Primary care of adult women:
Gespeichert in:
| Weitere Verfasser: | , |
|---|---|
| Format: | Buch |
| Sprache: | English |
| Veröffentlicht: |
Philadelphia, Pennsylvania
Elsevier
[2016]
|
| Schriftenreihe: | Obstetrics and gynecology clinics of North America
June 2016, volume 43, number 2 |
| Schlagworte: | |
| Online-Zugang: | Inhaltsverzeichnis |
| Beschreibung: | xvi Seiten, Seite 165-395 Illustrationen 24 cm |
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| 245 | 1 | 0 | |a Primary care of adult women |c editors James N. Woodruff, Anita K. Blanchard |
| 264 | 1 | |a Philadelphia, Pennsylvania |b Elsevier |c [2016] | |
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| 490 | 1 | |a Obstetrics and gynecology clinics of North America |v June 2016, volume 43, number 2 | |
| 490 | 0 | |a Clinics review articles | |
| 505 | 8 | |a Includes bibliographical references and index | |
| 650 | 4 | |a Women's health services | |
| 650 | 4 | |a Primary care (Medicine) | |
| 700 | 1 | |a Woodruff, James N. |0 (DE-588)1107051185 |4 edt | |
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Datensatz im Suchindex
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| adam_text | Titel: Primary care of adult women
Autor: Woodruff, James N
Jahr: 2016
Primary Care of Adult Women
Contents
Foreword: Are Obstetrician-Gynecologists Primary Care Physicians? xiii
William F. Rayburn
Preface: Primary Care of Adult Women
James N. Woodruff and Anita K. Blanchard
Preventive Care in Women s Health
Anita K. Blanchard and Perpetua Goodall
xv
165
Specialists in general obstetrics and gynecology are key providers of pri-
mary care in women. They diagnose and provide the initial management of
many medical conditions unrelated to reproductive health. Most impor-
tantly they can impact the overall health of patients through incorporating
preventive approaches in the annual well-woman visit. This article defines
preventive care and identifies leading causes of mortality in women. A
framework for identifying key elements of the well-woman examination is
summarized. Examples of prevention are provided, which focus on major
health care issues that affect adult women.
Primary Care of Adult Women: Common Dermatologie Conditions 181
Arlene M. Ruiz de Luzuriaga, Julie Mhlaba, and Carly Roman
Dermatologie disease often presents in the primary care setting. Therefore,
it is important for the primary care provider to be familiar with the presen-
tation, diagnosis, and treatment of common skin conditions. This article
provides an overview of acne, rosacea, melasma, vitiligo, alopecia, non-
melanoma and melanoma skin cancer, dermatitis, and lichen sclerosus.
Clinical Management of Obesity in Women: Addressing a Lifecyde of Risk 201
Nadia N. Ahmad, Winfield Scott Butsch, and Sabina Aidarous
The World Health Organization estimates that nearly 2 billion people world-
wide are overweight, 600 million of whom are obese. The increasing prev-
alence of this condition in women is of particular concern given its impact
on reproductive health and mortality. Burgeoning data implicating
maternal obesity in fetal programming and the metabolic health of future
generations further suggest that obesity in women is one of the most
pressing public health concerns of the twenty-first century. However,
health care professionals are infrequently engaged in obesity manage-
ment. This article provides a conceptual understanding of obesity and a
rational approach to treatment.
viii Contents
Evaluation and Management of Behavioral Health Disorders in Women: An
Overview of Major Depression, Bipolar Disorder, Anxiety Disorders, and Sleep in
the Primary Care Setting 231
Elizabeth Fitelson and Cheryl McGibbon
Providers of obstetric and gynecologic care are often the most commonly
seen medical providers for adult women, providing primary and reproduc-
tive care. Even where psychiatric care is readily available, obstetricians/
gynecologists are frequently the front line for recognition, education, and
initial management of many mental health problems. In settings where
psychiatric treatment is a more scarce resource, obstetricians/gynecolo-
gists often are responsible for ongoing treatment of these disorders. This
review focuses on the impact of the female reproductive life cycle on the
presentation and management of some of the most common behavioral
health problems in women: major depression, bipolar disorder, anxiety
disorders, and primary sleep disorders.
Evaluation of Anemia 247
Jody L. Kujovich
Anemia is a common problem in primary care. Classification based on
mean cell volume narrows the differential diagnosis and directs testing.
A marked macrocytosis is characteristic of vitamin B12 and folate defi-
ciencies, certain medications, and primary bone marrow disorders. The
three most common causes of microcytic anemia are iron deficiency, thal-
assemia trait, and anemia of inflammation. Additional laboratory testing is
required for diagnosis. Determination of the rate of development of anemia
and examination of a blood smear may provide diagnostic clues to guide
more specialized testing. Diagnosis of iron, vitamin B12, or folate defi-
ciency mandates determination of the underlying cause.
Cardiovascular Disease in Women: Primary and Secondary Cardiovascular Disease
Prevention 265
Monika Sanghavi and Martha Gulati
Cardiovascular disease remains the leading cause of death in the United
States. Primary prevention of cardiovascular disease requires involvement
of an extended health care team. Obstetricians and gynecologists are
uniquely positioned within the health care system because they are often
the primary or only contact women have with the system. This review
article discusses initial assessment, treatment recommendations, and
practical tips regarding primary and secondary prevention of cardiovascu-
lar disease in women with a focus on coronary heart disease; discussion
includes peripheral and cerebrovascular disease.
