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| bleeding after pelvic exam: DeGowin's Diagnostic Examination, Ninth Edition Richard LeBlond, Donald Brown, Richard DeGowin, 2008-08-17 The perfect “bridge” book between physical exam textbooks and clinical reference books Covers the essentials of the diagnostic exam procedure and the preparation of the patient record Includes overviews of each organ/region/system, followed by the definition of key presenting signs and their possible causes Unrivaled in its comprehensive coverage of differential diagnosis, organized by systems, signs, and syndromes |
| bleeding after pelvic exam: Acute Care and Emergency Gynecology David Chelmow, Christine R. Isaacs, Ashley Carroll, 2014-10-30 Presents almost 100 common and uncommon gynecologic problems encountered in urgent and emergency settings with an emphasis on practical management. |
| bleeding after pelvic exam: Colposcopy and Treatment of Cervical Precancer [OP] Department of Obstetrics and Gynaecology Walter Prendiville, Walter Prendiville, Rengaswamy Sankaranarayanan, 2017-06 This colposcopy manual was developed in the context of the cervical cancer screening research studies of the International Agency for Research on Cancer (IARC) and the related technical support provided to national programs. It is thus a highly comprehensive manual, both for the training of new colposcopists and for the continuing education and reorientation of those who are more experienced. This manual offers a valuable learning resource, incorporating recent developments in the understanding of the etiology and pathogenesis of cervical intraepithelial neoplasia (CIN), as well as in colposcopy and cervical pathology. Expertise in performing satisfactory, safe, and accurate colposcopic examinations requires high competence in the technical, interpretive, and cognitive aspects, and the capability to develop pragmatic and effective management plans and treatment. This comprehensive and concise manual covers all these aspects and serves as a useful handbook for acquiring the necessary skills for the visual recognition and interpretation of colposcopic findings and for developing the personal and professional attributes required for competence in colposcopy. |
| bleeding after pelvic exam: Atlas of Emergency Medicine Procedures Latha Ganti, 2022-07-15 The significantly expanded second edition of this full-color atlas provides a step-by-step, visual guide to the most common procedures in emergency medicine. Completely revised, it also includes new procedures such as REBOA, the HINTS test, sphenopalatine ganglion block, occipital nerve block, and lung ultrasonography. Procedures are described on a single page, or two-page spreads, so that the physician can quickly access and review the procedure at hand. The atlas contains more than 700 diagnostic algorithms, schematic diagrams, and photographic illustrations to highlight the breadth and depth of emergency medicine. Topics are logically arranged by anatomic location or by type of procedure, and all procedures are based on the most current and evidence-based practices. Atlas of Emergency Medicine Procedures, Second Edition is an essential resource for physicians and advanced practice professionals, residents, medical students, and nurses in emergency medicine, urgent care, and pediatrics. |
| bleeding after pelvic exam: Handbook of Gynecology Donna Shoupe, 2024-01-07 This book is a comprehensive, up-to-date reference on general and subspecialty gynecology. Covering all aspects of gynecology commonly encountered in day-to-day practice, this exhaustive and fully updated new edition provides a practical, one-stop reference work for clinicians working in the field. This carefully-designed volume includes ten sections, beginning with comprehensive coverage of office-based gynecology, and continuing on to present disease processes and management information by patient age group. Each chapter includes background information, current recommendations for screening, diagnostic criteria, common and uncommon associated problems, approach to diagnosis, summary of treatment options, and an overview of ICD-10 codes for specific diagnoses. Importantly, many areas that are covered in the handbook as subspecialty problems are pertinent and important information to many of the general practitioners who handle and develop some expertise in these areas. These include ovulation induction, medical management of incontinence, management of abnormal Pap smears, and work-up of abnormal bleeding. The handbook concludes with an easy-to-navigate presentation of minimally-invasive operations, surgical procedures, neoplasms, and pathology. Advantages and risks associated with management of particular diseases are covered, along with multiple tips for avoiding complications. This second edition is fully updated. With extensive updates on cervical cancer screening, pelvic organ prolapse, and more, many chapters will be completely rewritten to reflect the latest guidelines, procedures, and methods of care in women’s health. The text additionally includes two new chapters, covering the impact of COVID on gynecology care, and the work-up and surgical management of chronic pelvic pain. This is an ideal guide for practicing gynecologists, family and internal medicine physicians, physician assistants, nurse practitioners, fellows, residents, medical students, and all women’s health care providers. |
| bleeding after pelvic exam: The Bethesda System for Reporting Cervical Cytology Ritu Nayar, David C. Wilbur, 2015-04-13 This book offers clear, up-to-date guidance on how to report cytologic findings in cervical, vaginal and anal samples in accordance with the 2014 Bethesda System Update. The new edition has been expanded and revised to take into account the advances and experience of the past decade. A new chapter has been added, the terminology and text have been updated, and various terminological and morphologic questions have been clarified. In addition, new images are included that reflect the experience gained with liquid-based cytology since the publication of the last edition in 2004. Among more than 300 images, some represent classic examples of an entity while others illustrate interpretative dilemmas, borderline cytomorphologic features or mimics of epithelial abnormalities. The Bethesda System for Reporting Cervical Cytology, with its user-friendly format, is a “must have” for pathologists, cytopathologists, pathology residents, cytotechnologists, and clinicians. |
| bleeding after pelvic exam: Pelvic Ring Fractures Axel Gänsslen, Jan Lindahl, Stephan Grechenig, Bernd Füchtmeier, 2020-11-25 This book provides in-depth coverage of all aspects of pelvic ring fractures and their management. The opening chapters supply essential information on surgical anatomy, biomechanics, classification, clinical evaluation, radiological diagnostics, and emergency and acute management. The various operative techniques, including navigation techniques, that have been established and standardized over the past two decades are then presented in a step-by-step approach. Readers will find guidance on surgical indications, choice of approaches, reduction and fixation strategies, complication management, and optimization of long-term results. Specific treatment concepts are described for age-specific fractures, including pediatric and geriatric injuries, and secondary reconstructions. Pelvic ring fractures represent challenging injuries, especially when they present with concomitant hemodynamic instability. This book will help trauma and orthopaedic surgeons at all levels of experience to achieve the primary treatment aim of anatomic restoration of the bony pelvis to preserve biomechanical stability and avoid malunion with resulting clinical impairments. |
| bleeding after pelvic exam: Clinical Practice Handbook for Safe Abortion World Health Organization, 2014 The Clinical practice handbook for safe abortion care is intended to facilitate the practical application of the clinical recommendations from the second edition of Safe abortion: technical and policy guidance for health systems (World Health Organization [WHO] 2012). While legal, regulatory, policy and service-delivery contexts may vary from country to country, the recommendations and best practices described in both of these documents aim to enable evidence-based decision-making with respect to safe abortion care. |
| bleeding after pelvic exam: Primary Care Procedures in Women's Health Cathryn B. Heath, Sandra M. Sulik, 2010-06-03 Despite the common perception that medicine is becoming specialty driven, there are many reasons for primary care providers to offer women’s health procedures in an office setting. Women feel more comfortable having procedures done by prov- ers whom they already know and trust. Continuity of care is still valued by patients, who trust their primary care providers to work with them as collaborators in the decision-making process. Women have found that their options for care have become limited, not by their own decision, but by the lack of training of their p- vider. In rural areas, the barriers of time, expense, and travel often prevent many women from obtaining necessary care; yet many of the procedures that these women are requesting are relatively easy to learn. Positive experiences are shared by women who then refer friends and family by word of mouth. This book has been designed to assist not only the clinician performing the pro- dures covered, but also the office staff with setting up the equipment tray prior to p- forming the procedure and with preparing office documents and coding information needed to complete the procedure. Most procedures covered can be done with a mi- mum investment in equipment and require minimal training. |
| bleeding after pelvic exam: Comprehensive Cervical Cancer Control World Health Organization, 2006 Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care. |
| bleeding after pelvic exam: American Academy of Pediatrics Textbook of Pediatric Care Jane Meschan Foy, 2016-03-31 The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access. |
| bleeding after pelvic exam: Practical Point-of-Care Medical Ultrasound James M. Daniels, Richard A. Hoppmann, 2015-11-02 This book serves as a comprehensive guide for integrating point-of-care ultrasound into clinical care. It includes detailed chapters on the use of ultrasound in cardiology, dermatology, obstetrics and gynecology, and pediatrics, as well as for the assessment of the abdomen, musculoskeletal system, eyes, and thorax. Over the last decade, the use of diagnostic, point-of-care ultrasound at the bedside has been widely adopted by healthcare professionals in the United States. This technology has spread into many new areas of clinical medicine and more non-radiologists are seeking training and an up-to-date resource on use of the ultrasound machine. This book provides guidance on how to best approach patients with particular problems, practical guidelines on how to operate the machine and choose probes, descriptions and illustrations that depict the patient’s position and structures that are scanned, and the anatomy and pathophysiology of each area. Practical Point-of-Care Medical Ultrasound is a valuable addition to the library of any resident, fellow, physician, or other healthcare provider who uses ultrasound in a clinical setting. |
| bleeding after pelvic exam: Comprehensive Gynecology Gretchen M. Lentz, David M. Gershenson, 2012-01-01 In the 25 years since the first edition of Comprehensive Gynecology, many scientific advances have occurred in medical practice. The first four editions were largely the work of the original four editors: Drs. William Droegemueller, Arthur L. Herbst, Daniel R. Mishell, Jr., and Morton A. Stenchever...With the staggering volume of medical literature published and the complexities of the gynecologic subspecialties, we have collaborated with additional experts for the sixth edition. We've examined disease and added a new chapter on the interaction of medical diseases and female physiology. We've investigated discord with new authors to completely rewrite the emotional and psychological issues in gynecology and the legal issues for obstetrician-gynecologists. Other chapters have delved into the controversies in breast cancer screening, vitamin D use, the ongoing debates in hormone therapy, and vaginal mesh use for pelvic organ prolapse surgery. (from Preface -- MD Consult, viewed April 9, 2012) |
| bleeding after pelvic exam: Colposcopy and Programme Management David Luesley, Simon Leeson, NHS Cervical Screening Programme, 2010 |
| bleeding after pelvic exam: A Practical Manual to Labor and Delivery for Medical Students and Residents Shad Deering MD, 2009-05-11 This book is meant to bridge the gap between small handbooks that do not contain enough material to understand why you are doing certain things and large textbooks that lack the practical information you need for how to do specific procedures, write notes, orders, and dictations. After reading it, you will be prepared to care for an obstetric patient from the moment they arrive in triage until the time they are discharged. You will understand not only how to perform both simple and complicated procedures, but also why they are necessary, and you will have the answers to the most common pimp questions that are asked of students and residents. The most up-to-date literature and evidence-based recommendations have been used to create simple treatment algorithms for the most common issues you will face, and numerous illustrations are included for clarity as well. Because of its focus, this book is also valuable resource for staff physicians who need an updated text on current obstetric care as well as for those who regularly interact with and teach medical students and residents. |
