By Togas Tulandi
Comprised solely of scientific instances protecting ectopic being pregnant, this concise, useful casebook will supply clinicians in reproductive drugs and obstetrics/gynecology with the easiest real-world innovations to correctly diagnose and deal with a number of the types of the situation they could come upon. each one bankruptcy is a case that opens with a different scientific presentation, by way of an outline of the prognosis, evaluation and administration recommendations used to regard it, in addition to the case consequence and medical pearls and pitfalls. circumstances integrated illustrate diversified administration options – from therapy with methotrexate to surgical interventions – in addition to varieties of ectopic being pregnant, corresponding to ovarian, interstitial, heterotopic and stomach varieties, between others. Pragmatic and reader-friendly, Ectopic being pregnant: A medical Casebook could be a very good source for reproductive drugs experts, obstetricians and gynecologists, and relatives and emergency drugs physicians alike.
Read or Download Ectopic Pregnancy: A Clinical Casebook PDF
Best obstetrics & gynecology books
Obstetrics and Gynecology, Sixth Edition
Released in collaboration with the yankee university of Obstetricians and Gynecologists! verified because the common source for clerkship, Obstetrics and Gynecology is now in its revised 6th variation. All chapters were completely up-to-date via a panel of Junior Fellows within the American university of Obstetricians and Gynecologists (ACOG) and reviewed via popular educators and practitioners.
Post-War Mothers: Childbirth Letters to Grantly Dick-Reed, 1946-1956
For pregnant girls within the Nineteen Thirties and Forties Dr Grantly Dick-Read (1890-1959) proposed ordinary childbirth because the `normal' solution to have infants, making medications, tools and hospitalisation pointless. His publication Childbirth with out worry, first released in 1933, said the thrill of typical childbirth; ladies from around the globe wrote lengthy, special and poignant letters in reaction, describing their very own stories in giving beginning.
Te Linde's atlas of gynecologic surgery
Because the box of gynecologic surgical procedure evolves at a fast velocity, remain prior to the group with Te Linde’s Atlas of Gynecologic surgical procedure, your preferable consultant to pelvic anatomy and surgical applied sciences. ideal for either gynecologists-in-training and veteran physicians, this tome of knowledge imparts the newest novel suggestions that may retain your perform at the industry’s leading edge.
Ultrasound in Gynecology: An Atlas and Guide
This atlas and advisor publication is targeted on gynecological ultrasound, a space that has remained within the shadow of obstetric ultrasound & fetal drugs. Gynecological ultrasound has noticeable swift advances because of increasing examine and stronger ultrasound gear. This publication leverages those advances and offers plentiful illustrations and perform issues of classical and new ultrasound positive factors.
- Family Medicine Obstetrics (Third Edition), 3rd Edition
- Chirurgie vaginale (French Edition)
- Chronic Pelvic Pain (GIP - Gynaecology in Practice)
- An Atlas of Gynecologic Oncology
- EAES Guidelines for Endoscopic Surgery: Twelve Years Evidence-Based Surgery in Europe
Extra info for Ectopic Pregnancy: A Clinical Casebook
Example text
A serum hCG level of > 2000 mIU/mL should not be used as an indication of the presence of an EP. It is more likely to represent an intrauterine pregnancy and does not exclude viability. • Most EPs (> 70 % on initial presentation and > 90 % before final treatment) should be visualized on transvaginal ultrasonography. Most EPs (60 %) are seen as homogenous masses or ‘blobs’. • The management of PUL is based on assigning risk and not necessarily locating the pregnancy. • In the event of a stable EP, it is sensible to repeat the hCG after 48 hours before considering treatment.
Cohen A, Almog B, Satel A, Lessing JB, Tsafrir Z, Levin I. Laparoscopy versus laparotomy in the management of ectopic pregnancy with massive hemoperitoneum. Int J Gynecol Obstet. 2013;123(2):139–41. 4. Class II hemorrhage is defined as 15 to 30 % blood volume loss with clinical signs such as increased heart rate of 100 to 120 bpm, increased respiratory rate of 20 to 24, and a decreased pulse pressure. Delayed capillary refill and cool clammy skin may also be present. Class III hemorrhage involves a 30 to 40 % blood volume loss.
My Management A. Agree with performing laparoscopy B. Perform ultrasound-guided local injection C. Expectant management with hCG and TVUS in 2–3 days Diagnosis and Assessment Our patient has multiple factors which increase the risk of ectopic pregnancy, including history of infertility, tubal surgery, and advancing age. In one study, the authors reported that the risk of ectopic pregnancy among infertile women was double than that in fertile women [1]. Tubal factor infertility, as in this patient’s history, is a predominant risk factor.