By Eugene Toy, Konrad Harms, Keith Reeves, Cristo Papasakelariou
The instances you must study the basic of Gynecologic surgical procedure Case documents: Gynecologic surgical procedure offers forty medical situations to demonstrate evidence-based perform within the gynecologic surgical procedure sufferer. each one case comprises open-ended questions, prolonged dialogue, perform Pearls, a “Controversy” dialogue, comprehension questions, and references to the most up-tp-date literature with a short critique of every article. With this specified studying process you will how you can turn into a greater clinician within the context of genuine sufferers and the newest evidence-based medication. beneficial properties forty high-yield scientific events adapted for administration and knowing of affliction (pathophysiology) within the gynecologic surgical procedure sufferer transparent and easy-to-follow case-based structure is helping citizens and fellows strengthen scientific pondering talents in response to present magazine articles and landmark experiences, with an accompanying short critique "Practical Pearls" provide evidence-based options for sufferer administration "Controversy" function discusses present controversies and diverse perspectives relating to each one case Multiple-choice comprehension questions accompany each one case nearly 25 unique drawings and scientific pictures increase the textual content provides high-yield high-risk gynecologic surgical procedure circumstances in an interactive and remarkable structure to assist citizens and fellows examine within the context of actual sufferers confirmed studying process improves examination rankings
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Additional info for Case Files Gynecologic Surgery (1st Edition)
C. Continue the procedure under laparoscopic guidance. D. Perform a hysterectomy. 4 Which of the following describes the appropriate technique for performing a fractional D&C? A. The curette should be held tightly in palm. B. Pressure with tip of curette should be applied as it is advanced to the fundus. C. The curette should be advanced to fundus and then pressure exerted on uterine wall as it is withdrawn. D. The cervix should be dilated before attempting the endocervical curetting. 1 D. Although a diagnostic hysteroscopy with D&C could be considered in this patient, her significant medical conditions (COPD and CHF) place her at higher risk for intraoperative surgical complications.
May be helpful in establishing the location of a pregnancy, such as in differentiating a normal pregnancy from a cervical pregnancy. d. Intravenous pyelogram (IVP): i. Intravenous dye is used to assess the concentrating ability of the kidneys, the patency of the ureters, and the integrity of the bladder. ii. It is also useful in detecting hydronephrosis, ureteral stone, or ureteral obstruction. e. Hysterosalpingogram (HSG): i. A small amount of radiopaque dye is introduced through a transcervical cannula and radiographs are taken.
Suction curettage taking care not to perforate through the fundus of the uterus. As compared to obstetrical D&Cs, most gynecologic-indicated D&Cs do not require the use of a suction curette. Some practitioners choose to perform a fractional D&C (curetting the endocervical area before the uterine cavity) to better assess uterine pathology. In this setting, the cervical canal should be curetted before the cervix is dilated. Because many of the patients are being evaluated for postmenopausal bleeding, dilation of the cervix is often more difficult, and the hazards include making a false tract or perforating the cervix or uterus.