
- NEPHROTIC SYNDROME
- ACUTE KIDNEY INJURY
- CHRONIC KIDNEY DISEASE
- END-STAGE RENAL DISEASE AND RENAL REPLACEMENT THERAPY
- KIDNEY TRANSPLANT
- 17 Gastrointestinal Disorders in Pregnancy
- NAUSEA AND VOMITING OF PREGNANCY
- Evaluation/Diagnosis
- Management
- GASTROESOPHAGEAL REFLUX DISEASE
- Evaluation
- Diagnosis/Management
- PEPTIC ULCER DISEASE
- Evaluation/Diagnosis
- Management
- INFLAMMATORY BOWEL DISEASE
- Evaluation
- Management
- Pancreatitis
- Evaluation/Diagnosis
- Management
- CHOLELITHIASIS
- Evaluation
- Management
- INTRAHEPATIC CHOLESTASIS OF PREGNANCY
- Evaluation
- Diagnosis
- Management
- ACUTE FATTY LIVER OF PREGNANCY
- Evaluation
- Diagnosis
- Management
- CIRRHOSIS AND PORTAL HYPERTENSION
- BUDD–CHIARI SYNDROME (BC SYNDROME)
- OBESITY
- Management
- EFFECT OF PRIOR BARIATRIC SURGERY
- SECOND-LINE ANTIDIABETICS IN PREGNANCY
- 18 Autoimmune Diseases in Pregnancy
- GENERAL MANAGEMENT CONCERNS
- IMMUNOMODULATING THERAPIES IN PREGNANCY AND LACTATION
- COMMON AUTOIMMUNE DISEASES
- Systemic Lupus Erythematosus
- Antiphospholipid Syndrome
- Rheumatoid Arthritis
- Systemic Sclerosis (Scleroderma)
- Mixed Connective Tissue Disease
- Myasthenia Gravis
- Vasculitis Syndromes
- MULTIDISCIPLINARY CARE AND COLLABORATIVE APPROACH
- 19 Neurologic Disorders in Pregnancy
- HEADACHE
- Imaging/Diagnostics
- Common Obstetrical Causes of Headache
- Primary Headaches
- Secondary Headaches
- CARPAL TUNNEL SYNDROME
- CHRONIC NEUROLOGIC DISEASES
- Epilepsy
- Spinal Cord Injury
- Trigeminal Neuralgia in Pregnancy
- Bell Palsy in Pregnancy
- POSTPARTUM COMPRESSION NERVE INJURIES
- 20 Psychiatric Disease and Substance Use Disorder in the Pregnant and Postpartum Patient
- TAKING A MENTAL HEALTH HISTORY
- SCREENING TOOLS FOR EMOTIONAL CHANGES IN THE PERINATAL PATIENT
- TAKING A SUBSTANCE USE DISORDER HISTORY
- OVERALL APPROACH TO PERIPARTUM TREATMENT OF MENTAL HEALTH CONDITIONS
- “Risk–Risk” Framework for Treating Peripartum Patients
- PERIPARTUM TREATMENT OF PSYCHIATRIC ILLNESS
- Nonpharmacologic Therapies
- Pharmacotherapy
- Pregnancy-Specific Considerations
- Strategies for Prepregnancy Planning and Unplanned Pregnancy
- PERINATAL SUBSTANCE USE DISORDER
- Definitions and General Principles
- FREQUENTLY ENCOUNTERED SUBSTANCES
- MANAGEMENT AND REFERRAL
- MANAGEMENT
- Labor and Delivery Pain Management in Patients with Opioid Use Disorder
- 21 Hematologic Disorders and Thromboembolic Disease in Pregnancy
- MATERNAL HEMATOLOGIC DISORDERS
- Anemia
- Hemoglobinopathies
- Thrombocytopenia
- Clotting Disorders
- Thromboembolic Disease
- 22 Neoplastic Diseases in Pregnancy
- GENERAL CONCEPTS
- Cell-Free DNA Prenatal Testing
- Imaging
- Management and Treatment
- Specific Neoplastic Carcinomas
- Ovarian Carcinoma
- Breast Carcinoma
- Colorectal Carcinoma
- Melanoma
- Hematologic Carcinomas
- Gestational Trophoblastic Neoplasia
- Outcomes and Follow-Up
- Breastfeeding
- Future Pregnancy
- 23 Skin Conditions in Pregnancy
