By Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS
Office established tactics in surgical fields are swiftly starting to be bearing in mind faster prognosis and remedy. This new book, A useful advisor to place of work Gynecologic Procedures provides the step by step advisor to office-based approaches physicians have to deal with ladies within the ambulatory setting.
Covering the main accepted place of work gynecologic tactics, this new publication covers symptoms, right positioning, anesthesia and gear wanted for over 35 office-based strategies. Chapters additionally current cautious assistance on powerful sufferer management.
Perform gynecologic tactics in an economical ambulatory atmosphere, whereas bettering the result in your sufferers with this easy-to-use medical reference.
• Written by way of the school, fellows, and citizens of the Stanford division of Obstetrics and Gynecology
• comprises foreword by way of prestigious Editor, Dr. Jonathan Berek
• sensible, illustrated consultant presents the “need-to-know” info on appearing universal place of work procedures
• CPT codes are indexed to save lots of you time
• Over 250 complete color-figures (illustrations, images) support establish and exhibit the best way to practice techniques
• handy significant other site contains totally searchable textual content and photographs supplying you entry to the content material anytime
Read or Download A practical guide to office gynecologic procedures PDF
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Additional resources for A practical guide to office gynecologic procedures
Examine slides under microscope with both low- and high-power magnification Note any clue cells or motile trichomonads present on the slide prepared with normal saline, and any hyphae noted on the slide prepared with KOH. 2 ● “Cottage Cheese” discharge visible in vaginal vault. Aftercare • None CPT Code 87210. , saline, India ink, KOH preps) Pearls • Classically, trichomoniasis is associated with a greenish-yellow frothy discharge, although many infections are asymptomatic. • Bacterial vaginosis may associated with a “fis y”-smelling thin discharge that is accentuated when KOH is applied to the specimen, and candidiasis is associated with a white, thick, “cottage cheese” discharge.
Infection with trichomonas is more common in many adolescent populations than gonorrhea. Wet prep has poor sensitivity for this pathogen, while culture is held as the gold standard. • Culture is the gold standard for diagnosing yeast vaginitis. indd 42 12/01/13 7:26 AM 3 8 Colposcopy: Vagina and Cervix Inna Landres and Paul D. Blumenthal Colposcopy is a diagnostic procedure used to magnify the cervix and vagina and assess for premalignant or malignant epithelial changes. Indications for cervical colposcopy are abnormal cytology results from a screening pap smear including atypical squamous cells-uncertain significance (ASC-US) with high-risk human papilloma virus (HPV) subtype, low-grade squamous intraepithelial lesion (LSIL), high-grade squamous intraepithelial lesion (HSIL), ASC suggestive of high-grade lesion (ASC-H), atypical glandular cells (AGC), or results suspicious for invasive cancer.
A: Sterile saline solution, B: Lidocaine, 1% or 2% solution, C: Hemostat, D: Word catheter, E: Sterile gloves, F: Culture swab and transport media, G: Sterile Q-tips, H: 30-gauge, 1-inch needle with 5–mL syringe for injecting lidocaine, I: Scalpel blade (No. 11) and handle, J: Sterile skin preparatory solution, K: Gauze pads (4 × 4). 9. Sterile saline solution 10. Word catheter 11. 25-gauge, 1-inch needle with 3-mL syringe for infiltratio of Word catheter balloon (not shown) Additional Instruments for Marsupialization • 00 absorbable suture for marsupialization • Allis forceps Technique Preparation 1.
A practical guide to office gynecologic procedures by Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS