A practical guide to office gynecologic procedures by Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS

By Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS

Office established approaches in surgical fields are speedily turning out to be bearing in mind speedier analysis and therapy. This new book, A sensible advisor to place of work Gynecologic Procedures provides the step by step advisor to office-based systems physicians have to deal with girls within the ambulatory setting.

Covering the main general place of work gynecologic tactics, this new publication covers symptoms, right positioning, anesthesia and kit wanted for over 35 office-based strategies. Chapters additionally current cautious counsel on powerful sufferer management.

Perform gynecologic techniques in a cheap ambulatory environment, whereas bettering the end result on your sufferers with this easy-to-use medical reference. 

•    Written via the college, fellows, and citizens of the Stanford division of Obstetrics and Gynecology
•    comprises foreword via prestigious Editor, Dr. Jonathan Berek
•    functional, illustrated advisor presents the “need-to-know” info on acting universal workplace procedures
•   CPT codes are indexed to avoid wasting you time
•    Over 250 complete color-figures (illustrations, pictures) aid determine and display easy methods to practice techniques
•    handy significant other site comprises totally searchable textual content and photographs delivering you entry to the content material anytime

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Extra info for A practical guide to office gynecologic procedures

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Avoid unaffected areas adjacent to the lesion by using a small applicator such as a small cotton swab. Cryotherapy • Apply the cryoprobe directly to the lesion. 4 ● Condylomata before and after (whitening) application of acid. From Mayeaux EJ. Treatment of noncervical human papillomavirus genital infections. In: Mayeaux EJ, ed. The essential guide to primary care procedures. Philadelphia, PA: Lippincott Williams & Wilkins, 2009. indd 26 12/01/13 7:25 AM Condylomata and Molluscum Contagiosum 27 —or— • Apply liquid nitrogen directly to the lesion using a cotton-tipped swab or a spray unit.

B: Biopsy forceps placed against cervical lesion (original photo). 4 ● Performing ECC. From Thomas J. Zuber, EJ. Mayeaux Jr. Atlas of primary care procedures. Philadelphia, PA: Lippincott Williams & Wilkins, 2004. III. Colposcopy in pregnant patients 1. Avoid ECC. 2. Limit biopsies to lesions suggesting severe dysplasia or invasive cancer. 3. Anticipate heavier bleeding if biopsies are obtained. 4. Schedule postpartum follow-up for repeat colposcopy. Aftercare • Bleeding from biopsy sites • Apply direct pressure.

This method may be used if the patient declines speculum examinations but prefers clinician to collect specimen. a. Assist patient into the dorsal lithotomy position on the gynecologic examination table. Insert the Dacron-tipped swab that is supplied with the collection kit 1 inch into the vagina (Fig. 1). c. Leave in place for the time recommended by the manufacturer. Place the swab in the collection container. 3. Self-testing. Preferred method for patients who are uncomfortable with clinician performing collection.

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