This practical handbook provides detailed guidelines on prescribing drugs in all classes and for a wide variety of diseases and disorders during pregnancy, with numerous boxes and tables to assist understanding. CONTENTS: Introduction to Drugs in Pregnancy * Antimicrobials during Pregnancy: Bacterial, Viral, Fungal, and Parasitic Indications * Cardiovascular Drugs during Pregnancy * Endocrine Disorders, Contraception, and Hormone Therapy during Pregnancy: Embryotoxic versus Fetal Effects * Antiasthma Agents during Pregnancy * Anesthetic Agents and Surgery during Pregnancy * Antineoplastic Drugs during Pregnancy * Analgesics during Pregnancy * Anticonvulsant Drugs during Pregnancy * Psychotropic Use during Pregnancy * Antihistamines, Decongestants, and Expectorants during Pregnancy * Nutritional and Dietary Supplementation during Pregnancy * Use of Dermatologics during Pregnancy * Drug Overdoses during Pregnancy * Miscellaneous Drugs during Pregnancy: Tocolytics, Immunosuppressants, and Biologic Therapeutics * Substance Abuse during Pregnancy * Online Support Material

The COPD chart presents a detailed overview of the symptoms and causes of Chronic Obstructive Pulmonary Disorder (COPD). Sections help explain the two related respiratory diseases that constitute COPD - emphysema and chronic bronchitis. Heavy cover stock with protective varnish for durability.

Ancient Egyptian medicine employed advanced surgical practices, while the prevention and treatment of diseases relied mostly on natural remedies and magical incantations. In the first of three volumes, The Medicine of the Ancient Egyptians explores these two different aspects, using textual sources and physical evidence to cast light on the state of ancient medical knowledge and practice and the hardships of everyday life experienced by the inhabitants of the land on the Nile. The first part of the book focuses on ancient Egyptian surgery, drawing mainly on cases described in the Edwin Smith papyrus, which details a number of injuries listed by type and severity. These demonstrate the rational approach employed by ancient physicians in the treatment of injured patients. Additional surgical cases are drawn from the Ebers papyrus. The chapters that follow cover gynecology, obstetrics, and pediatric cases, with translations from the Kahun gynecological papyrus and other medical texts, illustrating a wide range of ailments that women and young children suffered in antiquity, and how they were treated. Illustrated with more than sixty photographs and line drawings, The Medicine of the Ancient Egyptians is highly recommended reading for scholars of ancient Egyptian medicine and magic, as well as for paleopathologists, medical historians, and physical anthropologists.

OSCEs for the MRCOG Part 2 is designed to help the candidate in preparation for the oral examination or OSCE, the concluding element required to pass the MRCOG part 2 examination. The second edition builds upon the strengths of the first by concentrating on testing the candidate's theoretical and practical knowledge of obstetrics and gynaecology as recommended in the syllabus for the MRCOG Part 2 examination. The detailed scenarios test the trainee's ability to obtail obstetric and gynaecoloical histories, to counsel patients and to demonstrate clinical skills. The book will also help the candidate to critically appraise pieces of written work in discussion with examiners and to discuss the varied aspects of obstetrics, gynaecology and allied subjects on which they are likely to be examined during the oral assessment. Opening with a general introduction to the OSCE, the book gives readers invaluable advice on preparation for this particular form of examination such as body language, the importance of visual contact and how to interact appropriately with the examiner and the 'role player'. Helpful discussion sections at the end of each case or 'station' provide helpful suggestions for further study, and are supplemented by key references. Supplementary circuits with less detailed information are also provided for emaniation practice.

This invaluable manual provides a practical overview of the field of gynecologic oncology. Focusing on clinical aspects of the specialty, it provides hands-on guidance for those caring for patients with ovarian, cervical, uterine, and lower genital tract cancers. It describes the current epidemiology, pathophysiology, presentation, diagnosis, and multimodality management of the most common gynecologic malignancies. Chapters are also devoted to radiation and chemotherapy, as well as symptom management. The book is designed for quick reference.