| bleeding after pelvic exam: Office Gynecology John V. Knaus, John H. Isaacs, 2012-12-06 As office technology has exploded and decision-making become increasingly complex, physicians are faced with an endless list of treatment options for commonly presenting gynecologic disorders. This new book reviews all state-of-the-art tools of diagnosis, investigation, and management to provide an invaluable guide for the office practitioner. From endocrine disorders to breast disease, from preventive measures for osteoporosis and cardiovascular disease to management of an abnormal pap smear, from the use of ultrasonography and minimally invasive diagnostic procedures to high-level endocrine manipulation, office-based physicians are expected to be knowledgeable in all areas. This book leads the way. For gynecologists and residents, here is a solid-foundation and ready reference source, enhanced by more than 60 detailed illustrations. |
| bleeding after pelvic exam: Diagnostic Gynecologic and Obstetric Pathology E-Book Christopher P. Crum, Kenneth R. Lee, Marisa R. Nucci, Scott R. Granter, Brooke E. Howitt, Mana M. Parast, Theonia Boyd, William A Peters III, 2017-10-13 Comprehensive and practice-oriented, the fully updated 3rd Edition of this easy-to-use text covers the full range of obstetric and gynecologic pathology, including information on treatment and patient management. Written largely by the pathology and clinical faculty at Harvard's Brigham and Women's Hospital, it covers the most up-to-date information available in the field, including molecular genetics and diagnostics. Drs. Christopher P. Crum and Marisa R. Nucci are joined by new editors Scott R. Granter, Brooke E. Howitt, Mana M. Parast, and Theonia K. Boyd, to provide complete, beautifully illustrated coverage of both neoplastic and non-neoplastic disorders of the female genital system, ideal for improving pathological diagnosis. - Provides distinct diagnostic/differential diagnostic criteria for any potential obstetric/gynecologic specimen encountered in practice. - Features more than 2,250 full-color images, key points at the end of each chapter, and an appendix with commonly used ICD-10 codes - Covers topics not often found in gynecologic pathology textbooks, such as vulvodynia, and diseases of the anus. - Approaches topics from a practice-oriented point of view, beginning with clinical presentation and progressing through histopathology, differential diagnosis, and treatment for each disorder. - Emphasizes new practice issues and their biologic basis including approaches to vulvar, cervical and endometrial precursors as well as the underpinnings of cervical, endometrial and ovarian cancer. - A comprehensive look at mesenchymal neoplasia, including not only lower genital tract and uterus but also the retroperitoneum. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
| bleeding after pelvic exam: Preparing for an Endometrial Biopsy Lorene M. Kimzey, 1989 |
| bleeding after pelvic exam: Women’s Health Issues Across the Life Cycle Angela Sammarco, 2016-02-03 Women’s Health Issues Across the Life Cycle: A Quality of Life Perspective is a unique text that explores a wide-variety of health issues and concerns for women to offer a holistic approach to care. Presented within a quality of life framework, it provides a women-centered perspective to explore the range of factors that can impact women’s health and well-being throughout the major life stages. The first text of its kind, Women’s Health Issues Across the Life Cycle: A Quality of Life Perspective examines the ways in which the physical, psychological, spiritual, socioeconomic, and family domains impact women’s quality of life. It also offers current research specific to women’s health, health promotion strategies and interventions, case studies, critical thinking questions, and Internet resources for more information. |
| bleeding after pelvic exam: Non-tubal Ectopic Pregnancy Julio Elito Jr., 2020-03-25 Non-Tubal Ectopic Pregnancy is a comprehensive book, written in an organized and concise format. The book offers an immersion into non-tubal ectopic pregnancy and the reader is invited, chapter after chapter, to visit the most important aspects of non-tubal ectopic pregnancies. The book covers all aspects of non-tubal ectopic pregnancies including epidemiology, diagnosis, and management. Experts from all over the world have contributed to it, bringing the best from their research.The book presents the reader with the latest advances on non-tubal ectopic pregnancies. |
| bleeding after pelvic exam: Cancer Nursing Connie Yarbro, Debra Wujcik, Barbara Holmes Gobel, 2011 A new and revised version of this best-selling reference! For over eighteen years, best-selling Cancer Nursing: Principles and Practice has provided oncology nurses with the latest information on new trends in the rapidly changing science of oncology. Now, in its Seventh Edition, Cancer Nursing has been completely revised and updated to reflect key new developments. New topics covered include targeted therapy, hypersensitivity reactions, mucositis, and family and caregiver issues. With 27 new chapters featuring insights from key authors, the Seventh Edition is a must-have resource for every oncology nurse. |
| bleeding after pelvic exam: The Essential Guide to Hysterectomy Lauren F. Streicher, 2004 In a clear, conversational language, Dr. Streicher discusses everything a woman needs to know to make informed choices about having a hysterectomy, including: emotions and sex after surgery, hormone replacement and much more. |
| bleeding after pelvic exam: Barefoot Doctoring Dr. Jeffrey D. Mason, 2012-10-05 This book is an indispensible guide and will prove more valuable than gold should a time arise in society where survival is the agenda of the day, should all conversions fail and we find ourselves face-to-face with any apocalyptic scenario, be it local, national or global in scope this manual will guide YOU in how to be your own doctor, when there is no doctor. |