- PHYSIOLOGIC SKIN CONDITIONS OF PREGNANCY
- Hyperpigmentation
- Striae Gravidarum
- Skin Tags
- Vascular Changes
- PRURITUS GRAVIDARUM (IDIOPATHIC PRURITUS)
- Pathologic Dermatoses of Pregnancy
- EFFECT OF PREGNANCY ON COMMON SKIN CONDITIONS
- 24 Surgical Disease and Trauma in Pregnancy
- PERIOPERATIVE CONSIDERATIONS FOR NONOBSTETRIC SURGERY
- Anatomic and Physiologic Changes in Pregnancy
- Timing of Surgery
- Diagnostic Imaging
- Anesthesia and Intraoperative Hemodynamics
- Surgical Technique
- Fetal Monitoring
- Venous Thromboembolism Prophylaxis
- Antibiotic Prophylaxis
- Postoperative Care
- SURGICAL DISEASES IN PREGNANCY
- Acute Appendicitis
- Acute Cholecystitis
- Small Bowel Obstruction
- Ovarian Cysts and Torsion
- Bariatric Surgery
- TRAUMA IN PREGNANCY
- Specific Traumatic Injuries
- Trauma Assessment in Pregnancy
- CARDIOPULMONARY RESUSCITATION IN PREGNANCY
- Perimortem or Emergency Cesarean Delivery
- 25 Postpartum Care and Breastfeeding
- ROUTINE POSTPARTUM CARE
- Normal Postpartum Physiology
- Perineum, Vulva, Vagina, and Pelvic Floor
- Postpartum Immunizations and Injections
- Discharge from the Hospital
- The Postpartum Care Continuum—The “4th Trimester”
- Lactation and Breastfeeding
- BREASTFEEDING RECOMMENDATIONS
- Contraindications to Breastfeeding
- Breastfeeding and Maternal Medications
- Breast Pain
- Decreased Milk Supply
- Weaning
- 26 Obstetric Emergencies
- OVERVIEW
- POSTPARTUM HEMORRHAGE
- HYPERTENSIVE CRISIS
- BREECH PRESENTATION
- SHOULDER DYSTOCIA
- MATERNAL CARDIOPULMONARY ARREST
- Part II: General Gynecology
- 27 Primary and Preventive Care
- Periodic GYN Wellness Exam
- CANCER SCREENING
- Breast Cancer
- Cervical Cancer
- Lung Cancer
- Colorectal Cancer
- Skin Cancer
- SCREENING FOR HEART AND VASCULAR CONDITIONS
- Hypertension
- Dyslipidemia
- Coronary Heart Disease
- METABOLIC, ENDOCRINE, AND NUTRITIONAL CONDITIONS
- Screening for Diabetes
- Screening for Osteoporosis
- Screening and Prevention of Obesity
- Nutrition
- INFECTIOUS DISEASES
- Screening for Human Immunodeficiency Virus
- Screening for Chlamydia and Gonorrhea
- Screening for Hepatitis C
- Other Infectious Disease Screening
- SCREENING FOR OTHER MEDICAL CONDITIONS
- Depression
- Screening for Anxiety
- Screening for Intimate Partner Violence
- Screening and Counseling for Substance Use Disorders
- SPECIAL POPULATIONS
- IMMUNIZATIONS
- 28 Infections of the Genital Tract
- SCREENING
- INFECTIONS OF THE LOWER FEMALE GENITAL TRACT
- Vulvar Infections
- Parasites
- Genital Ulcers
- Vaginitis
- Cervicitis
- INFECTIONS OF THE UPPER GENITAL TRACT
- Pelvic Inflammatory Disease
- 29 Contraception and Sterilization
- TIERS OF EFFECTIVENESS
- HIGHLY EFFECTIVE CONTRACEPTIVE METHODS
- Permanent Contraception (Sterilization)
- Long-Acting Reversible Contraception
- SHORT-ACTING HORMONAL CONTRACEPTIVE METHODS
- Progestin-Only Methods
- Combined Hormonal Contraceptives
- BARRIER METHODS
- Condoms
- Diaphragm
- Nonhormonal Intravaginal Gel
