Acute Care and Emergency Gynecology

A Case-Based Approach

David Chelmow, Christine R. Isaacs, Ashley Carroll

• Publisher: Cambridge University Press
• eBook ISBN: 9781316122006
• Topic: Medicine
• Subtopic: Gynecology, Obstetrics & Midwifery

Acute Care and Emergency Gynecology covers almost 100 common and uncommon gynecologic problems encountered in urgent and emergency settings. Problems are presented in a case-based approach, integrating relevant evidence-based major Society recommendations where available, and supplementing with carefully researched expert opinion for many common situations for which no guidelines apply. The emphasis in on management. Discussions are designed to be detailed enough to guide practice, but focused to where they can be read in the time available prior to seeing a patient. The book serves two goals: first, it is designed for the many providers who prefer case-based learning, particularly for continuing professional development purposes; secondly, it is designed for rapid reference for someone seeing a similar case in this setting. Essential reading for physicians, midwives, nurse practitioners, and physician assistants in the areas of gynecology, family medicine, and primary care who provide gynecologic care in the urgent and emergency setting.

Table of contents

• Cover
• Half-title
• Title page
• Copyright information
• Table of contents
• Contributors
• Preface
• Case 1 A 45-year-old woman with heavy vaginal bleeding
• Case 2 A 29-year-old woman with a pelvic mass and altered mental status
• Case 3 Acute exacerbation of chronic pelvic pain in a 32-year-old woman
• Case 4 A 19-year-old woman with diabetes and hypertension requiring emergency contraception
• Case 5 Bleeding, pain, and fever four days after first-trimester termination
• Case 6 A 25-year-old woman requesting emergency contraception
• Case 7 Persistent trichomonas infection
• Case 8 A 42-year-old woman with recurrent unexplained vaginitis symptoms
• Case 9 A 30-year-old woman with vaginal itching
• Case 10 Sudden-onset left lower quadrant pain in a 21-year-old woman
• Case 11 A 35-year-old woman with IUD string not visible
• Case 12 A 38-year-old woman with sudden-onset shortness of breath
• Case 13 Vaginal bleeding in a 75-year-old woman
• Case 14 A 60-year-old woman with severe vulvar itching and an ulcer
• Case 15 Urinary retention in a 19-year-old woman
• Case 16 Recurrent herpes infection in a 28-year-old woman
• Case 17 Vulvar infection and sepsis in a 42-year-old woman
• Case 18 A 42-year-old woman with irregular bleeding
• Case 19 Persistent HSV in an HIV-positive woman
• Case 20 Incidentally discovered vaginal cyst in a 34-year-old woman
• Case 21 A 45-year-old woman with an enlarging pelvic mass
• Case 22 A 23-year-old woman with pelvic pain and fever
• Case 23 A 21-year-old woman with a new sexual partner
• Case 24 A 21-year-old woman with persistent pain and fever after treatment for PID
• Case 25 Acute vaginal and abdominal pain after defecation in a 79-year-old woman
• Case 26 Tachycardia and vaginal bleeding in pregnancy
• Case 27 Vaginal spotting at eight weeks' gestation
• Case 28 Heavy bleeding after medical management of a missed abortion
• Case 29 Abdominal pain and vaginal bleeding in a 24-year-old woman
• Case 30 Unanticipated ultrasound findings at follow-up prenatal visit
• Case 31 Early pregnancy spotting and an unusual ultrasound
• Case 32 Undesired pregnancy in a 19-year-old woman
• Case 33 A pregnant 37-year-old woman with lower left quadrant pain
• Case 34 Unruptured advanced ectopic pregnancy
• Case 35 A 23-year-old pregnant woman with acute-onset abdominal pain and hypotension
• Case 36 A woman with first-trimester vaginal bleeding
• Case 37 Midcycle spotting and worsening menorrhagia
• Case 38 A 40-year-old woman on tamoxifen therapy with a uterine mass
• Case 39 Small mass prolapsing from the cervix found on routine pelvic examination
• Case 40 A 35-year-old woman with a painful vulvar mass
