By S. Jean Emans MD, Marc R. Laufer MD
Now in its 5th variation, the best medical reference on pediatric and adolescent gynecology combines modern methods to prognosis with the most recent scientific and surgical administration recommendation that will help you tackle gynecologic difficulties in babies, young children, and children with confidence.
In this booklet, you will find professional views from a multidisciplinary array of contributors—many of whom helped to outline pediatric gynecology as a strong point. As pointed out within the foreword from Dr. Barbieri, “Simply placed, this can be the easiest booklet approximately pediatric and adolescent gynecology. for those who plan on possessing one textbook on pediatric and adolescent gynecology this is often the classic.”
Clinically concentrated assurance, in a layout that is effortless to use...
- Broad-based coverage is helping you handle the whole spectrum of universal and infrequent difficulties encountered in pediatric and adolescent gynecology.
- Outstanding algorithms and tables supply quickly and functional guideposts to actual diagnosis.
- More than four hundred illustrations, together with eight pages of full-color plates, convey the visible counsel had to realize key pathologic positive aspects and to refine your diagnosis.
- Abundant case examples assist you positioned easy rules into action.
- Up-to-date references offer a complete evaluation of the present literature and advisor extra research.
New to this Edition...
- Cutting-edge information on urology and complementary and replacement medication broadens your healing suggestions and is helping you solution frequently asked questions on natural and different remedies.
- Expanded assurance of surgical techniques is helping you right structural abnormalities of the reproductive tract.
Discover the specialist medical tips you must diagnose and deal with gynecologic difficulties in kids and kids. Order your replica of Pediatric and Adolescent Gynecology, 5th Edition today!
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Extra info for Pediatric and adolescent gynecology
Example text
3 mm. 5 mm2. The normal anatomy of the postpubertal external genitalia is illustrated in Figs. 1-22 and 1-23. The hymen in the adolescent girl is estrogenized and thickened. Minor changes due to sexual abuse or minor trauma that might have been easily seen in the thin unestrogenized hymen of the prepubertal child may be difficult to visualize or may have disappeared in the estrogenized vulva and hymen of the adolescent. As the normal hymen is elastic, tampons can be inserted by most adolescents.
Vaginal Samples If a vaginal discharge is present, samples should be obtained for culture and for saline and potassium hydroxide (KOH) preparations (see section on Wet Preparations, p. 37). Usually, the child prefers to lie on her back with her knees apart and with her feet together or in the stirrups so that she can watch the procedure without becoming excessively anxious. A nasopharyngeal Calgiswab moistened with nonbacteriostatic saline, a soft plastic eyedropper, a glass eyedropper with plastic tubing attached, a small feeding tube with a syringe, or a modified urethral catheter attached to a syringe (8) can be gently inserted through the hymenal opening to aspirate secretions or to obtain a vaginal wash sample.
After assessing a patient’s chief complaint and the results of the examination, the clinician should spend time with the parents and child to discuss the diagnosis, the proposed therapy, and the necessity of follow-up. Praising the young child for her cooperation and bravery helps establish the clinician–patient relationship so important during future examinations. OFFICE EVALUATION OF THE ADOLESCENT Evaluation of the adolescent requires different technical skills, including speculum examination of the vagina, bimanual palpation, and an office environment that is welcoming to the adolescent patient.