In this second edition of Disorders of Thrombosis and Hemostasis in Pregnancy - A Guide to Management the content has been thoroughly updated, with a particular focus on strengthening the management sections to ensure that advice on management represents state of the art.

As recently detailed in an Institute of Medicine Report, pain represents one of the most costly and prevalent public health conditions in the United States, and the burden of pain is substantially greater for women than men. Women make up half of the world's population. Yet, the overall treatment of pain in women remains challenging to this day. The differences between men and women are anatomical, physiological and psychosocial in nature. Consequently, several unique features come to mind when discussing pain as experienced by women, such as pain related to pregnancy, pain related specifically to female organs, and chronic painful conditions which have a higher prevalence in the female population. The purpose of this book is to address the current understanding of mechanisms related to sex differences, and the clinical management of common acute and chronic painful conditions in women, using up-to-date evidence-based information. The painful conditions discussed include those that are specific to female anatomy and physiology and conditions that have a higher female prevalence. The book is divided into three sections. The first section covers basic science topics related to sex differences in pain. The epidemiology of painful conditions with female prevalence; sex differences in response to pain, and to analgesics; the role of sex hormones and genotype in pain perception and analgesia; sex differences in cerebral responses to pain revealed by brain imaging ; and the role of psychosocial factors, including psychological interventions will be discussed in this section. The second and third sections are clinically directed. The second section focuses on pain specific to female patients. Topics include the management of labor pain; the management of painful conditions during pregnancy; and the management of pain in the opioid tolerant pregnant patient. The latter includes discussion on the impact of pain management on the fetus in utero, and on the newborn who is breastfed. Chronic pain specific to females, including dysmenorrhea, chronic pelvic pain and vulvodynia will be discussed in this section. Cancer-related pain issues in women will be addressed in the chapter on persistent pain after breast cancer treatment and the chapter on interventional management of pelvic cancer pain. The third section covers painful conditions with high female prevalence. These include fibromyalgia, chronic fatigue syndrome and neuropathic pain in complex regional pain syndrome. Visceral pain with female prevalence such as irritable bowel syndrome, chronic pelvic pain of undetermined etiology will also be addressed in this section. This section also includes chapters on the presentation of cardiac pain in women; headaches including migraine; and temporomandibular joint disorders and orofacial pain. The book is intended for a wide readership, including physicians and allied healthcare professionals who encounter female patients with acute or chronic painful conditions. In addition, residents and medical students in training as well as graduate students in health sciences will benefit greatly from this book as they continue to learn about and manage difficult and complex issues related to pain in female patients.

This new series for surgical pathologists presents "current concepts" in pathology diagnosis, key features, differential diagnosis, overview, pitfalls, and molecular approaches for every disease entity and body region. This publication on gynecologic epithelial tumors includes topics on Clinical approach to diagnosis and management of tumors of the cervis and vulva; Biomarkers in cervical cancer diagnosis; Pathology of vulvar neoplasms; Clinical approach to diagnosis and management of the corpus; Molecular overview of cancer of the corpus; Complex atypical hyperplasia and differentiated endometrioid adenocarcinoma; High-grade endometrial carcinoma; Familial tumors of the corpus; Clinical approach to diagnosis and management of the ovary, fallopian tube, and peritoneum; Molecular overview of cancers of the ovary, fallopian tube, and peritoneum; Metastatic carcinomas to ovary; Low-grade serous tumors; High-grade serous carcinoma; Non-serous ovarian epithelial tumors; and Familial tumors of the corpus.

A working knowledge of the basic sciences that underpin mechanisms of disease and the body's response is widely recognised to be a critical part of urological training. This book is aimed at trainees to ensure they are up to date with this breadth of knowledge and it provides succinct summaries which are ideal for revising the basic sciences component of final assessments and examinations. The chapters cover anatomy and physiology, the basic principles of immunology and oncology and particular diseases. It is a compendium of "need to know" facts and is aimed at both FRCS (Urol) candidates and a wider gloabl surgical audience looking for an up to date summary.

Making Women's Medicine Masculine challenges the common belief that prior to the eighteenth century men were never involved in any aspect of women's healthcare in Europe. Using sources ranging from the writings of the famous twelfth-century female practitioner, Trota of Salerno, all the way to the great tomes of Renaissance male physicians, and covering both medicine and surgery, this study demonstrates that men slowly established more and more authority in diagnosing and prescribing treatments for women's gynecological conditions (especially infertility) and even certain obstetrical conditions.
Even if their "hands-on" knowledge of women's bodies was limited by contemporary mores, men were able to establish their increasing authority in this and all branches of medicine due to their greater access to literacy and the knowledge contained in books, whether in Latin or the vernacular. As Monica Green shows, while works written in French, Dutch, English, and Italian were sometimes addressed to women, nevertheless even these were often re-appropriated by men, both by practitioners who treated women nd by laymen interested to learn about the "secrets" of generation.
While early in the period women were considered to have authoritative knowledge on women's conditions (hence the widespread influence of the alleged authoress "Trotula"), by the end of the period to be a woman was no longer an automatic qualification for either understanding or treating the conditions that most commonly afflicted the female sex--with implications of women's exclusion from production of knowledge on their own bodies extending to the present day.

The growing number of cancer survivors presents a new challenge to generalists and specialists involved in their care. Prior cancer treatments may compound known comorbidities or contribute to future health risks. The ultimate success of cancer treatments ultimately depends on the meticulous management of post-cancer care, and this requires a clinical workforce that is engaged and ready. Cancer survivorship has now become recognized as an independent field of research and clinical practice. This new concise guide is intended for cancer clinicians as well as generalists and specialists who meet cancer survivors in their practices for routine check-ups or specialized consultations. With an expanding population known to have complex medical, psychosocial and emotional needs, we hope this book sparks interest and provides answers for those involved in their care.

Heart disease is currently the leading cause of maternal mortality in developed countries and is expected to increase further due to advanced maternal age and conditions such as type 2 diabetes. Maternal Cardiac Care: A Guide to Managing Pregnant Women with Heart Disease is an up-to-date, multidisciplinary resource for physicians and advanced practice nurses caring for pregnant patients with a variety of preexisting and emerging cardiac issues. Offers comprehensive information on caring for women with heart disease, in an easy-to-follow, quick-access format. Shares knowledge from a multidisciplinary group of experts who are well versed in the team approach needed to treat this high-risk patient population. Includes extensive references for readers who want to delve more deeply into specific subjects. Ideal for obstetricians, internists, cardiologists, critical care specialists, and advanced practice nurses involved in caring for pregnant patients, as well as institutions and departments that need detailed guidance on establishing a maternal cardiac care program. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

Offering a one-stop guide to recognition and therapeutic decision making, Diagnosis and Treatment of Rare Gynecologic Cancers fills a gap in the medical literature on uncommon ovarian, uterine, cervical, and vulvovaginal cancers and trophoblastic diseases. This authoritative text, edited by Drs. Michael Frumovitz, Mario Leitao, and Preetha Ramalingam, has been authored by internationally recognized experts from top institutions such as MD Anderson Cancer Center and Memorial Sloan Kettering Cancer Center. Each chapter covers different cancer subtypes and has been reviewed by an oncologist and a pathologist. Provides up-to-date clinical guidance on assessment and therapeutic options for patients with rare gynecologic malignancies. Presents information in a templated, easy-to-read format. Each chapter includes an introductory clinical case followed by epidemiology of disease, pathologic assessment, basic science/molecular/translational research, work-up of newly diagnosed disease, staging, treatment of newly diagnosed disease, treatment of recurrent disease, potential therapeutic targets, and a case resolution. Includes diagnostic and treatment algorithms for each form of cancer. Contains numerous anatomical figures, radiographs, photographs, and tables for quick visual reference. Enhanced eBook version included with purchase. Your enhanced eBook allows you to access all of the text, figures, and references from the book on a variety of devices.

