By Tamara L. Callahan

The most effective promoting and very hot volumes within the Blueprints sequence, Blueprints Obstetrics and Gynecology offers scholars with a concise evaluate of what they should recognize of their ob/gyn rotations or the forums. each one bankruptcy is short and comprises pedagogical positive factors equivalent to bolded key terms, tables, figures, and Key issues. A question-and-answer part on the finish of the booklet offers a hundred board-format questions with rationales. the most recent concepts in birth control and sterilization and hormone substitute treatments are lined, as are modern treatment plans for uterine fibroids and invasive breast melanoma. A better half site features a query financial institution and entirely searchable textual content.

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Because this disease is more common among African Americans, all persons of African descent should be screened in pregnancy. Individuals with one abnormal sickle-cell allele are known as having sickle-cell trait. It is likely that the increased carrier status in African Americans was selected because of heterozygote advantage. This is observed because resistance to malaria in individuals heterozygous for sickle-cell anemia was greater than those without the gene defect. Red blood cells in these individuals function in normal conditions but are inhospitable to Plasmodium vivax, the parasitic protozoan responsible for malaria.

Currently, there is a trial under way to see if in utero surgical repair can help those who are severely affected. Figure 3-4 • Cerebral findings of the “lemon” and “banana” signs in spina bifida. ) CARDIAC DEFECTS Whereas the heart is merely a four-chamber pump, there are a number of ways to change the structure that can lead to some interesting pathophysiology. Cardiac development begins during week 3 after conception when an angiogenic cell cluster forms at the anterior central portion of the embryo.

The other is that by making the diagnosis sooner, the option of termination is safer. Nuchal translucency (NT) appears to be an excellent way to screen for aneuploidy and Down syndrome in particular. NT involves a measurement of the posterior fetal neck taken in profile view (Fig. 3-6). Its sensitivity for Down syndrome has been reported to be between 60% and 90% and is generally assumed to be about 70% or greater. Several maternal serum analytes have been studied to generate a first-trimester serum screen.

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Blueprints Obstetrics and Gynecology, 5th Edition by Tamara L. Callahan
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