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Download or read book Primary Care Management of Abnormal Uterine Bleeding written by and published by . This book was released on 2013 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Author : U. S. Department of Health and Human Services
Publisher : Createspace Independent Pub
ISBN 13 : 9781489591463
Total Pages : 538 pages
Book Rating : 4.6X/5 ( download)
Download or read book Primary Care Management of Abnormal Uterine Bleeding written by U. S. Department of Health and Human Services and published by Createspace Independent Pub. This book was released on 2013-05-28 with total page 538 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abnormal uterine bleeding (AUB) is among the most common gynecologic complaints of reproductive-age women in ambulatory care settings. It is estimated to affect 11 to 13% of reproductive-age women at any given time. Prevalence increases with age, reaching 24% in women aged 36 to 40. Women generally present for care because the amount, timing, or other characteristics of the bleeding have changed from their individual norm. Population norms for menstrual bleeding, as established by 5th and 95th percentiles, are: Frequency of menses within a 24- to 38-day window; Regularity (i.e., cycle-to-cycle variation) within 2 to 20 days; Duration of flow from 4 to 8 days; Blood loss volume from 5 to 80 ml. Symptoms outside this normal range, or different from normal for the individual, can become problematic and deserve evaluation because they can warn of underlying conditions. Common problems include worry about the cause, embarrassment if the bleeding includes flooding-type bleeding with saturation of clothing, missed work and responsibilities, limitations of social activities and exercise, decreases or changes in sexual activity, and frustration with costs of sanitary protection. Collectively, the effects of troublesome bleeding reduce quality of life and drive desire for information about causes and treatment options. There is not a clear consensus on the clinical evaluation of a patient presenting with abnormal bleeding. Recommendations suggest that initial evaluation confirm the source and timing of bleeding, and exclude certain architectural etiologies (e.g., fibroids, polyps), cancer and precancerous changes in the cervix or uterus, coagulation defects, and systemic disease. The 2011 International Federation of Gynecology and Obstetrics (FIGO) classification recommends a structured history followed by uterine evaluation. In the research setting, the alkaline hematin method is the preferred technique for direct measurement of total menstrual blood loss (MBL). The pictorial blood loss assessment chart is a semi-quantitative tool for uniform reporting of bleeding as represented by the degree of saturation of sanitary pads and tampons. Diagnostic tools and evaluation strategies are not within the scope of this review; however, the review captures the operational definitions used by researchers and addresses applicability of the findings to contemporary practice. The literature reflects various management options for women with AUB with conflicting recommendations/summaries. Interventions of interest for this review include medical, complementary and alternative medicine, and behavioral/lifestyle interventions. This review is focused on the evidence available to inform selection of nonsurgical options to treat AUB with an emphasis on interventions that are accessible to and within the scope of usual practice for primary care practitioners in a clinical care setting. Key Questions addressed include: KQ 1A: What is the evidence for the effectiveness of medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) for improving short and long-term outcomes in women with irregular uterine bleeding? KQ 1B: What is the evidence for the effectiveness of medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) for improving short and long-term outcomes in women with abnormal cyclic uterine bleeding? KQ 2: What are the harms, including adverse events, associated with medical, behavioral, and complementary and alternative medicine interventions (e.g., hormonal treatment, weight loss, or acupuncture) in women with irregular uterine bleeding or abnormal cyclic uterine bleeding?
Author : Malcolm G. Munro
Publisher : Cambridge University Press
ISBN 13 : 9780521721837
Total Pages : 264 pages
Book Rating : 4.30/5 ( download)
Download or read book Abnormal Uterine Bleeding written by Malcolm G. Munro and published by Cambridge University Press. This book was released on 2009-12-10 with total page 264 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abnormal uterine bleeding (AUB) is a common presenting symptom for both gynecologists and family practitioners with complex etiology and challenging differential diagnosis. Many cases of AUB can be managed effectively with hormonal, anti-inflammatory or antifibrinolytic agents. Although surgical management may include hysterectomy, more often one of a variety of less invasive, uterus-sparing procedures provides an effective and satisfactory clinical outcome. Effective management of women with AUB is enhanced by an understanding of the relevant basic sciences and the various mechanisms by which symptoms evolve. This includes clinical evaluation, the application of appropriate laboratory and imaging techniques and the identification of a customized menu of potential therapeutic interventions. Written by a leading practitioner, the approach includes advice on history taking, clinical examination and appropriate therapy. Basic science aspects are limited to what is really relevant to the clinicians. The accompanying DVD includes videos, animations, color images and patient support material to facilitate learning. A spectrum of providers and trainees will find this book to be an invaluable resource, including those from primary care, gynecology and family planning.
Author : S. V. Mahadevan
Publisher : Cambridge University Press
ISBN 13 : 0521747767
Total Pages : 911 pages
Book Rating : 4.69/5 ( download)
Download or read book An Introduction to Clinical Emergency Medicine written by S. V. Mahadevan and published by Cambridge University Press. This book was released on 2012-04-10 with total page 911 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fully-updated edition of this award-winning textbook, arranged by presenting complaints with full-color images throughout. For students, residents, and emergency physicians.
Author : Roger P. Smith
Publisher : Springer
ISBN 13 : 3319719645
Total Pages : 164 pages
Book Rating : 4.41/5 ( download)
Download or read book Dysmenorrhea and Menorrhagia written by Roger P. Smith and published by Springer. This book was released on 2018-01-09 with total page 164 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dysmenorrhea is estimated to effect upwards of 70% of women during their lifetime and “heavy menstrual periods” is one of the most frequently given reasons for hysterectomy in the United States. Despite the dramatic growth of dysmenorrhea treatment with non-steroidal anti-inflammatory agents (NSADs) in the 1980s, young women continue to go undiagnosed and under treated. The diagnosis and management of heavy menstrual bleeding has even poorer general understanding because of its more complicated etiologies. With a working knowledge of the underlying pathophysiology, all clinicians should be able to establish both the diagnosis and a credible treatment plan that will result in a significant chance of clinical improvement for most patients. This book addresses the pathophysiologic underpinnings of both dysmenorrhea and menorrhagia and provides clinicians with practical approaches to establishing the diagnosis, proven tactics for successful therapeutic interventions and dealing with the challenging atypical case, and effective patient counseling. It teaches principles, including the role prostaglandins play in both conditions, as well as procedures, like surgical options and TENS, providing a balance of the practical and the esoteric. The inclusion of patient education and counseling materials additionally increases its usefulness for the busy clinician. This is an ideal guide for ob/gyn clinicians, residents, and trainees caring for patients with these common, but often misunderstood diseases.
Author : Charles Douglas Forbes
Publisher : Saunders
ISBN 13 :
Total Pages : 584 pages
Book Rating : 4.73/5 ( download)
Download or read book Disorders of Hemostasis written by Charles Douglas Forbes and published by Saunders. This book was released on 1996 with total page 584 pages. Available in PDF, EPUB and Kindle. Book excerpt: This clinical reference provides current and comprehensive material on hemostatic disorders. It covers normal mechanisms of hemostasis, primary disorders of hemostasis, and hemostatic disorders associated with other conditions. Specific chapters address such topics as circulating inhibitors, fibrinolytic bleeding disorders, genetic disorders of blood coagulation, drug-induced disorders of coagulation, psychogenic bleeding, and much more.
Author : Peter O'Donovan
Publisher : CRC Press
ISBN 13 : 9780415454797
Total Pages : 0 pages
Book Rating : 4.94/5 ( download)
Download or read book Modern Management of Abnormal Uterine Bleeding written by Peter O'Donovan and published by CRC Press. This book was released on 2008-04-02 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Modern Management of Abnormal Uterine Bleeding focuses on helping gynecologists refine their operative techniques and consider new approaches to the diagnosis, and treatment, of this highly challenging condition by investigating: · current scientific and clinical trails · varying menstruation conditions · less evasive management options versus surgical options · definitive surgical corrections · new forms of conservative therapy Written by an internationally recognized team of experts and filled with scientific diagrams, photos, and illustrations, this cutting-edge new text covers the full range of surgical and medical treatments for menorrhagia, including the full rage of ablation corrections in an easy to read step-by-step format.
Author : Jane Meschan Foy
Publisher :
ISBN 13 : 9781581109665
Total Pages : 0 pages
Book Rating : 4.60/5 ( download)
Download or read book American Academy of Pediatrics Textbook of Pediatric Care written by Jane Meschan Foy and published by . This book was released on 2016-03-31 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access.
Author : A.K. David
Publisher : Springer Science & Business Media
ISBN 13 : 1475740050
Total Pages : 1118 pages
Book Rating : 4.59/5 ( download)
Download or read book Family Medicine written by A.K. David and published by Springer Science & Business Media. This book was released on 2013-06-29 with total page 1118 pages. Available in PDF, EPUB and Kindle. Book excerpt: Much is new in Family Medicine since the last edition of our textbook. For example, not only is the therapy of human immunodeficiency virus (HIV) disease and the acquired immunodeficiency syndrome (AIDS) much different than a few years ago; the epidemiol ogy of the disease has also changed and more than half of the family physicians in a rural state such as Oregon have already managed patients with HIV disease or AIDS. 1 There are new immunization recommendations for children and new antibiotics for the treatment of bacterial infections. Computers are bringing medical informatics and on-line consultation into office practice. Medicare physician payment reform is underway and the reality of rationing medical care has been recognized. There has been a recent increase in student interest in a family practice career,2 coincidental with a Council on Graduate Medical Education (COGME) recommendation that at least 50 percent of all residency graduates 3 should enter practice as generalists. Also there is increasing awareness of the need for a 4 Center for Family Practice and Primary Care at the National Institutes of Health. This all-new fourth edition is intended to present the scientific and practical basis of family medicine with special attention to what's new in family medicine. The emphasis is on how the physician provides continuing and comprehensive care for persons of all ages, with clinical content selected from the perspective offamily physicians. The format ofthe book, like the practice of family medicine, continues to change.
Author : Eric J. Bieber
Publisher : Cambridge University Press
ISBN 13 : 1107040396
Total Pages : 1127 pages
Book Rating : 4.97/5 ( download)
Download or read book Clinical Gynecology written by Eric J. Bieber and published by Cambridge University Press. This book was released on 2015-04-23 with total page 1127 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written with the busy practice in mind, this book delivers clinically focused, evidence-based gynecology guidance in a quick-reference format. It explores etiology, screening, tests, diagnosis, and treatment for a full range of gynecologic health issues. The coverage includes the full range of gynecologic malignancies, reproductive endocrinology and infertility, infectious diseases, urogynecologic problems, gynecologic concerns in children and adolescents, and surgical interventions including minimally invasive surgical procedures. Information is easy to find and absorb owing to the extensive use of full-color diagrams, algorithms, and illustrations. The new edition has been expanded to include aspects of gynecology important in international and resource-poor settings.