The landmark text that has served generations of obstetrician-gynecologists-fully updated with the most current perspectives of the field Williams Obstetrics has defined the discipline for generations of obstetrician-gynecologists. Written by authors from the nationally renowned University of Texas Southwestern Medical Center and Parkland Hospital, the new edition of this authoritative, evidence-based work maintains its trademark comprehensive coverage and applicability at the bedside, while offering the most current information and insights. The culmination of a century of clinical thought, Williams Obstetrics, 26th Edition delivers expert coverage of obstetrical complications, such as preterm labor, pregnancy-related hypertension, infection, and hemorrhage. It additionally offers foundational content on reproductive anatomy, physiology, and prenatal care. The authors have enhanced this edition with 1,000+ full-color illustrations, plus an increased emphasis on the fast-growing subspecialty of Maternal-Fetal Medicine. No other text matches the long-established scientific rigor and accessibility of Williams Obstetrics. With its state-of-the-art design and review of the newest advances and protocols, this not-be-missed clinical companion brings positive outcomes within reach. New and updated content includes: Increased focus on Maternal-Fetal Medicine Greater coverage of hypertension and hemorrhage Deeper insights into in-utero complications Expanded fetal t section includes cutting-edge fetal imaging, genetics, prenatal diagnosis, and fetal disorders and therapy Basic science, physiology of labor, preterm labor updated with contemporaneous publications in the literature More obstetrical sonography figures Eye-catching illustrations, including updated graphs, sonograms, MRIs, photographs, and photomicrographs

This issue of the Surgical Oncology Clinics will focus on new advances in Breast Cancer Surgery, and will include articles on Chemoprevention, Breast MRI, Genomics, Sentinel Node Biopsy, Extra-axillary Sentinel Nodes, Skin-Sparing and Nipple Sparing Mastectomy, Oncoplastic Techniques, Neoadjuvant Hormonal Therapy, Neoadjuvant Chemotherapy, Adjuvant Hormonal Therapy, Adjuvant Chemotherapy, and Biologic Targeted Therapies.

This publication presents topics on Current Clinical Indications for Breast MRI; How to set up breast MRI practice; MR-BIRADS Lexicon; Optimization of breast MRI at 1.5 Tesla(T) and at 3 Tesla; Role of MRI in evaluating extent of disease; Update on Screening breast MRI in high risk women; MRI of DCIS; Role of breast MRI in the assessment of Invasive lobular carcinoma; Breast MRI Interventions: Indications, Technique, and Histologic Correlation; Role of Breast MRI in problem-solving; Benign lesions detected on breast MRI; Clinical Oncologic Perspective of Breast MRI; Role of breast MRI in neo-adjuvant chemotherapy.

Genetic Screening and Counseling is reviewed in this issue of Obstetrics and Gynecology Clinics, guest edited by Drs. Anthony R. Gregg and Joe Leigh Simpson. Authorities in the field have come together to pen articles on Contemporary Genetics Counseling: New Frontiers and Challenges, Newborn Screening, SMA Carrier Screening, Fragile X, Ashkenazi Jewish Screening in the 21st Century, Thrombophilia in Obstetric Practice, Microarrays in the Practice of Obstetrics and Gynecology, Cancer Genetic Screening, and Cystic Fibrosis.

The Diploma of the Royal College of Obstetricians and Gynaecologists (DRCOG) is a well-regarded post-graduate qualification in women's health. The DRCOG is particularly respected among primary care and community sexual and reproductive health clinicians. Studying towards this qualification is rewarding and fun, and as such the exam has become extremely popular over recent years. In addition, holding the DRCOG has proved to be a useful indicator by which employers can differentiate excellent clinicians from the average ones. It certainly is the cherry on the cake of General Practice training, and complements the RCGP curriculum. Mastering the DRCOG is organised to directly reflect and fulfil the DRCOG syllabus set by the Royal College of Obstetricians and Gynaecologists in April 2007, and chapters are laid out precisely following the DRCOG syllabus format. Starting with an overall introduction to the exam, the book then covers the seven core modules of the syllabus: Basic Clinical Skills, Basic Surgical Skills, Antenatal Care, Management of Labour and Delivery, Postpartum and Neonatal Problems, Gynaecological Problems and Subfertility & Contraception. This is followed by a section of 'hot topics' not specifically mentioned in the syllabus but of real interest for all those working in the area of women's health. Hot topics include the menopause and its management, abuse of women (rape, female genital mutilation, prostitution, pornography), and ethical issues such as fetal sex selection & eugenics, egg donation, breast augmentation surgery, and surrogate motherhood. Mastering the DRCOG is written in a clear and straight-forward style and is illustrated throughout. Written by a newly qualified General Practitioner fresh from the exam hall, and edited by two highly experienced Consultants, one in Obstetrics & Gynaecology, the other in Community Sexual & Reproductive Health, "Mastering the DRCOG" is a fantastic resource for anyone preparing f