- FERTILITY AWARENESS–BASED METHODS
- EMERGENCY (POSTCOITAL) CONTRACEPTION
- 30 Abortion
- ABORTION
- Epidemiology and Safety
- Evaluation and Counseling
- PROCEDURAL ABORTION
- Procedural Abortion in the First Trimester
- Procedural Abortion in the Second Trimester
- MEDICATION ABORTION
- Medication Abortion in the First Trimester
- Medication Abortion in the Second Trimester (Labor Induction)
- FOLLOW-UP
- COMPLICATIONS
- Complications of Procedural Abortion
- Complications of First Trimester Medication Abortion
- 31 First and Second Trimester Pregnancy Loss and Ectopic Pregnancy
- ASSESSMENT OF PREGNANCY LOCATION AND VIABILITY IN THE FIRST TRIMESTER
- EARLY PREGNANCY LOSS IN THE FIRST TRIMESTER
- SECOND TRIMESTER PREGNANCY LOSS
- ECTOPIC PREGNANCY
- 32 Abnormal Uterine Bleeding
- DEFINITION OF ABNORMAL UTERINE BLEEDING
- DIFFERENTIAL DIAGNOSIS OF ABNORMAL UTERINE BLEEDING
- Premenarchal Bleeding
- Bleeding in Adolescents and Children
- Reproductive Age Abnormal Bleeding
- Postmenopausal Bleeding
- EVALUATION OF ABNORMAL UTERINE BLEEDING
- History
- Physical Examination
- Laboratory Testing
- IMAGING TECHNIQUES AND TISSUE SAMPLING METHODS
- Ultrasonography
- Computed Tomography (CT)
- Magnetic Resonance Imaging (MRI)
- Hysteroscopy
- Endometrial Sampling
- Dilation and Curettage (D&C)
- SPECIFIC CAUSES OF ABNORMAL UTERINE BLEEDING
- Pregnancy-Associated Bleeding
- Abnormal Uterine Bleeding in Nonpregnant Women
- MANAGEMENT OF ABNORMAL UTERINE BLEEDING
- Medical Therapy
- Surgical Treatment
- 33 Chronic Pelvic Pain
- DEFINITION
- KEY CONSIDERATIONS FOR EVALUATING CHRONIC PELVIC PAIN
- EVALUATION OF CHRONIC PELVIC PAIN
- Imaging and Laboratory Testing
- DIFFERENTIAL DIAGNOSIS OF CHRONIC PELVIC PAIN
- MANAGEMENT OF CHRONIC PELVIC PAIN
- Medical Therapy
- 34 Uterine Leiomyomas and Benign Adnexal Masses
- ADNEXAL MASSES
- Evaluation and Diagnosis
- The Pediatric and Adolescent Population
- Pregnancy
- The Unstable Patient
- Differentials
- UTERINE MASSES—LEIOMYOMA
- Leiomyoma
- Treatment for Leiomyomas
- 35 Breast Diseases
- BREAST EXAM
- COMMON BREAST DISORDERS AND COMPLAINTS
- Mastalgia
- Nipple Discharge
- Inflammatory Breast Disorders
- Skin Changes of the Breast
- Breast Mass
- BREAST CANCER
- Risk Factors
- Specific Hereditary Cancer Syndromes
- Screening and Prevention
- Presentation and Diagnosis
- Premalignant Breast Lesions
- Malignant Breast Lesions
- Staging and Prognostic Factors
- Treatment
- SPECIAL CONSIDERATIONS IN BREAST DISEASE
- Metastatic or Advanced Breast Disease
- Screening after Breast Augmentation or Reconstruction
- Pregnancy and Breast Disease
- 36 Benign Vulvar Disorders
- ANATOMY OF THE VULVA
- APPROACH TO DIAGNOSING VULVAR DISEASE
- PRURITIC VULVAR LESIONS
- Infections
- Dermatoses
- Contact Dermatitis
- Systemic Diseases
- PAINFUL VULVAR LESIONS
- Infectious Causes
- Systemic Disease or Condition
- VULVAR PAIN SYNDROMES
- BENIGN VULVAR CYSTS
- Bartholin Gland Cyst
- Epidermal Inclusion Cyst
- Gartner Duct Cyst
- Skene Duct Cyst
- 37 Female Sexual Function and Alterations in Sexual Functioning
- EPIDEMIOLOGY
- SCREENING FOR SEXUAL WELLNESS AND FUNCTION
- ESTABLISHING CONCEPTS OF SEXUAL HEALTH AND WELLNESS
- FRIES Model of Consent
- Societal Influences
- PHYSIOLOGY OF SEXUAL FUNCTION
- THEORIES OF SEXUAL FUNCTION
- DOMAINS OF SEXUALITY
- ALTERATIONS IN FUNCTIONING: ASSESSMENT
- History Taking
- Physical Exam
- ALTERATIONS IN FUNCTIONING: DIAGNOSIS
- Female Orgasmic Disorder
- Genito-Pelvic Pain/Penetration Disorder (GPPPD)
- Substance/Medication-Induced Sexual Dysfunction
- TREATMENTS
- FDA-Approved Medications
- Vaginismus and Vulvodynia
- SPECIAL CONSIDERATIONS AND POPULATIONS
- 38 LGBTQ and Transgender Care
- OVERVIEW AND DEFINITIONS
- BARRIERS TO HEALTH CARE AND DISCRIMINATION
- Discrimination in Health Care
- Creating a Safe and Affirming Health Care Environment for Gender and Sexual Minority Patients
- Avoiding Assumptions of Heterosexuality or Cisgender Identity
- GYNECOLOGIC AND OBSTETRICAL CARE OF GENDER AND SEXUAL MINORITY PATIENTS
- Comprehensive Sexual History and Key Points for Routine OB/GYN Care: Five Ps
- Menstrual Health
- Chronic Pelvic Pain
- Cancer Screening and Cancer Care
- GENDER TRANSITION
- Overview
- Masculinizing Gender Transition
- 39 Pediatric Gynecology
- GYNECOLOGIC EVALUATION OF A PREPUBERTAL CHILD
- General Pediatric Physical Exam
- Pediatric Pelvic Exam: Positioning
- Pediatric Pelvic Exam: Assessment
- Pediatric Exam: Documentation
- GYNECOLOGIC EVALUATION OF AN ADOLESCENT
- Special Considerations in Care of the Adolescent
- Adolescent Gynecologic Exam
- COMMON PEDIATRIC GYNECOLOGY COMPLAINTS
- Vulvovaginitis
- Prepubertal Vaginal Bleeding
- Traumatic Injuries
- Sexual Abuse
- Labial Adhesions
- Adnexal Masses/Ovarian Torsion
- Surgical Considerations for Laparoscopy in Children
- DISORDERS OF PUBERTY
- Delayed Puberty
- Precocious Puberty
- Premature Thelarche
- CONGENITAL ANOMALIES OF THE FEMALE REPRODUCTIVE TRACT
- Part III: Reproductive Endocrinology and Infertility
- 40 The Menstrual Cycle
- MENSTRUAL CYCLE OVERVIEW
- PHASES OF THE MENSTRUAL CYCLE
- The Early Follicular Phase
- The Mid-Follicular Phase
- The Late-Follicular Phase
- Ovulation
- The Luteal Phase
- 41 Infertility and Assisted Reproductive Technologies
- INFERTILITY
- Definitions
- Incidence
- ETIOLOGIES
- Ovarian Factor
- Uterine Factor
- Tubal Factor
- Cervical Factor
- Male Factor
- INFERTILITY EVALUATION
- Indications for Evaluation
- History and Physical Examination
- Evaluation for Structural Factors
- Evaluation for Male Factor
- Workup No Longer Recommended
- TREATMENT FOR INFERTILITY
- Treatment of Ovulatory Disorders
- Treatment of Endometriosis
- Treatment of Uterine Factor
- Treatment of Tubal Factor
- Treatment of Male Factors
- TREATMENTS BEYOND OVULATION INDUCTION WITH TIMED INTERCOURSE
- Intrauterine Insemination
- Assisted Reproductive Technologies
- Preimplantation Genetic Testing (PGT)
