Primary and preventive care for the obstetrician gynecologist:
Gespeichert in:
| Format: | Buch |
|---|---|
| Sprache: | English |
| Veröffentlicht: |
Philadelphia [u.a.]
Saunders
2001
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
28,2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | XII S., S. 189 - 445 Ill., graph. Darst. |
Internformat
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| 245 | 1 | 0 | |a Primary and preventive care for the obstetrician gynecologist |c Val Y. Vogt ... guest ed. |
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| 650 | 7 | |a Gynaecologen |2 gtt | |
| 650 | 7 | |a Preventieve gezondheidszorg |2 gtt | |
| 650 | 4 | |a Asthma | |
| 650 | 4 | |a Depression | |
| 650 | 4 | |a Hypertension | |
| 650 | 4 | |a Indigestion | |
| 650 | 4 | |a Smoking |x In pregnancy | |
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Datensatz im Suchindex
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| adam_text | PRIMARY AND PREVENTIVE CARE FOR
THE OBSTETRICIAN GYNECOLOGIST
CONTENTS
Preface xi
Val Y. Vogt, Thomas D. Elmore, and Frank W. Ling
Vaccinations in Women 189
Laura Read Sprabery
In the context of an ongoing relationship, primary care prac¬
titioners can furnish reliable information to patients about vacci¬
nations and are particularly able to increase vaccination rates
in their patients. This article summarizes recommendations for
vaccines commonly used in primary care and provides written
and internet based references for additional information.
Diagnosis and Management of Headache 205
James B. Lewis, Jr, and Elliot M. Frohman
Migraine and tension headaches are among the most common
diagnoses in women s health. Secondary causes of headache such
as brain tumor, subarachnoid hemorrhage, and meningitis are
uncommon but must not be missed. A careful history and physi¬
cal examination, use of diagnostic criteria, and certain facts about
the serious causes of headache are the keys to diagnosis and
treatment. Neuroimaging should be limited to patients displaying
signs or symptoms of a secondary headache cause. Menstrual
migraine can be managed similarly to nonmenstrual migraine.
Fatigue in Primary Care 225
Robert E. Morrison and Herbert J. Keating III
Fatigue is a common problem in primary care that may represent
a reaction to life problems or be a component of a disease state.
A careful history, physical examination, and a few directed labo¬
ratory tests can usually allow the physician to differentiate be¬
tween fatigue caused by depression, situational stress, or physical
v
causes such as postviral or drug induced fatigue, endocrine disor¬
ders, sleep disorders, infectious diseases, autoimmune disorders,
or neurologic disease. Uncommonly, patients may have otherwise
unexplained fatigue lasting 6 months or more that fulfills the
criteria of chronic fatigue syndrome. A range of diagnostic skills
coupled with a therapeutic physician patient relationship will
usually be successful in treating women with symptoms of fa¬
tigue.
Depression and Anxiety Disorders 241
Candace S. Brown
Because of a greater prevalence of depressive and anxiety disor¬
ders among women, a substantial part of an obstetrician gynecol¬
ogist s practice is concerned with the management of these disor¬
ders. This article depicts how women with these disorders present
to a primary care clinic and how the menstrual cycle, pregnancy,
and lactation may affect symptoms. General principles of man¬
agement are discussed, including suicide assessment, medical
evaluation, psychotherapy, pharmacologic treatment, and psychi¬
atric referral. The selective serotonergic reuptake inhibitors
(SSRIs) are described as first line treatment for most depressive
and anxiety disorders because of the overall efficacy and favor¬
able side effect profile. Other pharmacologic agents are discussed
for women who are unresponsive to or intolerant of the SSRIs.
Although psychotherapy is preferred to antidepressants during
pregnancy and lactation, guidelines for appropriate antidepres
sant use are provided.
Smoking Cessation in Pregnant Women 269
Lisa M. Klesges, Karen C. Johnson, Kenneth D. Ward, and
Marie Barnard
Cigarette smoking is considered the most significant modifiable
cause of adverse pregnancy outcomes in US women. Despite
these well known adverse effects, many women fail to quit smok¬
ing during pregnancy. Socially disadvantaged women are at espe¬
cially high risk for continued smoking. Brief office based inter¬
ventions by physicians have shown a doubling of cessation in
pregnant women, so the potential impact across patient popula¬
tions is considerable. Recommended steps for physician interven¬
tion include the following: asking about smoking, advising smok¬
ers to stop, assisting patients in stopping, and arranging follow
up. Relapse prevention methods using office based and social
support systems are also important to improve long term mainte¬
nance of cessation in women who do quit smoking during preg¬
nancy. Dissemination of office based cessation systems with po¬
tential use of pharmacologic therapies and in combination with
community based interventions will help increase cessation rates
in pregnant smokers. These combined efforts will help remedy
the public health burden of fetal exposure to tobacco.
Vi CONTENTS
Diagnosis and Management of Respiratory Tract
Infections for the Primary Care Physician 283
Shirley C. Wei and John Norwood
Respiratory infections account for a large number of primary
care office visits. The obstetrician gynecologist will often evaluate
patients with various respiratory problems. It is important to
differentiate among the respiratory illnesses in order to render
appropriate therapy. This article presents a brief discussion of
various respiratory infections and the evaluation of these illnesses
by the primary care physician.
Asthma 305
Alan W. James
Asthma is an important and increasingly prevalent respiratory
disease. Its proper diagnosis and treatment lie at the heart of
improving asthma outcome. Unfortunately, asthma has many
faces and is affected by many variables, many of them difficult
to control. Like many chronic illnesses, asthma tends to affect
the poor and less advantaged individuals in society. Heightened
awareness among patients and physicians of the serious nature
of the disease is needed to reduce the morbidity and mortality
of asthma. Treatment clearly requires a multifaceted approach,
including behavioral, environmental, social, and medical inter¬
ventions, in which the National Asthma Education and Preven¬
tion Program guidelines provide a logical, step wise, and effective
approach.