| bleeding after pelvic exam: Handbook of Obstetrics and Gynaecology Barry G. Wren, 2013-11-11 This second edition of the Handbook of Obstetrics and Gynaecology has become necessary because of the increasing growth in know ledge and changing ideas on Obstetrics and Gynaecology. Never theless, we have attempted to maintain the same basic approach and concepts to student learning as we evinced in the first edition. Any changes to the text are updating of existing practices and knowledge or correction of errors in the original text. The Handbook is still a guide to achieving mastery of the undergraduate curriculum, but over the past five years we have realised the book is also widely used by general practitioners and nurses as well as undergraduate students. It is tempting to enlarge the handbook to encompass all the needs of diverse groups of health personnel, but we have resisted this desire. Instead, the Handbook of Obstetrics and Gynaecology can be regarded as a true guide to aid students in the application of knowledge to the clinical setting. In conjunction with one of the major recom mended text books, this book provides a useful aid to students and general practitioners. I hope all who read it continue to find it useful. BARRY G. WREN 1984 Chapter 1 History Taking and Physical Examination BARRY G. WREN GENERAL INSTRUCTIONAL OBJECTIVE The students will develop competence in taking a history and perform ing a physical examination so that obstetric or gynaecological abnormali ties can be recognized and appropriate management initiated. |
| bleeding after pelvic exam: A Practical Manual on Visual Screening for Cervical Neoplasia R. Sankaranarayanan, Ramani S. Wesley, International Agency for Research on Cancer, 2003 Cervical cancer is the second most common cancer among women worldwide. This book serves as a concise teaching manual on visual inspection with acetic acid (VIA) and with Lugol's iodine to train health personnel, especially in developing countries, with the aim to detect this disease in the early pre-invasive phase and save women's lives. These two simple low-technology screening tests based on the ability of the trained health-care personnel to detect acetowhite areas, or yellow non-iodine uptake areas, in the cervical transformation zone are being evaluated as potential alternatives to cervical cytology. |
| bleeding after pelvic exam: Advanced Health Assessment of Women, Second Edition Helen A. Carcio, MS, MEd, ANP-BC, R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP, FAAN, 2010-01-25 This manual-style reference presents the clinical skills needed to assess health and provide care to women of all of ages, with systematic reviews of all aspects of female mental and bodily health. The authors and contributors comprehensively cover female reproduction, anatomy, and physiology as examined at the cellular level. Also discussed are developmental, psychological, and sociocultural dimensions of women. Offering an integrated approach to women's health care, the authors delineate the roles and functions of various health care providers serving female patients, including physician's assistants, nurse midwives, and nurse practitioners. The chapters present assessment strategies that are on the leading edge of the expanded role of the advanced practice clinician. The chapter authors provide full, in-depth discussions of each assessment skill and technique as well as an understanding of the rationale behind each assessment. Key Topics Discussed: Health assessment: physical examinations, assessment of pregnant women, and assessment and clinical evaluation of obesity in women Female Reproduction: anatomy, physiology, and the reproductive cycle Contraceptive devices: the diaphragm, intrauterine contraception, and contraceptive implants Assessment of women at risk: domestic violence, STIs, and sexual assault Assessment of the infertile woman: initial evaluations, donor insemination, and more |
| bleeding after pelvic exam: The Immortal Life of Henrietta Lacks Rebecca Skloot, 2019-03-07 A heartbreaking account of a medical miracle: how one woman’s cells – taken without her knowledge – have saved countless lives. The Immortal Life of Henrietta Lacks is a true story of race, class, injustice and exploitation. ‘No dead woman has done more for the living . . . A fascinating, harrowing, necessary book.’ – Hilary Mantel, Guardian With an introduction Sarah Moss, author of by author of Summerwater. Her name was Henrietta Lacks, but scientists know her as HeLa. Born a poor black tobacco farmer, her cancer cells – taken without asking her – became a multimillion-dollar industry and one of the most important tools in medicine. Yet Henrietta’s family did not learn of her ‘immortality’ until more than twenty years after her death, with devastating consequences . . . Rebecca Skloot’s moving account is the story of the life, and afterlife, of one woman who changed the medical world forever. Balancing the beauty and drama of scientific discovery with dark questions about who owns the stuff our bodies are made of, The Immortal Life of Henrietta Lacks is an extraordinary journey in search of the soul and story of a real woman, whose cells live on today in all four corners of the world. Now an HBO film starring Oprah Winfrey and Rose Byrne. |
| bleeding after pelvic exam: Rosen and Barkin's 5-Minute Emergency Medicine Consult Jeffrey J. Schaider, Peter Rosen, Roger M. Barkin, Stephen R. Hayden, Richard E. Wolfe, Adam Z. Barkin, 2010-10-22 This best-selling emergency department reference is now in its thoroughly updated Fourth Edition. The foremost authorities provide practical information on over 600 clinical problems in a fast-access two-page outline format that's perfect for on-the-spot consultation during care in the emergency department. Coverage of each disorder includes clinical presentation, pre-hospital, diagnosis, treatment, disposition, and ICD-10 coding. Icons enable practitioners to quickly spot the information they need. This edition provides up-to-date information on topics such as emerging infections, new protocols, and new treatments--Provided by publisher. |
| bleeding after pelvic exam: Harwood-Nuss' Clinical Practice of Emergency Medicine Allan B. Wolfson, Gregory W. Hendey, Louis J. Ling, Carlo L. Rosen, Jeffrey J. Schaider, Ghazala Q. Sharieff, 2012-09-11 Organized for easy reference, this comprehensive, concise, and clinically focused text covers all aspects of emergency medicine. Chapters follow a consistent, structured format—clinical presentation, differential diagnosis, evaluation, management, and disposition with highlighted critical interventions and common pitfalls. In this edition, the Pain and Pain Management section is now at the front of the book, since a large percentage of emergency department patients present with pain-related complaints. The Trauma section now follows the High-Risk Chief Complaint section. A new two-color design will help readers find critical elements of each chapter easily. A companion Website will include the fully searchable text, more than 400 self-assessment questions with answers, and additional images and tables. |