This is an ideal evidence based clinical guide to the essential principles and practical points arising from obstetric emergencies for residents, trainees, and obstetricians in practice. The concise text, illustrated with key diagrams, is from experienced educators and practitioners. *Provides a concise illustrated guide to the key principles and practical points involved *Gives trainees, residents, and obstetricians the practical information they need in an emergency *Supplies quick and easy reference to key points with illustrations

This issue of Obstetrics and Gynecology Clinics, guest edited by Drs. William Rayburn and Kathleen Kennedy, addresses some of the most challenging issues Obstetrician-Gynecologists face in their practice. It includes articles on psychological and behavioral issues influencing women's health including depression, sexual function, intimate partner violence, and substance dependence.

Ovarian carcinoma continues to be responsible for more deaths than all other gynecologic malignancies combined, due to a continued inability to achieve detection of early (rather than advanced) stage disease and the lack of effective tumor-specific therapeutics.

Ovarian carcinogenesis, invasion, and metastatic dissemination require a complex cascade of interrelated genetic, molecular, and biochemical events that regulate the neoplastic transition of normal ovarian surface epithelium.

This updated second edition includes exciting new advances in ovarian cancer detection and treatment and provides an analysis of current research into aspects of malignant transformation, growth control, and metastasis. A more detailed understanding of these processes may ultimately translate into the development of novel approaches for the detection and control of ovarian cancer.

This issue of Ultrasound Clinics provides a general overview of women's imaging with ultrasound. Included in the issue are articles on imaging breast masses, performing breast biopsies using ultrasound, and postsurgical follow up. The remainder of the issue reviews obstetric topics such as ectopic pregnancy, pregnancy-related genitourinary diseases, and first trimester bleeding, and gynecologic topics such as postmenopausal bleeding, endometriosis, and ovarian torsion among others.

This issue of Clinics in Perinatology, guest edited by Dr. Hanmin Lee, examines the topic of Fetal Surgery. The issue begins with an overview, including the history of fetal surgery, ethical implications, and maternal management and outcome. Imaging (including Ultrasound, MRI, and Echocardiology) and Specific Diseases (including Congenital Diaphragmatic Hernia, Fetal Lung Lesions, Obstructive Uropathy, TTTS, MMC, TRAP and other discordant twins, and Congenital Cardiac Anomalies) are also examines. The issue concludes with a look at research and future directions, including Stem Cell Transplant/Gene Therapy, Consortiums/Registries, and Fetal Tissue Engineering.

This issue of Obstetrics and Gynecology Clinics examines Women and Obesity. Guest Editor Dr. Raul Artal has assembled a panel of world-class experts who offer reviews on topics including: The Epidemiology of Obesity and Health Economics, Early Life Origins of Obesity, Regulation of Fat Metabolism in Obesity: Gender Differences, Physiological Aspects of Obesity, Pregnancy and Obesity, Exercise Prescription for Overweight and Obese Women: Pregnancy and Post-partum, Post-partum Weight Retention and Rise for Obesity, Obesity and its Relationship to Infertility in Men and Women, Obesity and Sexual Aspects in Women, Maternal and Child Obesity: the Peuetic Link, Minorities and Obesity, and Experimental Research Direction in Obesity.