Clinical Protocols in Obstetrics and Gynecology, Third Edition

Clinical Protocols in Obstetrics and Gynecology, Third Edition

John E. Turrentine

Language: English

Pages: 448

ISBN: 0415439965

Format: PDF / Kindle (mobi) / ePub


Expanded and updated, the new edition of the bestselling Clinical Protocols in Obstetrics and Gynecology is the definitive quick-reference for use in office practice and hospital settings. With information drawn from ACOG technical bulletins, OB/GYN publications, articles, textbooks, computer sources, and the author's vast personal experience, outlines of more than 400 clinical protocols help ensure that everyone on the team is on the same page.

Flowcharts and algorithms make common problems seem simpler. Tables and decision trees make the information easy to refer to when running from room to room during a busy day in the office or hospital. This complete, up-to-date coverage makes Clinical Protocols in Obstetrics and Gynecology, Third Edition the best available study guide for board certification and a complete reference for busy obstetricians and gynecologists.

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absorption is not a problem ANOREXIA NERVOSA 31 (2) Vitamin B12 deficiency – rare Takes years to deplete vitamin B12 Incidence increased with gastric resection, Crohn’s disease Symptoms: neurological (posterior lateral column) (3) Myelodysplastic syndromes (4) Acute myeloid leukemia (5) Reticulocytosis Hemolytic anemia, response to blood loss, or response to appropriate therapy (6) Drug-induced anemia (7) Liver disease/severe hypothyroidism ANESTHESIA Predisposition to difficult intubation

triglycerides. This does not mean women do not have CAD, only that it is looked for at a much older age. If it was searched for, it could be found Diagnosis This should be the same as in men with the exception of the ‘ultrafast CT and EBT’ which do not detect calcification in women prior to age 40 at the same rate that they detect it in men (again, probably due to the level of estrogen). However, if she has increased risk factors, she should be screened more vigorously Lipid screening (total

(3) (4) (5) Bone marrow toxicity Doxorubicin, vinblastine, methotrexate, carboplatin Pulmonary fibrosis Paclitaxel, bleomycin Alopecia Ifosfamide, 5-FU, doxorubicin, methotrexate Severe inflammatory/ulcerative reactions Doxorubicin, mitomycin C, actinomycin D Cardiotoxic 76 CHEMORADIATION Doxorubicin • Meticulous dental hygiene should be practiced during and after antineoplastic therapy to modify complications of oral stomatitis CHEMORADIATION New treatment for cervical cancer Examples of

red follicular papules merge to form large, bright plaques Avoid lithium, β-blockers, antimalarials and systemic steroids DERMOIDS 103 Treatment Betamethasone dipropionate (Diprolene, Alphatrex) Anthra-Derm 0.1, 0.25, 0.5, 1% ointment 1.5 oz, 42.5 g tubes Drithocreme HP 1% cream, 50 g tube PsoriGel 7.5% coal tar solution; 1% alcohol gel 4 oz Topical steroids (pulse dosing – 2 weeks of medication and 1 week of lab only with plastic occlusion very effective) for psoriasis on < 20% of body

p.m. 1/3 – 1/2 NPH (q.h.s.) 1/2 REG (AC) (1) (2) (3) (4) (5) Patient diary (charting of glucose levels, insulin dosage and date/time) Type A1: no amnio; delivery by 40 weeks Type A2, B, C: twice weekly NSTs > 34 weeks; delivery at 38 weeks if glucose levels abnl and PG present Type D, F, R: twice weekly NSTs from 28–30 weeks; delivery at 36 weeks if abnl glucose levels and PG present Ultrasound (fetal anatomy) with echocardiogram (serious consideration) 18–20 weeks Pre-term labor (1) MgSO4

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