| bleeding after pelvic exam: Public Privates Terri Kapsalis, 1997 The quintessential examination of women, gynecology is not simply the study of women's bodies, but also serves to define and constitute them. From J. Marion Sims's surgical experiments on unanesthetized slave women in the mid-19th century to the use of cadavers and prostitutes to teach medical students gynecological techniques, Kapsalis focuses on the ways in which women and their bodies have been treated by the medical establishment. 34 photos. |
| bleeding after pelvic exam: Vaginal Hysterectomy Shirish S Sheth, John Studd, 2001-11-08 In recent years advances in laparoscopic technologies have led to renewed interest in the vaginal approach to hysterectomy, which has many proven benefits for patients. This volume, dedicated to explaining and promoting the vaginal route of hysterectomy, is written and edited by an international team of experts and provides a much-needed source of up-to-date information and instruction. Importantly, the authors caution that laparoscopic technology can provide a valuable source of assistance for the gynaecological surgeon in certain circumstances, though only in a percentage of cases. This book, beautifully illustrated with line drawings and full-colour photographs, contains step-by-step surgical techniques, enabling the surgeon to gain confidence and experience so that gradually more challenging operations can be managed successfully via the vaginal route. Acknowledged authorities from around the world take the reader through the indications and contra-indications for the vaginal approach, explain crucial preoperative assessment procedures, and offer an evidence-based elucidation of the 'why', 'when' and 'how' of vaginal hysterectomy. Specific topics considered here include: the nulliparous patient, uterine fiboids, debulking, the use of gonadtrophin-releasing hormone agonists, oophorectomy and prophylactic oophorectomy, adnexectomy for adnexal pathology, genital prolapse, the place of sacrospinous colpopexy, urethral sphincter incompetence, hormone replacement therapy, and the psychological and sexual outcomes of hysterectomy. In addition, the authors set forth the arguments for and against vaginal hysterectomy, abdominal hysterectomy, laparoscopic assistance, and transcervical resection of the endometrium. Combined with a full review of the potential complications, morbidity and mortality associated with the vaginal approach, this book provides the reader with a well-balanced, thorough and considered appraisal of vaginal hysterectomy. As the incidence of hysterectomy worldwide continues to rise, Vaginal Hysterectomy will be an indespensable reference for practising gynaecologists, surgeons, consultants and postgraduates. |
| bleeding after pelvic exam: Gynaecological Examinations , 2002 |
| bleeding after pelvic exam: Management of Chronic Pelvic Pain Michael Hibner, 2021-03-25 A practical manual on the treatment of pelvic pain, focusing on the many gynecological and non-gynecological causes of the condition. |
| bleeding after pelvic exam: Managing Emergencies in the Outpatient Setting Gregory M. Booth, Sarah Frattali, 2023-01-06 Many primary care clinicians are busy to the point of being overwhelmed and there is not time to do thorough evaluations on every patient. The outpatient clinician must be able to quickly identify and manage the overtly ill but also those with potential or even hidden issues that require a referral to the emergency department. This book provides a concise yet comprehensive summary of the various conditions the primary care practitioner could encounter in his/her office that require emergency department referral. Organized system by system, this manual provides short, readable yet detailed descriptions of situations where the clinician must make the quick decision to escalate the level of care. The book is comprised of thirteen main sections, each detailing a medical specialty and is further broken down into specific conditions within these specialties. The specialties that are featured are cardiology, dermatology, endocrinology, gastroenterology, HEENT, hematology and oncology, infectious disease, nephrology, neurology, gynecology, ophthalmology, psychiatry, pulmonology and urology. The chapters are broken down into five key aspects. First, a brief synopsis of the problem is identified covering the incidence, the risk factors and general information to give the clinician the insight to manage the situation. Next, there is a review of key elements of the history that can elucidate whether the patient has or does not have the emergent condition. Physical exam findings that the clinician can look for during the evaluation are then discussed followed by diagnostics that the clinician can get quickly the same day to help evaluate the situation. Lastly, treatments that can be provided while waiting for the urgent or emergent condition to be evaluated are identified. Written by experts in the field, Managing Emergencies in the Outpatient Setting is a valuable resource for primary care physicians, physician assistants and nurse practitioners alike. |
| bleeding after pelvic exam: The Essential Guide to Hysterectomy Lauren F. Streicher, M.D., 2012-12-21 In this new, updated version of the groundbreaking book, gynecologist and leading women’s health expert Dr. Lauren Streicher—who in a direct, clear, and often humorous way—reveals the following: What your doctor isn’t telling you; robotic hysterectomy and why it is becoming so popular; new nonsurgical ways to control heavy bleeding; the latest on hormone therapy, including bioidentical hormones; how to decrease your risk of uterine or ovarian cancer without removing your uterus or ovaries; new methods for treating fibroids; and a comprehensive guide to websites and resources. |
| bleeding after pelvic exam: The Rational Clinical Examination: Evidence-Based Clinical Diagnosis David L. Simel, Drummond Rennie, 2008-04-30 The ultimate guide to the evidence-based clinical encounter This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.--Annals of Internal Medicine The evidence-based examination techniques put forth by Rational Clinical Examination is the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. This extraordinary, one-of-a-kind book is a valuable addition to every medical library.--Doody's Review Service Completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine |
| bleeding after pelvic exam: Griffith's Instructions for Patients E-Book Stephen W. Moore, 2010-08-02 With over 430 patient instruction fact sheets and an additional 123 patient instruction sheets online, the new edition of Griffith's Instructions for Patients by Stephen W. Moore, MD, helps patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor. Consistently formatted and organized by topic for easy use, it provides descriptions of each illness, including frequent signs and symptoms, possible causes, risks, preventive measures, expected outcomes, possible complications, and treatments. Newly added topics include Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; Influenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. Printable instruction sheets in English and Spanish, 23 separate patient information guides to various types of diets (from Adult Regular Healthy Diet to Weight-Reduction Diet) are downloadable at expertconsult.com. Quickly find what you need with consistently formatted guides – organized by topic for easy use! - Help your patients understand what their illness is, how it will affect their regular routine, what self care is required, and when to call a doctor thanks to over 430 patient education guides (and an additional 123 guides online!) reflecting the latest therapeutic information. - Ensure the best patient encounters and outcomes with downloadable, customizable English and Spanish patient education guides on expertconsult.com. Educate your patients about timely topics such as Chronic Pain Syndrome; Dry Eye Syndrome; Incontinence, Fecal; Influenza, H1N1; Methicillin-Resistant Staphylococcus Aureus (MRSA); Mold Allergy; Patellofemoral Pain Syndrome; Perimenopause; Sarcopenia; Spinal Stenosis; and Stroke, Silent. |
| bleeding after pelvic exam: Comprehensive Gynecology Vern L. Katz, 2007 Formerly edited by Drs. Droegemueller, Stenchever, Mishell & Herbst - this trusted and tested reference provides complete, timely, and easy access to vital information on the medical and surgical issues affecting today's daily gynecology practice. Featuring the fresh perspectives of four new editors, along with new contributors, the text offers practical, in-depth coverage...helpful illustrations - many new to this edition...and clinically oriented guidance...page after page! Plus, access the complete contents online, fully searchable at www.compgyn.com - so you can find quick answers from an location. Access state-of-the-art guidance on the latest minimally invasive surgical techniques...the newest applications in diagnostic and interventional ultrasound...and many other essential aspects of today's practice. Access fresh practice perspectives from four new editors and new contributors. Effectively handle the emotional aspects of the specialty with unique new chapters covering rape * incest * and domestic violence, among others. Diagnose conditions accurately with the visual aid of nearly 1,000 illustrations - including more than 100 new full-color photos. Quickly find the information you need with user-friendly features including key terms, key points, and the use of color throughout. Exponentially boost your clinical reference power with access to the complete contents online - fully searchable - as well as all of the illustrations for use in electronic presentations. Visit www.compgyn.com for details. Presents the work of four new associate editors and many new contributors who offer fresh practice perspectives. Includes unique new chapters covering rape . incest . domestic violence . and other highly emotional aspects of the specialty. Features more than 100 new full-color photos that help you identify lesions and interpret pathologic findings. Provides expanded material on menopause, reflecting the ever-increasing aging patient population. |
| bleeding after pelvic exam: What to Expect When You're Expecting 5th Edition Heidi Murkoff, 2016-06-02 With 18.5 million copies in print, What to Expect When You’re Expecting is read by 93% of women who read a pregnancy book and was named one of the ‘Most Influential Books of the Last 25 Years’ by USA Today. This cover-to-cover (including the cover!) new edition is filled with must-have information, advice, insight, and tips for a new generation of parents. With What to Expect’s trademark warmth, empathy, and humour, it answers every conceivable question expectant parents could have, including dozens of new ones based on the ever-changing pregnancy and birthing practices and choices they face. Advice for partners is fully integrated throughout the book. All medical coverage is completely updated, including the latest on prenatal screening and the safety of medications during pregnancy, as well as a brand-new section on postpartum birth control. Current lifestyle trends are incorporated, too: juice bars, raw diets, e-cigarettes, push presents, baby bump posting, the lowdown on omega-3 fatty acids, grass-fed and organic, health food fads, and GMOs. Plus expanded coverage of IVF pregnancy, multiple pregnancies, breastfeeding while pregnant, water and home births, and cesarean trends (including VBACs and ‘gentle cesareans’). |
| bleeding after pelvic exam: Encyclopedia of Women's Health Sana Loue, Martha Sajatovic, 2004-07-15 Designated a Reference Reviews Top Ten Print Reference Source 2005 The Encyclopedia of Women's Health meets this challenge by bringing together an impressive array of experts on topics from reproductive issues to gastrointestinal illnesses. This skilfully edited volume, informed by current health issues and health-care realities, offers readers practical information, historical aspects, and future directions, all meticulously researched and conveniently presented. Key features include: -Accessible A-to-Z coverage, including AIDS, birth control, hormone replacement therapy, teen pregnancy, sexual harassment, violence, body image, access to health care and more. -Entries spanning the medical, psychological, sociocultural, spiritual, and legal arenas. -Medical topics explored from both conventional and complementary perspectives. -Cross-cultural data illustrate issues as they apply to minority women, rural women, the elderly, and other underserved populations. -Special chapters on disparities in women's health and health care. -Historical overview of women in health - as patients and as professionals. -Suggested readings and resource lists. |
Hemorrhage: Causes, Emergency Symptoms, First A…
Sep 18, 2019 · Find out what to do in case of hemorrhage, or bleeding. Discover how to recognize a medical emergency, the complications, and …
Bleeding - Wikipedia
Bleeding, hemorrhage, haemorrhage or blood loss, is blood escaping from the circulatory system from damaged blood vessels. Bleeding can occur …
Internal Bleeding Signs, Symptoms & Treatment - Clev…
4 days ago · Blood disorders: Bleeding disorders like hemophilia make it difficult for bleeding to stop and increase your risk of severe internal …