• Case 41 A 32-year-old woman urgently referred for a cervical mass noted on routine pelvic examination
• Case 42 An 18-year-old woman with long-acting reversible contraception and new-onset bleeding
• Case 43 Cyclic pain after endometrial ablation
• Case 44 Positive hCG in a patient who reports no sexual activity for one year
• Case 45 Recalcitrant severe vaginal discharge and odor
• Case 46 A 25-year-old woman with a painful vulvar mass
• Case 47 Acute abdominal pain two weeks after successful vaginal birth after Cesarean
• Case 48 A 64-year-old woman with a simple ovarian cyst
• Case 49 A 26-year-old woman with acute pelvic pain and free fluid in the pelvis
• Case 50 A 36-year-old woman with fever and pelvic pain at 14 weeks' gestation
• Case 51 Acute fever and tachycardia in a 21-year-old woman during laparoscopy
• Case 52 A 40-year-old woman with hypertension and first-trimester bleeding
• Case 53 Nausea and vomiting at eight weeks’ gestation
• Case 54 A 27-year-old woman with severe nausea and vomiting in pregnancy
• Case 55 Early pregnancy with vaginal spotting
• Case 56 Positive RPR on initial prenatal labs
• Case 57 A high-speed motor vehicle accident during pregnancy
• Case 58 A 32-year-old woman with fever and unilateral breast pain
• Case 59 A 36-year-old woman with nipple pain postpartum
• Case 60 A woman in first-trimester pregnancy with fever, malaise, nausea, and vomiting
• Case 61 First-trimester flu-like symptoms in a 31-year-old woman
• Case 62 Abdominal pain and distension seven days after egg retrieval for planned IVF
• Case 63 Irregular bleeding in a 39-year-old nulliparous woman desiring fertility
• Case 64 A 24-year-old woman with her third pregnancy loss
• Case 65 A 38-year-old woman with worsening postpartum fatigue
• Case 66 A 19-year-old woman with primary amenorrhea
• Case 67 A 26-year-old woman with secondary amenorrhea
• Case 68 Irregular bleeding in a 25-year-old woman
• Case 69 A 28-year-old woman with irregular bleeding requiring transfusion
• Case 70 A 29-year-old woman with secondary amenorrhea after a septic abortion
• Case 71 Worsening dysmenorrhea in a 14-year-old girl
• Case 72 A seven-year-old girl with vaginal bleeding
• Case 73 A four-year-old girl falls while exiting the bathtub
• Case 74 Worsening cyclic pain and amenorrhea in a 13-year-old girl
• Case 75 Worsening cyclic pain and amenorrhea in a 13-year-old girl with a normal appearing but short vagina
• Case 76 A 19-month-old girl with labial adhesions and acute urinary retention
• Case 77 A 13-year-old girl with irregular menses and significant weight gain
• Case 78 A 14-year-old girl with anemia
• Case 79 A 13-year-old girl with vulvar irritation and new-onset behavioral problems
• Case 80 A 10-year-old girl with lower abdominal pain
• Case 81 Complete procidentia in a 70-year-old woman
• Case 82 Incontinence in a 50-year-old woman after pessary placement
• Case 83 A periurethral mass in a 25-year-old woman
• Case 84 A periurethral mass in a 45-year-old woman
• Case 85 New-onset incontinence in a 42-year-old woman
• Case 86 Urinary leakage following hysterectomy
• Case 87 Urinary retention following urethral sling surgery
• Case 88 A urethral mass in a postmenopausal woman
• Case 89 A 70-year-old woman with a new vulvar mass
• Case 90 A 45-year-old woman with a fungating cervical mass
• Case 91 A 48-year-old woman with a 4-month history of intermittent abdominal pain and urinary frequency
• Case 92 A 65-year-old woman with profuse vaginal bleeding
• Case 93 A 38-year-old woman with heavy vaginal bleeding 6 months after D&C for complete mole
• Case 94 A 62-year-old woman with a vulvar lesion
• Case 95 A 62-year-old woman with ovarian cancer and new-onset pelvic and right-leg pain
• Case 96 A 64-year-old woman with ovarian cancer, emesis, and abdominal pain
• Case 97 A 65-year-old woman with new-onset fatigue, parasthesias, and muscle cramps after chemotherapy for ovarian cancer
• Index