Oxford Assess and Progress: Clinical Specialties – 3rd Edition

 Internal Medicine, Ob/Gynae, Pediatrics, Surgery  Comments Off on Oxford Assess and Progress: Clinical Specialties – 3rd Edition
Mar 302020

Maximise your exam success with this unique revision guide on core clinical specialties.

The third edition of Oxford Assess and Progress: Clinical Specialties features over 400 Single Best Answer questions that are mapped to the medical school curricula. Packed with questions written by experienced doctors in each specialty, and rooted in real-life clinical encounters, this revision tool is an authoritative guide for students. Further reading resources and cross-references to the Oxford Handbook of Clinical Specialties have been fully updated to expand your revision further on topics you find challenging.





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Hematological Complications in Obstetrics, Pregnancy, and Gynecology

 Hematology, Ob/Gynae  Comments Off on Hematological Complications in Obstetrics, Pregnancy, and Gynecology
Mar 242020

There are many hematological complications associated with obstetrics, pregnancy and gynecology, and unfortunately, they often lead to significant morbidity or mortality for both mother and child. As the first comprehensive reference on all aspects of hematological complications of obstetrics, pregnancy and gynecology this book will be a valuable resource to hematologists, obstetricians, gynecologists, reproductive medicine specialists, internists, anesthesiologists and others. The chapters are written by acknowledged experts in the field, and for each condition covered the etiology, pathophysiology, clinical and laboratory diagnosis and management are discussed where appropriate.
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Ambulatory Gynaecology: A New Concept in the Treatment of Women

 Ob/Gynae  Comments Off on Ambulatory Gynaecology: A New Concept in the Treatment of Women
Feb 262020

A change from traditional care pathways to more cost-effective, patient-centred approaches to medical practice lies at the heart of modern health service management. A ‘see and treat’ management philosophy is developing, under the umbrella term of ‘ambulatory gynaecology’, with one-stop clinics and day surgery operations replacing traditional outpatient consultations and inpatient surgery. This book sets out how the concept of ambulatory gynaecology can be applied to the main areas of gynaecological practice. It covers analgesia and anaesthesia for outpatient gynaecology, colposcopy services, abnormal uterine bleeding, endometrial ablation, urogynaecology, infertility, early pregnancy units, emergency gynaecological services, pelvic ultrasound and interventional radiology.



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Fibroids (GIP – Gynaecology in Practice)

 Ob/Gynae  Comments Off on Fibroids (GIP – Gynaecology in Practice)
Feb 252020

Fibroids are benign growths of the uterus. They are the most common tumours found in women (20-30% of women), usually in later reproductive years. This book covers evidence-based indications for treatment of uterine fibroids in gynecology, the management of fibroids in pregnancy, surgical treatments and outcomes, rare fibroid syndromes, and more.



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Fleischer’s Sonography in Obstetrics & Gynecology, 8th Edition

 Ob/Gynae  Comments Off on Fleischer’s Sonography in Obstetrics & Gynecology, 8th Edition
Feb 182020

Fleischer’s Sonography in Obstetrics & Gynecology, Eighth Edition opens with general obstetric sonography, covering such pivotal topics as normal pelvic anatomy and fetal echocardiography, before moving into fetal anomalies and disorders. Risk assessment and therapy, including first trimester screening and amniocentesis, are explored in the next section, while the remaining parts of the book focus on maternal disorders, gynecologic sonography, and the newest complementary imaging modalities.



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Endometrial Cytology with Tissue Correlations

 Ob/Gynae, Pathology  Comments Off on Endometrial Cytology with Tissue Correlations
Feb 162020

As compared with cytology’s use in other organ systems, direct cytological examination of the endometrium is not a widely practiced diagnostic procedure. This is an anomaly, because the endometrium is exceedingly available for cytological sampling, cytological sampling is comparably simple to perform, and, from the patient’s perspective, it is a gentle procedure as compared to other methods of specimen attainment. Over the years, as we personally gained more and more experience with specimen acquisition, processing and interpretation, we have come to look upon endometrial cytology as an effective method for ensuring endometrial normalcy and discovering and diagnosing malignant and premalignant states. In comparing endometrial cytology to endometrial biopsy, we have found that, in samples obtained by individuals experienced in specimen collection, cytology outperforms outpatient biopsy with regard to the patient’s tolerance of the procedure, adequacy of sampling among postmenopausal women, and detection of occult neoplasms. By devising a highly effective technical strategy to ensure the simultaneous creation of cell blocks and cytological samples from a single collection (that is detailed in the technical appendix of this work), we have moved endometrial brush collection into an arena of significance equaling—indeed exceeding—other methods of specimen collection and interpretation. Cytology, even in the absence of cell blocks, performs equally as well as biopsy in detecting outspoken hyperplasia or carcinoma. If nothing else, by reliably identifying benign, normal endometrial states, it serves to exclude more than 70% of women from unnecessary follow up testing with a high degree of confidence. Because brush sampling of the endometrium is limited to a depth of 1.5 to 2 mm, the method is not definitive for the detection of endometrial polyps, fibroids, stromal tumors, or tumors of the uterine wall musculature. However, endometrial cytology is useful for detecting benign estrogen-excess states such as disordered proliferation and various degrees of benign hyperplasia, for separating these states from frankly neoplastic states such as EIN and cancer, but not for subclassifying benign hyperplastic states in the absence of cell block preparations. When endometrial brushing with liquid fixation is used in conjunction with other techniques such as immunohistochemistry, concomitant biopsy or, more practically, hysteroscopy or sonohysterography, endometrial benignancy can be assured with a very high level of confidence (> 99%); indeed, manufacturing concomitant cell blocks of endometrial tissue fragments and using immunohistochemistry in selected cases significantly enhances the diagnostic specificity of the technique. In a woman with a patent cervix, endometrial brushing successfully collects material, even from late postmenopausal atrophic endometrium. It allows for the detection of serious diseases such as endometrial intraepithelial carcinoma under conditions where suction biopsy might miss or otherwise obviate the diagnosis. This work focuses on the background, collection technique, and reliability of endometrial cytology; it then overviews diagnostic criteria and diagnostic pitfalls encountered in the day-to-day practice of the art. Since endometrial cytology interpretation relies on intuiting tissue patterns from cytology preparations, a great deal of time is spent on cytohistological correlations and, where effective as part of a diagnostic strategy, on ancillary immunohistochemical staining. The discussion moves from normal states of the endometrium, through otherwise benign changes induced by an altered hormonal milieu or surface irritants, into neoplastic premalignant and malignant endometrial conditions. Finally, fixative and slide preparation techniques, that we deem as expeditiou
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Non-Invasive Management of Gynecologic Disorders