Hemorrhage | Bleeding - MedlinePlus
Feb 9, 2024 · Bleeding is the loss of blood, inside or outside the body. A hemorrhage is severe bleeding. Learn about the causes of bleeding and …
Bleeding (Life-Threatening External) | Red Cross
External bleeding is bleeding that is visible on the outside of the body. Volume and flow are two ways to tell if bleeding is life-threatening. Volume …
Flow Chart to Aid Vaginal Discharge Decision-MakingProcess
– Pelvic Inflammatory Disease. STI – Sexually Transmitted Infection. History: • Last Period • STI Risk Factors • Fever, Chills • Painful Urination • Abdominal Bleeding • Abdominal/Lower Pelvic …
OB Coding – The Global Package & Beyond - AAPC
After Pregnancy …aka Postpartum Care • History • Exam – Feeding method – Bleeding – Birth control –GI/GU –VS – Thyroid – Breasts – Abdomen – Postpartum depression screen – …
Utility of Routine Postoperative Examination for Detecting …
bleeding, discharge, or pain. They were asked to maintain pelvic rest for 6 weeks after surgery. No heavy lifting restrictions were provided. Data were abstracted directly from the electronic …
Case #1: Imminent Delivery with Postpartum Hemorrhage
o Pelvic exam: cervix dilated, fetal head palpable/crowning o Neuro: awake, alert, oriented, conversant • After delivery hemorrhage o Abdomen: Soft, gravid uterus with fundus near …
What to Expect at Your Pelvic Exam (#26171)
genitals. A pelvic exam is also done as routine care before a long-acting form of birth control is inserted. This birth control method is called an intrauterine, pronounced in-truh-yoo-tr-uhn …
Vaginal Bleeding - emdocs.net
• Vaginal bleeding after 20 weeks occurs in about 4% of pregnancies o 30% due to abruption placentae and 20% due to placenta previa Pathophysiology • Nonpregnant patients ! …
VC19 Abnormal Uterine Bleeding - ksumsc.com
other medical problems. She is married and works in a factory. On physical exam, her weight is 150 pounds, height is 5 feet, 6 inches, BP 130/88, P 100. She appears pale. Pelvic exam : …
Clinical Guideline First Trimester Bleeding: Evaluation
• Perform pelvic exam. • Refer to Anti-D Immune Globulin guideline if Rh negative. Yes • All patients with first trimester vaginal bleeding must come to Bethel for evaluation ASAP. • All …
Provincial Adult Abnormal Uterine Bleeding Primary Care …
menopausal patient [1]. Abnormal uterine bleeding (AUB) is bleeding that occurs outside of the normal 24-38 day pattern. Post-menopausal bleeding is defined as bleeding occurring in a …
Abnormal Uterine Bleeding Patient Pathway
longer and may also include bleeding when you don't expect it, such as between periods or after sex. • Internal pelvic exam • Internal ultrasound • Urine test • Blood tests • Pap test • Biopsy of …
Bleeding after Hysterectomy: Recommendations and What …
• parachute pack or umbrella pack is a useful tool for pelvic bleeding after pelvic exenteration; • peanut dissector; this tool is indicated for blunt pressure dissection of small places; • total …
Bleeding After Pelvic Exam During Pregnancy
Bleeding After Pelvic Exam During Pregnancy Latha Ganti. Bleeding After Pelvic Exam During Pregnancy: DeGowin's Diagnostic Examination, Ninth Edition Richard LeBlond,Donald …
JOHNS HOPKINS ALL CHILDREN’S HOSPITAL Abnormal …
A pelvic exam should be performed to visualize the cervix and evaluate for foreign body and/or alternative sources of bleeding. A bimanual exam is useful in assessing for masses as well as …
Getting an Intrauterine Device (IUD) to Help with Periods
The first step is a pelvic exam. This is where your doctor will feel inside the vagina to tell the size and position of the uterus. Then a speculum (metal device that spreads open the ... in bleeding …
ICD-10 for OB/GYN - Centers for Medicare & Medicaid Services
N92.3 Ovulation bleeding N92.4 Excessive bleeding in the premenopausal period N92.5 Other specified irregular menstruation N92.6* Irregular menstruation, unspecified Excessive, …
ABNORMAL UTERINE BLEEDING - University of Toronto
• Pelvic exam: uterine enlargement, adnexal mass, cervical changes, cervical motion tenderness Investigations • CBC, ferritin – r/o anemia • Pap +/- STI swabs to r/o infection, cervical …
Vaginal Rehabilitation After Radiation Therapy - Rogel …
Vaginal Rehabilitation After Radiation Therapy. What is vaginal dilation? Radiation therapy to female pelvic organs may cause vaginal changes including vaginal dryness, narrowing and …
First Trimester Bleeding - AAFP
The presence of an adnexal mass or free pelvic fluid represents ectopic pregnancy until proven otherwise. Medical management with misoprostol is highly effective for early intrauterine …
Pelvic Inflammatory Disease: Diagnosis, Management, and …
Unilateral pelvic pain Transvaginal ultrasonography Endometriosis Dyschezia Dysmenorrhea, inter-menstrual bleeding Dyspareunia Definitive testing is laparoscopy with histologic …
Annual gynecological exam - BCBSM
A screening pelvic examination is an exam performed when there is no specific complaint or symptom present. Such a screening pelvic exam may also be commonly referred to as an …
APGO Clinical Skills Curriculum
Jan 4, 2017 · centered pelvic examination may be broken down into communication or interpersonal skills and technical skills. Important components are listed below and references …
Female Pelvic Exam Guideline - California Academy of …
thorough exam. Place the drape over the patient’s legs, depress it at the midline, and keep the knees covered. External Exam: I will begin with an external exam to make sure everything is …
JOHNS HOPKINS ALL CHILDREN’S HOSPITAL Abnormal …
A pelvic exam should be performed to visualize the cervix and evaluate for foreign body and/or alternative sources of bleeding. A bimanual exam is useful in assessing for masses as well as …
POST-OPERATIVE INSTRUCTIONS FOR VAGINAL …
"bladder training" after major vaginal or pelvic reconstruction. If you have a suprapubic tube, please refer to the instruction sheet for suprapubic tube care. 8. After discharge from the …
49 Non-pregnant Vaginal Bleeding Show Notes - EM Basic
EM#Basic)#Non)Pregnant#Vaginal#Bleeding## (This&documentdoesn’treflectthe&views&oropinions&ofthe&DepartmentofDefense,&the&US&Army&orthe& …
The pelvic exam revisited - cdn.mdedge.com
Even when a pelvic exam is indicated, a patient’s young age can give providers pause as to what type of exam to perform. Patients with vulvovaginal symptoms, abnormal vaginal bleeding, …
Study Guide for Women’s Health Procedures (Pelvic Exam, …
Procedures (Pelvic Exam, Specimen . Collection) 2020 . Introduction to Pelvic Exam: 1. Overview a. The specific components of a pelvic examination will vary depending on the woman’s age, …
What can I expect during the pelvic exam?