- OOCYTE RETRIEVAL, CULTURE, FERTILIZATION, AND TRANSFER
- THIRD-PARTY REPRODUCTION
- COMPLICATIONS OF ASSISTED REPRODUCTIVE TECHNOLOGIES
- Ovarian Hyperstimulation Syndrome
- Multiple Pregnancy
- Heterotopic Pregnancy
- Pregnancy Outcomes
- Fetal/Neonatal Effects
- Effects of ICSI
- 42 Fertility Preservation
- PLANNED FERTILITY PRESERVATION
- Age-Related Decline in Fertility
- Ideal Candidates for Planned Fertility Preservation
- Success Rates
- Counseling
- FERTILITY PRESERVATION FOR PATIENTS RECEIVING GONADOTOXIC TREATMENT OR GONADECTOMY
- Cancer Data: Incidence, Increased Survival, and Reduced Fertility
- Chemotherapy
- Radiation
- Immediate or Random Start Stimulation for Oocyte or Embryo Cryopreservation
- Ovarian Transposition
- Ovarian Tissue Cryopreservation
- Reproduction in Cancer Survivors
- Posthumous Reproduction
- ENDOMETRIOSIS
- TRANSGENDER MALES/GENDER DIVERSE INDIVIDUALS
- 43 Recurrent Pregnancy Loss
- EPIDEMIOLOGY AND DEFINITION
- ETIOLOGIES
- Genetic
- Uterine Pathology
- Endocrine/Metabolic Dysfunction
- Antiphospholipid Syndrome
- Hereditary Thrombophilias
- Immune Dysfunction
- Male Factors
- Infection and Environmental Exposures
- Psychological Factors
- EVALUATION
- TREATMENT PRINCIPLES
- 44 Menstrual Disorders: Endometriosis, Dysmenorrhea, and Premenstrual Dysphoric Disorder
- ENDOMETRIOSIS
- Theories of the Pathogenesis of Endometriosis
- Patient Characteristics
- Clinical Presentation
- Diagnosis of Endometriosis
- Treatment
- Surgical Treatment
- Endometriosis and Infertility
- Endometriosis and Ovarian Malignancy
- Endometriosis as a Systemic Disease
- ADENOMYOSIS
- Pathophysiology
- Diagnosis
- Management
- DYSMENORRHEA
- Pertinent Findings in History and Physical Exam
- Treatment of Dysmenorrhea
- PREMENSTRUAL DISORDER: PREMENSTRUAL DYSPHORIA AND PREMENSTRUAL DYSPHORIC DISORDER
- Evaluation and Diagnosis
- Treatment
- 45 Amenorrhea
- DIFFERENTIAL DIAGNOSIS
- Primary Amenorrhea
- Secondary Amenorrhea
- EVALUATION
- Pertinent History for Amenorrhea
- Physical Exam
- Testing
- Progesterone Withdrawal for Evaluation of Amenorrhea
- Additional Laboratory Tests
- Imaging Evaluation of Amenorrhea
- ETIOLOGIES OF AMENORRHEA—SYSTEMATIC EVALUATION
- Genital Outflow Tract and Uterine Abnormalities Resulting in Amenorrhea
- Ovarian Abnormalities Resulting in Amenorrhea (Hypergonadotropic Hypogonadism)
- Hypothalamic Dysfunction Resulting in Amenorrhea (Hypogonadotropic Hypogonadism)
- Pituitary Disorders Resulting in Amenorrhea
- Normogonadotropic Amenorrhea
- 46 Polycystic Ovary Syndrome and Hyperandrogenism
- DEFINITION AND ANDROGEN PHYSIOLOGY
- ANDROGENS IN THE FEMALE
- SIGNS AND SYMPTOMS OF HYPERANDROGENISM
- Hair Loss
- Hirsutism
- Skin Changes
- Virilization
- CAUSES OF HYPERANDROGENISM
- DIAGNOSIS OF HYPERANDROGENISM
- History and Physical Examination
- Laboratory and Radiographic Evaluation
- HYPERANDROGENISM IN POSTMENOPAUSAL PATIENTS
- POLYCYSTIC OVARY SYNDROME
