By Kelly A. McGarry MD
New good points include:
· All subject matters offered in a 2-page unfold, formatted utilizing the 5-Minute medical seek advice template for fast reference
· power of all key thoughts within the analysis and therapy sections are categorized utilizing the kind Taxonomy from the yankee Academy of kinfolk Physicians
· up-to-date remedy and therapy
· medical pearls highlighting key strategies
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Additional info for The 5-Minute Consult Clinical Companion to Women's Health
Thin, white, homogenous discharge is present in the vaginal vault. 5) • Light microscopy (see below) • 10% KOH preparation for Whiff test – Small amount of vaginal discharge is placed on glass slide – A drop of KOH is added to slide – Production of an amine (or “fishy”) odor indicates a positive Whiff test • Gram stain – Often considered the gold standard (1)[A] – Presence of small gram-negative rods or gram-variable rods and the absence of longer lactobacilli is highly predictive of BV – Less convenient for establishing diagnosis in office • DNA probe (1)[B] – Commercially available probe that simultaneously detects presence of Candida species, G.
16 • The 4 most common causes of primary amenorrhea: – Ovarian failure (49%) – Congenital absence of uterus and vagina (16%) – GnRH deficiency (8%) – Constitutional delay of puberty (6%) • Causes of secondary amenorrhea after exclusion of pregnancy and lactation: – Ovarian disease (40%) ◦ Polycystic ovarian syndrome (PCOS) ◦ Premature ovarian failure – amenorrhea, persistent estrogen deficiency and elevated FSH levels occur prior to the age of 40. , hemochromatosis, lymphocytic hypophysitis) – Uterine disease (5%) ◦ Intrauterine synechiae (Asherman’s syndrome) from uterine instrumentation – Endocrine disorders ◦ Thyroid disease ◦ Adrenal disorders • The causes of secondary amenorrhea may also lead to primary amenorrhea, if they occur before menarche.
Airway pressures need to be closely monitored to prevent barotrauma. ADDITIONAL TREATMENT Issues for Referral Guidelines by the NAEPP Expert Panel Report III on patients requiring specialist referral include (2)[C]: • Life-threatening exacerbations • Difficulty in achieving control after 3–6 months of treatment • Atypical symptoms • Presence of complicating conditions such as COPD, gastroesophageal reflux disease, sinusitis • Occupational influence • Need for extensive education • Moderate-to-severe persistent asthma • Need for immunotherapy or high-dose inhaled steroids or oral steroids IN-PATIENT CONSIDERATIONS Admission Criteria Patients requiring hospital admission include: • Those who are hypoxemic or acidemic • Those with peak flow <40% after initial treatment.
The 5-Minute Consult Clinical Companion to Women's Health by Kelly A. McGarry MD