By Guy I. Benrubi MD

Revised and up to date for its Fourth variation, this sensible, moveable, and cheap guide is designed for fast reference within the workplace or emergency room. It specializes in prognosis and therapy of universal emergencies in woman sufferers and contours quite a few therapy algorithms, bulleted lists, and tables, plus considerable illustrations together with ultrasound. insurance addresses all emergent stipulations and non-emergent difficulties, equivalent to sexually transmitted illnesses, that often found in emergency departments. This variation has been up to date to handle present demanding situations comparable to issues coming up from scientific and surgical abortion, clinical and mental difficulties coming up from sexual attack and different gynecologic traumas, and emergent stipulations as a result of chemical-biological warfare.

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Extra resources for Handbook of Obstetric and Gynecologic Emergencies

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Best Acute abdominal pain in pregnancy poses a unique challenge for both the clinician and the patient. The physiologic and physical changes associated with pregnancy must be considered when conducting a history, performing a physical examination, and interpreting diagnostic and other laboratory results in the pregnant patient with acute abdominal pain. 2% of all gestations (1). The most common etiologies for these surgical interventions include adnexal masses, acute appendicitis, and gallstone disease (2).

The diagnosis of small bowel obstruction can be made by a history and a physical examination in the majority of patients. Plain abdominal radiography is used to confirm the diagnosis of bowel obstruction. Ordering an upright chest film to rule out the presence of free air, as well as supine and upright abdominal films, is appropriate in this setting. Of note, plain films can be equivocal in 20% to 30% of patients and are “normal, nonspecific, or misleading” in 10% to 20% (68,69). Multiple air-fluid levels with distended loops of small bowel are seen in small bowel obstruction, although occasionally they can be seen in the setting of a paralytic ileus.

0% of the population of North America. 6% of pregnancies (77). These seizures can be categorized as generalized tonic–clonic seizures, partial complex seizures that may or may not generalize, and absence seizures. While 17% to 33% of epileptic women report an increase in seizure frequency (78) during pregnancy, up to 25% report a decrease and up to 50% report no change in frequency (79). In part, the increased seizure risk is due to the pharmacokinetic changes during pregnancy (decreased protein binding, increased volume of distribution, increased renal clearance, with impaired intestinal absorption, and increased hepatic metabolism), which combine to lower the free circulatory levels of antiepileptic drugs (AED).

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