- Diagnosis of Polycystic Ovary Syndrome
- Diagnosis in Adolescents
- Pathophysiology of Polycystic Ovary Syndrome
- Treatment for Hyperandrogenism/Polycystic Ovary Syndrome
- Comorbidities Associated with Polycystic Ovary Syndrome
- Fertility Considerations for Polycystic Ovary Syndrome
- Polycystic Ovary Syndrome in Transmasculine Patients
- NONCLASSICAL (LATE-ONSET) CONGENITAL ADRENAL HYPERPLASIA
- Epidemiology
- Signs and Symptoms
- Diagnosis
- Treatment
- ANDROGEN-PRODUCING OVARIAN OR ADRENAL TUMORS
- IDIOPATHIC AND DRUG-INDUCED HIRSUTISM
- 47 Menopause
- DEFINITIONS AND EPIDEMIOLOGY OF MENOPAUSE
- PHYSIOLOGY OF MENOPAUSE
- Natural Menopause
- Early Menopause/Primary Ovarian Insufficiency (POI)
- Medical Menopause
- Surgical Menopause
- SYMPTOMS
- Menstrual Cycle Disturbances
- Vasomotor Menopause Symptoms
- Genitourinary Syndrome of Menopause (GSM) and Other Urogynecologic Conditions
- Cognitive Changes
- Sexual Function Changes
- Sleep Disturbances
- Weight Gain
- Mood Changes
- SPECIAL CONCERNS FOR MENOPAUSAL PATIENTS
- Heart Health
- Bone Health/Osteoporosis
- Cancer Screening While on MHT
- Part IV: Female Pelvic Medicine and Reconstructive Surgery
- 48 Urinary Incontinence and Lower Urinary Tract Symptoms
- IMPACT ON HEALTH
- ETIOLOGY AND RISK FACTORS
- TYPES OF URINARY INCONTINENCE AND LOWER URINARY TRACT SYMPTOMS
- PATIENT EVALUATION
- History
- Physical Exam
- Diagnostic Tests
- TREATMENT
- Conservative Treatment of Lower Urinary Tract Symptoms/Urinary Incontinence
- Nonsurgical Treatment of SUI
- Surgical Treatment of SUI
- Conservative Treatment of OAB/UUI
- Medical Management of OAB/UUI
- Surgical Management of OAB/UUI
- Treatment of Mixed Urinary Incontinence
- URINARY RETENTION
- Etiology
- Treatment for Urinary Retention
- 49 Pelvic Organ Prolapse
- EPIDEMIOLOGY
- RISK FACTORS
- PELVIC ORGAN PROLAPSE SIGNS AND SYMPTOMS
- RECOMMENDED EVALUATION FOR PATIENTS WITH SUSPECTED PROLAPSE
- TREATMENT OF POP
- Surgical Procedures for POP
- 50 Anal Incontinence
- ETIOLOGY
- PATIENT EVALUATION
- TREATMENT
- Conservative Treatments
- Procedural Treatments
- Surgical Treatments
- Part V: Gynecologic Oncology
- 51 Premalignant Disease of the Cervix, Vagina, and Vulva
- EPIDEMIOLOGY OF CERVICAL NEOPLASIA
- PRIMARY PREVENTION
- Vaccination
- Other Primary Prevention
- SCREENING GUIDELINES
- Screening Duration in Special Populations
- SCREENING METHODS
- Pap Smear Cytology
- HPV Testing
- DIAGNOSTIC CATEGORIES: CYTOLOGY
- Squamous Lesions
- Glandular Lesions
- Atypical Squamous Cells
- Atypical Glandular Cells
- Low-Grade Squamous Intraepithelial Lesions
- High-Grade Squamous Intraepithelial Lesions
- MANAGEMENT STRATEGIES: CYTOLOGIC ABNORMALITIES
- Atypical Squamous Cells of Undetermined Significance
- Atypical Squamous Cells, Cannot Exclude High Grade
- Atypical Glandular Cells
- Low-Grade Squamous Intraepithelial Lesion
- High-Grade Squamous Intraepithelial Lesion
- MANAGEMENT STRATEGIES: hrHPV POSITIVE ON PRIMARY SCREENING