unusual to have some spotting or bleeding after a sample is taken. This sample is then sent to a laboratory, and you will be informed of your results by a letter in 1-2 weeks after the test. Your …
Pelvic Examinations: Speculum, Assisting - ANMC
Mar 13, 2018 · during the exam. 1.1.2 It is important to note that not all pelvic examinations will include a bimanual examination or rectovaginal examination. 1.1.2.1 The extent of exam will …
Having Your First Pelvic Exam - teachingsexualhealth.ca
When should I have a pelvic exam? It’s important to consider having an exam for concerns such as: • itching • unusual lumps, bumps, sores or rashes that can be seen or felt • vaginal …
Specialty Code Set Training Obstetrics and Gynecology - AAPC
N92.4 Excessive bleeding in the premenopausal period N92.5 Other specified irregular menstruation ... During a pelvic exam, the provider documents the patient has vaginal dryness …
Contraindications to Internal Evaluation of the Pelvic Floor …
Pelvic Floor Muscle • Pregnancy • Within 6 weeks of vaginal or cesarean delivery • Within 6 weeks after pelvic surgery • Atrophic vaginitis, a condition of fragile skin seen in cases of …
Pelvic exam - Children's Wisconsin
Mar 30, 2020 · No menstrual periods by age 15 or 3 years after your breast development begins. Vaginal bleeding that lasts more than 10 days. Missed periods, especially if you are having …
“Is my okay?” Objectives of Bleeding - ucsfcme.com
– Vaginal bleeding – Abdominal or pelvic pain or cramping – Passage of pregnancy tissue from the vagina – Loss of pregnancy‐related symptoms – Hemodynamic instability • Incidental …
PRACTICE GUIDELINES: PELVIC FRACTURES - SUNY …
4. Appropriate placement of a pelvic binder and/or traction in patients with pelvic ring injury and hemodynamic instability. Majority of intra-pelvic bleeding with pelvic ring injuries is venous and …
Pelvic Exam (99459) - Unified Webinar
• 4 minutes of clinical staff time associated with chaperoning a pelvic exam. • Supplies (speculum, gown, drapes, etc.) • Equipment (lights) • Approved as an add -on code to both problem …
Original research article Timing of pain and bleeding after ...
tional age in subjects bleeding before misoprostol was 44.8 6 6.3 days as compared to 46.1 6 6.5 in women bleeding after misoprostol (p ,0.001). Forty-five percent of women who experienced …
York Teaching Hospital NHS Foundation Trust and
PMB is defined as an episode of vaginal bleeding 12 months or more after the last period. ... - Vaginal exam findings Remove Bleeding stops – GP FU Non-suspicious Suspicious GP to …
Chapter 20 The pelvic exam - hesperian.org
Do not do a pelvic exam — or you could make the bleeding worse . • the woman gave birth in the last few weeks . Making the pelvic exam safe The pelvic exam is usually safe, but it can have …
Building Data Engineering Pipelines In Python Copy
Delve into the emotional tapestry woven by Crafted by in Experience Building Data Engineering Pipelines In Python . This ebook, available for download in a PDF format ( PDF Size: *), is …
Late Pregnancy Bleeding - AAFP
previa in the third trimester mandates pelvic rest and hospitalization if significant bleeding occurs. Placental abruption is the most common cause of serious vaginal bleeding, occurring
Microsoft Word - Pelvic Fracture Guideline 12-2020
‐ Remove pelvic packing 24 – 48 hours after physiologic restoration, reversal of coagulopathy and acidosis. ‐ Avoid re‐packing the pelvis for ongoing bleeding due to pelvic space infection risk. If …
Breeders Of The Nephelym Cheat Codes 2023 Copy
Fuel your quest for knowledge with Learn from is thought-provoking masterpiece, Breeders Of The Nephelym Cheat Codes 2023 . This educational ebook, conveniently sized in PDF ( *), is …
Information for the Patient: VAGIFEM - Global Care Pharmacy
treatment. Your visit may include a blood pressure check, a breast exam, a Pap smear and pelvic exam. You. should have a mammogram before starting treatment and at regular intervals as …
How to Evaluate Vaginal Bleeding and Discharge - MDedge
able vaginal bleeding despite a normal pelvic exami-nation. As we said earlier, first and foremost, rule out pregnancy. Perform a pelvic ultrasound to rule out structural abnormalities, such as …
Acute Abnormal Uterine Bleeding (AUB) - Children's Hospital …
Physical Exam • Vital Signs and BMI • General Examination, include external Genitourinary (GU) exam to assess bleeding and exclude trauma •severe pain Orthostatic blood pressure and …
Pelvic examination under anaesthetic, hysteroscopy, and …
bleeding, or mild infections afterwards (5 in 10) and this can be treated with pain killers or antibiotics. There is a small risk that the cervix may be damaged during the procedure and …
WHAT TO EXPECT AT YOUR PELVIC EXAM - apicha.org
genitals. A pelvic exam is also done as routine care before a long-acting form of birth control is inserted. This birth control method is called an intrauterine, pronounced in-truh-yoo-tr-uhn …