Hypertension 321
William C. Mabie
This article reviews some of the salient points in the management
of hypertension as recommended by the Sixth Report of the
Joint National Committee on Prevention, Detection, Evaluation,
and Treatment of High Blood Pressure. New developments since
publication of this 1997 report are also discussed.
Dyspepsia in Pregnancy 333
Stephen L. Winbery and Kari E. Blaho
Dyspepsia with or without nausea and vomiting is common in
pregnancy. For a variety of reasons, chronic gastritis and peptic
ulcer disease may improve during pregnancy, whereas preg¬
nancy related causes of dyspepsia increase. Gastrointestinal
symptoms, including those in some cases of hyperemesis gravi
darum, can be caused by infection with Helicobacter pylori. Accu¬
rate early diagnosis of gastritis and ulcer disease can prevent
potentially morbid complications and the need for surgical inter¬
vention. When symptoms are persistent into the late second
contents vii
trimester, refractory to pharmacologic treatment, or severe, com¬
plications of ulcer disease, nonobstetrical emergencies, and under¬
lying cancer should be suspected and sequentially ruled out.
Lower Gastrointestinal Disease in Women 351
Roger P. Smith
Gastrointestinal disease is common in women and therefore a
commonly encountered entity in gynecologic practice. A new
understanding of the underlying pathophysiology of the most
common condition, irritable bowel syndrome, is changing both
diagnosis and therapy.
Anemia 363
Marion Dugdale
Approximately one third of the world s population is anemic.
Women, especially pregnant women, and children are dispropor¬
tionately affected. Four disorders cause most of this anemia: iron
deficiency, the thalassemias, the hemoglobinopathies, and folate
deficiency. In this article, the pathophysiology of these conditions
is reviewed from a clinician s perspective with suggestions re¬
garding diagnosis and management.
Hypoglycemia 383
Ghassem Pourmotabbed and Abbas E. Kitabchi
Hypoglycemia is probably the most common endocrine emer¬
gency seen by primary care physicians. It occurs often in patients
on insulin treatment with tight control and in older patients on
Sulfonylura. In this article, different causes of hypoglycemia and
their clinical presentation and management are discussed.
Management of Type 2 Diabetes: Evolving Strategies for
Treatment 401
Guillermo E. Umpierrez and Abbas E. Kitabchi
Type 2 diabetes is the most prevalent form of diabetes, accounting
for approximately 90% of cases. This article examines the current
classification, diagnostic criteria for diabetes, and screening rec¬
ommendations and provides a therapeutic strategy for improving
glycemic control in patients with type 2 diabetes.
Evaluation of the Patient with a Suspected Thyroid
Disorder 421
Michael Bryer Ash
This article is designed to provide the obstetrician gynecologist
with a practical approach to the evaluation of patients presenting
viii contents
with incidental thyroid disorders. Problems are organized ac¬
cording their common mode of presentation, rather than by
pathophysiologic or diagnostic category. The management of dis¬
orders that do not require specialist involvement is discussed. The
initial investigations and interim management of more complex
problems, for which the obstetrician gynecologist is unlikely to
provide ongoing care, is included. Thyroid disorders that are
considered intrinsic to obstetrical and gynecologic practice are
not reviewed in detail in this article.
Index 439
Subscription Information Inside back cover
CONTENTS IX
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| physical | XII S., S. 189 - 445 Ill., graph. Darst. |
| publishDate | 2001 |
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| publisher | Saunders |
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| series | Obstetrics and gynecology clinics of North America |
| series2 | Obstetrics and gynecology clinics of North America |
| spelling | Primary and preventive care for the obstetrician gynecologist Val Y. Vogt ... guest ed. Philadelphia [u.a.] Saunders 2001 XII S., S. 189 - 445 Ill., graph. Darst. txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America 28,2 Eerstelijnszorg gtt Gynaecologen gtt Preventieve gezondheidszorg gtt Asthma Depression Hypertension Indigestion Smoking In pregnancy Vogt, Val Y. Sonstige oth Obstetrics and gynecology clinics of North America 28,2 (DE-604)BV000617486 28,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=009452271&sequence=000002&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Primary and preventive care for the obstetrician gynecologist Obstetrics and gynecology clinics of North America Eerstelijnszorg gtt Gynaecologen gtt Preventieve gezondheidszorg gtt Asthma Depression Hypertension Indigestion Smoking In pregnancy |
| title | Primary and preventive care for the obstetrician gynecologist |
| title_auth | Primary and preventive care for the obstetrician gynecologist |
| title_exact_search | Primary and preventive care for the obstetrician gynecologist |
| title_full | Primary and preventive care for the obstetrician gynecologist Val Y. Vogt ... guest ed. |
| title_fullStr | Primary and preventive care for the obstetrician gynecologist Val Y. Vogt ... guest ed. |
| title_full_unstemmed | Primary and preventive care for the obstetrician gynecologist Val Y. Vogt ... guest ed. |
| title_short | Primary and preventive care for the obstetrician gynecologist |
| title_sort | primary and preventive care for the obstetrician gynecologist |
| topic | Eerstelijnszorg gtt Gynaecologen gtt Preventieve gezondheidszorg gtt Asthma Depression Hypertension Indigestion Smoking In pregnancy |
| topic_facet | Eerstelijnszorg Gynaecologen Preventieve gezondheidszorg Asthma Depression Hypertension Indigestion Smoking In pregnancy |
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