- DIAGNOSTIC CATEGORIES VIA COLPOSCOPY: HISTOLOGY
- CIN 1
- CIN 2/3
- Adenocarcinoma In Situ
- MANAGEMENT STRATEGIES: HISTOLOGIC ABNORMALITIES
- Excisional Methods
- Ablative Methods
- Management of Cervical Intraepithelial Neoplasia 1
- Management of Cervical Intraepithelial Neoplasia 2/3
- Management of Adenocarcinoma In Situ
- VAGINAL INTRAEPITHELIAL NEOPLASIA
- VULVAR INTRAEPITHELIAL NEOPLASIA
- TREATMENT OF VAIN AND VIN
- 52 Cervical, Vulvar, and Vaginal Cancer
- CERVICAL CANCER
- Epidemiology
- Risk Factors
- Histology
- Staging
- Clinical Presentation
- Evaluation
- Management
- Cervical Cancer in Pregnancy
- VULVAR CANCER
- Risk Factors
- Staging
- Clinical Presentation
- Evaluation
- Management
- Other Malignant Neoplasms of the Vulva
- VAGINAL CANCER
- Risk Factors
- Staging
- Clinical Presentation
- Evaluation
- Management
- Other Histologic Types of Vaginal Cancer
- 53 Uterine Cancer
- EPIDEMIOLOGY
- CLASSIFICATION
- RISK FACTORS FOR UTERINE CANCER
- PROTECTIVE FACTORS AND PREVENTION
- SCREENING
- PRESENTATION, EVALUATION, AND DIAGNOSIS
- Clinical Presentation
- Evaluation
- STAGING AND PROGNOSIS
- Pretreatment Evaluation
- Staging
- Prognostic Factors
- MANAGEMENT OF UTERINE CANCER
- Fertility Preservation
- Surgery
- Adjuvant Treatment
- SURVEILLANCE
- RACIAL DISPARITIES IN ENDOMETRIAL CANCER
- UTERINE SARCOMAS
- Leiomyosarcoma
- Endometrial Stromal Sarcoma
- Adenosarcomas
- 54 Ovarian Cancer
- EPIDEMIOLOGY OF OVARIAN CANCER
- EPITHELIAL OVARIAN TUMORS
- Risk Factors
- Screening and Prevention
- Presentation and Diagnosis
- Staging and Prognosis
- Management of Epithelial Ovarian Cancer
- GERM CELL OVARIAN TUMORS
- Epidemiology
- Pathology
- Presentation and Diagnosis
- Malignant Germ Cell Tumor Types
- Management of Germ Cell Tumors
- SEX CORD–STROMAL OVARIAN TUMORS
- Granulosa Cell Tumor
- Sertoli–Leydig Cell Tumor
- OVARIAN METASTASES FROM OTHER SITES OF ORIGIN
- 55 Gestational Trophoblastic Disease
- TYPES OF TROPHOBLASTIC CELLS
- GESTATIONAL TROPHOBLASTIC DISEASE
- Nonneoplastic Trophoblastic Lesions: Exaggerated Placental Sites and Placental Site Nodules
- Molar Pregnancy: Complete and Incomplete Mole
- Preoperative Considerations
- Intraoperative Considerations
- Postoperative Considerations and Follow-up
- GESTATIONAL TROPHOBLASTIC NEOPLASIA
- Gestational Trophoblastic Neoplasia: Etiology, Pathology, and Clinical Presentation
- Gestational Trophoblastic Neoplasia: Diagnosis and Management
- 56 Chemotherapy, Targeted Therapy, and Radiation Therapy
- CELL CYCLE
- CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS
- Chemotherapy
- Targeted Therapy
- Hormonal Therapy
- COMMON SIDE EFFECTS OF CHEMOTHERAPY, TARGETED THERAPY, AND HORMONAL AGENTS
- RADIATION THERAPY
- Clinical Radiation Sources
- Common Effects of Radiation Therapy
- Part VI: General Topics in Obstetrics and Gynecology
- 57 Disparities in Obstetric and Gynecologic Outcomes
- INTRODUCTION
- WHAT ARE HEALTH DISPARITIES?