Hypertension in Women: Evaluation and Management 287
George W. Weyer, Beth Dunlap, and Sachin D. Shah
Hypertension is the most commonly encountered chronic medical condi-
tion in primary care and one of the most significant modifiable cardiovascu-
lar risk factors for women and men. Timely diagnosis and evidence-based
management offer an important opportunity to reduce the risk of
Contents ix
hypertension-related morbidity and mortality, including cardiovascular
events, end-stage renal disease, and heart failure. Clinical trials have
shown significant improvements in patient-oriented outcomes when hyper-
tension is well-controlled, yet many hypertensive patients remain undiag-
nosed, uncontrolled, or managed with inappropriate pharmacotherapy.
This article discusses the initial diagnosis, evaluation, and management
of hypertension in nonpregnant women, with topics for obstetrician-
gynecologists and women s health providers.
Women s Health and Lung Development and Disease 307
Emily G. Kocurek and Anna R. Hemnes
Although the lung is not traditionally thought of as an organ affected by
sex-based differences, emerging literature elucidates major differences
between men and women in the development, physiology, and predilec-
tion to and outcomes in lung diseases. These differences are driven by
both differences in sex hormones and differences in environmental expo-
sures. However, in many cases the underlying etiology of these sex- and
gender-based differences is unknown. This article outlines the state-of-
the-art knowledge on the etiology of sex differences in lung disease,
including differences in lung development and physiology, and reviews
therapy recommendations that are sex-based.
Primary Care Endocrinology in the Adult Woman 325
Celeste C. Thomas and Meltem Zeytinoglu
Diabetes mellitus, thyroid disorders, and osteoporosis are endocrine con-
ditions affecting a significant proportion of women presenting to the
obstetrician-gynecologist. Obstetrician-gynecologists are often the first
health-care providers that young women see in adulthood, and thus,
have a critical opportunity to identify women at risk for gestational and
overt diabetes and manage the condition in those who have developed
it. The obstetrician-gynecologist should be aware of the appropriate ther-
apeutic options and treatment goals (eg, hemoglobin A1 c) for women with
diabetes. Thyroid disorders often present with menstrual irregularities or
infertility, can affect pregnancy outcomes, and contribute to cardiovascu-
lar and bone disorders as women age. Finally, osteoporosis and low bone
mineral density affect a substantial proportion of older women and some
younger women with risk factors for secondary osteoporosis. The
morbidity and mortality of osteoporotic fractures is substantial. There
are many lifestyle interventions and therapeutic options available for these
conditions, and the gynecologist plays a key role in optimizing risk factor
assessment, screening, and providing treatment when appropriate.
Primary Care Evaluation and Management of Gastroenterologie Issues in Women 347
Vijaya L. Rao, Dejan Micic, and Karen E. Kim
Gastrointestinal disorders often present to the primary care setting where
initial preventive, diagnostic, and treatment strategies are implemented.
This article reviews the presentation and diagnosis of common gastroin-
testinal disorders, including colorectal cancer, irritable bowel syndrome,
peptic ulcer disease, gallbladder disorders, inflammatory bowel disease,
x Contents
gastroesophageal reflux, and Barrett s esophagus. We focus on the eval-
uation and management of these diseases in women.
Primary Care for the Older Adult Patient: Common Geriatric Issues and
Syndromes 367
Katherine Thompson, Sandra Shi, and Carmela Kiraly
Older adults are the fastest growing segment of the US population and the
majority of older adults are women. Primary care for the older adult patient
requires a wide variety of skills, reflecting the complexity and heterogene-
ity of this patient population. Individualizing care through consideration of
patients goals, medical conditions, and prognosis is paramount. Quality
care for the older adult patient requires familiarity with common geriatric
syndromes, such as dementia, falls, and polypharmacy. In addition, devel-
oping the knowledge and communication skills necessary for complex
care and end-of-life care planning is essential.
Index
381
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| series2 | Obstetrics and gynecology clinics of North America Clinics review articles |
| spelling | Primary care of adult women editors James N. Woodruff, Anita K. Blanchard Philadelphia, Pennsylvania Elsevier [2016] xvi Seiten, Seite 165-395 Illustrationen 24 cm txt rdacontent n rdamedia nc rdacarrier Obstetrics and gynecology clinics of North America June 2016, volume 43, number 2 Clinics review articles Includes bibliographical references and index Women's health services Primary care (Medicine) Woodruff, James N. (DE-588)1107051185 edt Blanchard, Anita K. (DE-588)1107051568 edt Obstetrics and gynecology clinics of North America June 2016, volume 43, number 2 (DE-604)BV000617486 43,2 HBZ Datenaustausch application/pdf http://bvbr.bib-bvb.de:8991/F?func=service&doc_library=BVB01&local_base=BVB01&doc_number=029089826&sequence=000001&line_number=0001&func_code=DB_RECORDS&service_type=MEDIA Inhaltsverzeichnis |
| spellingShingle | Primary care of adult women Obstetrics and gynecology clinics of North America Includes bibliographical references and index Women's health services Primary care (Medicine) |
| title | Primary care of adult women |
| title_auth | Primary care of adult women |
| title_exact_search | Primary care of adult women |
| title_full | Primary care of adult women editors James N. Woodruff, Anita K. Blanchard |
| title_fullStr | Primary care of adult women editors James N. Woodruff, Anita K. Blanchard |
| title_full_unstemmed | Primary care of adult women editors James N. Woodruff, Anita K. Blanchard |
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| topic | Women's health services Primary care (Medicine) |
| topic_facet | Women's health services Primary care (Medicine) |
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