 Ob/Gynae  Comments Off on Non-Invasive Management of Gynecologic Disorders
Feb 122020

There is an increasing trend within gynecology to move towards more non-invasive management techniques. These are less stressful for patients and reduce hospital stays and costs. As more of these modalities become available, physicians need guidance in choosing among the variety of options. This book will concentrate on gynecologic disorders for which both surgical and non-surgical management options are currently available, and exclude gynecologic disorders that are treated only medically, or those that are managed mainly surgically (e.g. invasive cancers). The book will describe the pathogenesis of these disorders, and available non-surgical treatment options, but also offer guidance on how and when it is appropriate to choose more conservative modalities. An evidence-based approach will be followed throughout.


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Hypertension in Pregnancy

 Ob/Gynae  Comments Off on Hypertension in Pregnancy
Feb 072020

Hypertensive disorders are among the most common medical complications of pregnancy, with an incidence of approximately 6-10%. This spectrum of conditions includes essential hypertension, pre-eclampsia and HELLP syndrome. For patients with pre-existing hypertension, management ideally commences prior to conception, and continues through pregnancy to the postnatal period. This book provides information on the evidence-based management of women with hypertension throughout pregnancy, supported by important background information on the etiology, risk-factors and pathophysiology of these disorders. Illustrated with accompanying algorithms, tables and lists for quick reference on diagnostic criteria, drugs and side-effects, this book will help clinicians rapidly gain access to the information they need to care for these patients. This will to be of interest to all grades of obstetric trainees as well as specialists, obstetric anesthetists and anesthetic trainees, midwives and maternal-fetal physicians.



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Recurrent Pregnancy Loss

 Ob/Gynae  Comments Off on Recurrent Pregnancy Loss
Jan 212020

Recurrent Pregnancy Loss
Edited by
Ole B Christiansen, MD, D.M.Sc., Rigshospitalet, Copenhagen and AalborgUniversityHospital, Aalborg, Denmark

Recurrent Pregnancy Loss is a silent problem for many women

The spontaneous loss of a pregnancy in the first 22 weeks is often not recorded as the mother needed no medical or surgical treatment. Women who repeatedly suffer this tragedy can go unheard as a result. Gynecologists can feel unable to help.

But they can help. Research is showing how to identify women who suffer recurrent pregnancy loss and which treatments might prevent a further recurrence. Gynecologists are learning how to monitor subsequent pregnancies for the early signals of problems.

Recurrent Pregnancy Loss provides a practical approach to this hidden clinical challenge. The highly experienced, international author team explores:

– How to obtain a relevant history

– Which investigations to order

– The physiological reasons behind recurrent pregnancy loss

– The best approach to treatment

– How to monitor patients in subsequent pregnancies

Clinical in approach, practical in execution, with the patient at the centre, Recurrent Pregnancy Loss guides you as you support your patients.





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Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits 2nd Edition

 Ob/Gynae  Comments Off on Fetal Therapy: Scientific Basis and Critical Appraisal of Clinical Benefits 2nd Edition
Jan 172020

Updated by a team of internationally renowned experts, this book gives a thorough overview of fetal pathophysiology and an evidence base for in utero: both medical (non-invasive) and surgical treatments. Many topics are expanded to cover recent advances, including: stem cell transplantation; tissue scaffolding; minimally invasive approaches to ‘open fetal surgery’; the etiology, prevention and treatment of preterm birth and PROM; the genetic etiologies of fetal disease; and gene therapy. In addition, there are in-depth discussions as to the role of open fetal myelomeningocele repair and several fetoscopic approaches to therapy. The international editors have added important new chapters on reducing stillbirth and prenatal counselling. This book is an invaluable reference guide to the latest fetal therapy options, and an essential, in-depth study book for maternal-fetal and neonatology specialists.





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