A practical guide to office gynecologic procedures by Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS

By Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS

Office dependent systems in surgical fields are speedily turning out to be taking into consideration faster analysis and remedy. This new book, A useful advisor to workplace Gynecologic Procedures provides the step by step advisor to office-based strategies physicians have to deal with ladies within the ambulatory setting.

Covering the main ordinary workplace gynecologic systems, this new publication covers symptoms, right positioning, anesthesia and gear wanted for over 35 office-based techniques. Chapters additionally current cautious assistance on powerful sufferer management.

Perform gynecologic techniques in a cheap ambulatory atmosphere, whereas enhancing the end result on your sufferers with this easy-to-use scientific reference. 

•    Written via the college, fellows, and citizens of the Stanford division of Obstetrics and Gynecology
•    contains foreword via prestigious Editor, Dr. Jonathan Berek
•    sensible, illustrated consultant offers the “need-to-know” details on acting universal workplace procedures
•   CPT codes are indexed to save lots of you time
•    Over 250 complete color-figures (illustrations, images) aid determine and show how one can practice techniques
•    handy better half site contains totally searchable textual content and photographs delivering you entry to the content material anytime

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Example text

Philadelphia, PA: Lippincott Williams & Wilkins, 2004. III. Colposcopy in pregnant patients 1. Avoid ECC. 2. Limit biopsies to lesions suggesting severe dysplasia or invasive cancer. 3. Anticipate heavier bleeding if biopsies are obtained. 4. Schedule postpartum follow-up for repeat colposcopy. Aftercare • Bleeding from biopsy sites • Apply direct pressure. • Silver nitrite—Dry area with cotton swab and then immediately apply silver nitrate stick. • Monsel’s solution—Apply liberally to bleeding area and observe for styptic effect.

4. Place two drops of normal saline on one end of glass slide, typically the frosted end, and one drop of 10% KOH at the other (alternatively, two slides can be used). 5. Collect a sample of vaginal discharge on a cotton-tipped swab and transfer firs to the drop of saline, and then to the drop of KOH. 6. Examine slides under microscope with both low- and high-power magnification Note any clue cells or motile trichomonads present on the slide prepared with normal saline, and any hyphae noted on the slide prepared with KOH.

Photographs may also be taken to be used later as evidence. Aftercare • None CPT Code: 99285—Emergency department visit for the evaluation and management of a patient, which requires these three key components within the constraints imposed by the urgency of the patient’s clinical condition and/or mental status: A comprehensive history; a comprehensive examination; and medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies is provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs.

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