- MATERNAL MORTALITY
- SEVERE MATERNAL MORBIDITY
- POSTPARTUM HEMORRHAGE
- CESAREAN DELIVERY
- PRETERM BIRTH
- GESTATIONAL DIABETES
- BENIGN HYSTERECTOMY
- OASIS TEARS
- CANCER
- IMPLICIT BIAS
- 58 Anatomy of the Female Pelvis
- ABDOMINAL WALL
- Layers of the Anterior Abdominal Wall
- Vasculature of the Abdominal Wall
- ENDOPELVIC FASCIA
- PELVIC VISCERA
- Uterus
- Uterine Cervix
- Vagina
- Adnexa
- Ureters and Bladder
- Sigmoid, Rectum, and Anus
- VASCULATURE OF THE PELVIS
- SOMATIC NERVES OF THE PELVIS
- AUTONOMIC NERVES OF THE PELVIS
- Parasympathetic Nerves of the Pelvis
- Sympathetic Nerves of the Pelvis and Perineum
- LYMPHATIC DRAINAGE OF THE TRUE PELVIS/VISCERA
- SURGICAL SPACES OF THE RETROPERITONEUM
- PELVIC FLOOR, VULVA, AND PERINEUM
- Dimensions of the Pelvis
- Pelvic Floor: Perineal Membrane and Pelvic Diaphragm Muscles
- Superficial Compartment of the Vulva/Anterior Triangle
- Cutaneous Vulva/Anterior Triangle
- Posterior Triangle
- Pudendal Nerve and Internal Pudendal Vessels
- 59 Surgical Approaches in Gynecology
- LAPAROTOMY
- LAPAROSCOPY
- VAGINAL
- HYSTEROSCOPY
- 60 Perioperative Care and Complications of Gynecologic Surgery
- PREOPERATIVE CARE
- Informed Consent
- Medical Evaluation and Optimization
- Hemorrhage Prevention Optimization
- INTRAOPERATIVE COMPLICATIONS
- Abdominal Access
- Hemorrhage
- Ureteral Injury
- Bladder Injury
- Bowel Injury
- Nerve Injury
- Complications Specific to Hysteroscopy
- Uterine Perforation
- POSTOPERATIVE COMPLICATIONS
- Postoperative Fever
- Postoperative Infection
- Wound Infections
- Venous Thromboembolism
- Ileus and Bowel Obstruction
- Genitourinary Fistulae
- Vaginal Cuff Dehiscence
- 61 Critical Care
- CARDIOVASCULAR CRITICAL CARE
- Heart Failure
- Acute Coronary Syndrome
- Cardiac Arrhythmias
- Hypotension and Shock
- RESPIRATORY CRITICAL CARE
- Acute Respiratory Distress Syndrome
- Oxygen Therapy
- FLUIDS AND ELECTROLYTES
- Hyponatremia
- Hypernatremia
- Hypokalemia
- Hyperkalemia
- Hypocalcemia
- Hypercalcemia
- Acid–Base Disorders
- RENAL FAILURE
- HEMATOLOGIC CRITICAL CARE
- Anemia
- Thrombocytopenia
- Disseminated Intravascular Coagulation
- INFECTIOUS DISEASE
- Sepsis
- SPECIAL OBSTETRIC CONSIDERATIONS IN CRITICAL CARE
- 62 Quality, Safety, and Value in OBGYN Care
- MEASURING QUALITY IN HEALTH CARE
- QUALITY IMPROVEMENT TOOLS
- EXAMPLES OF QUALITY IMPROVEMENT INITIATIVES
- SAFETY
- RISK REDUCTION AND SAFETY TOOLS
- VALUE
- CLINICAL INNOVATION IN QUALITY, SAFETY, AND VALUE
- THE ROLE OF ARTIFICIAL INTELLIGENCE IN OBGYN
- Index











