Netter's Obstetrics and Gynecology E-Book : Netter's Obstetrics and Gynecology E-Book

No student of medicine, past or present, is unaware of the extraordinaryseries of medical illustrations created by Dr. Frank Netter. Itis an incredible body of work that has been carried forward by thetalented Carlos Machado, MD, John Craig, MD, and others since Dr.Netter’s passing. Older physicians have looked with envy at theseimages, wishing they had been available when they were learning;established physicians return to them as comfortable sourcesof information; and young physicians seek them out for the wealthof information they contain and their ability to make clear difficultclinical concepts. This spirit of concise reference and resource is thepremise of this text.This fourth edition maintains the same consistent format in presentingtopics to facilitate rapid access—the same information isin the same location—that was so well received in the first threeeditions. Chapters have been organized to provide a quick, conciseresource for the diagnosis and treatment of common conditionsencountered by anyone who provides care for women. In producingthis fourth edition, more than 15 new topics have been added,terminology has been updated, evolving therapies have been incorporated,new artwork has been developed, all references have beenupdated, and subtle enhancements have been made throughout thework.It is the hope of all who contributed to this work that it will beboth a useful resource and a celebration of the artistic richness thatis clinical medicine. Cover Title Page Netter's Obstetrics and Gynecology Copyright PREFACE ABOUT THE AUTHOR ABOUT THE ARTISTS CONTENTS SECTION I Embryology 1 Sexual Differentiation 2 Upper Genital Tract Development 3 Lower Genital Tract Development 4 Development of the Breast SECTION II Anatomy 5 External Genitalia 6 Perineum 7 Vagina 8 Pelvic Viscera 9 Cervix, Uterus, and Adnexa 10 Ovaries 11 Breast SECTION III General Health Considerations and Counseling 12 Puberty: Normal Sequence 13 Health Maintenance: Ages 12–18 Years 14 Sexuality and Gender Dysphoria 15 Health Maintenance: Ages 19–39 Years 16 Contraception: Counseling Principles 17 Health Maintenance: Ages 40–64 Years 18 Health Maintenance: Ages 65 Years and Older SECTION IV Diseases, Disorders, and Common Problems 19 Abuse: Physical and Sexual 20 Acne 21 Alcohol Abuse in Women 22 Alzheimer Disease 23 Anal Incontinence 24 Anemia 25 Anorectal Fistula 26 Anxiety 27 Asthma 28 Cardiovascular Disease in Women 29 Cholelithiasis 30 Chronic Pelvic Pain 31 Constipation 32 Crohn Disease 33 Depression (Unipolar) 34 Diverticular Disease 35 Domestic Violence (Intimate Partner Violence) 36 Dysmenorrhea: Primary and Secondary 37 Dyspareunia: Deep Thrust 38 Dysuria 39 Eating Disorders: Anorexia Nervosa and Bulimia 40 Fibromyalgia 41 Gallbladder Disease 42 Gastritis 43 Gastroesophageal Reflux 44 Hair Loss 45 Headache: Tension and Cluster 46 Headache: Migraine 47 Hematuria 48 Hemorrhoids 49 Hyperthyroidism 50 Hypothyroidism 51 Infertility: General Considerations 52 Irritable Bowel Syndrome 53 Low Back Pain 54 Melanoma 55 Myofascial Syndromes 56 Obesity 57 Osteoporosis 58 Pelvic Masses 59 Pessary Therapy 60 Postcoital Bleeding 61 Premenstrual Dysphoric Disorder 62 Pruritus Ani 63 Pyelonephritis 64 Rape and Rape Trauma Syndrome 65 Sexual Dysfunction: Libidinal and Orgasmic Dysfunction (Anorgasmia) 66 Sexually Transmitted Infections: Chancroid 67 Sexually Transmitted Infections: Chlamydia trachomatis 68 Sexually Transmitted Infections: Condylomata Acuminata 69 Sexually Transmitted Infections: Gonorrhea 70 Sexually Transmitted Infections: Granuloma Inguinale (Donovanosis) 71 Sexually Transmitted Infections: Herpes 72 Sexually Transmitted Infections: Human Immunodeficiency Virus 73 Sexually Transmitted Infections: Human Papillomavirus 74 Sexually Transmitted Infections: Lymphogranuloma Venereum 75 Sexually Transmitted Infections: Molluscum Contagiosum 76 Sexually Transmitted Infections: Parasites 77 Sexually Transmitted Infections: Syphilis 78 Sexually Transmitted Infections: Trichomonas vaginalis 79 Thrombophlebitis 80 Toxic Shock Syndrome 81 Ulcerative Colitis 82 Urinary Incontinence: Bypass and Overflow 83 Urinary Incontinence: Stress 84 Urinary Incontinence: Urge 85 Urinary Tract Infection 86 Varicose Veins 87 Weight Control for Women SECTION V Vulvar Disease 88 Acne Inversa (Hidradenitis Suppurativa) 89 Aphthous Ulcers (Acute Genital Ulceration, Lipschütz Ulcers, Non-Sexually Acquired Genital Ulceration, and Vulvar Aphthae) 90 Bartholin Gland: Abscess/Infection 91 Bartholin Gland: Cysts 92 Contact Vulvitis 93 Dyspareunia: Insertional 94 Female Circumcision (Female Genital Cutting) 95 Genitourinary Syndrome of Menopause 96 Hymenal Stenosis 97 Hyperplastic Vulvar Dystrophy (Squamous Cell Hyperplasia, Lichen Simplex Chronicus) 98 Imperforate Hymen 99 Labial Adhesions 100 Lichen Planus 101 Lichen Sclerosus 102 Vulvar Cancer 103 Vulvar Hematoma 104 Vulvar Lesions 105 Vulvar Vestibulitis (Provoked Vulvodynia) SECTION VI Vaginal Disease 106 Cystocele/Urethrocele 107 Enterocele 108 Fistulae: Gastrointestinal and Urinary Tract 109 Rectocele 110 Sarcoma Botryoides 111 Transverse Vaginal Septum 112 Vaginal Cysts 113 Vaginal Dryness 114 Vaginal Lacerations 115 Vaginal Prolapse 116 Vaginitis: Atrophic (Genitourinary Syndrome of Menopause) 117 Vaginitis: Bacterial (Nonspecific) and Bacterial Vaginosis 118 Vaginitis: Monilial 119 Vaginitis: Trichomonas SECTION VII Cervical Disease 120 Abnormal Pap Smear: Atypical Squamous or Glandular Cells of Undetermined Significance 121 Abnormal Pap Smear: Low-Grade Squamous Intraepithelial Lesions and High-Grade Squamous Intraepithelial Lesions 122 Carcinoma In Situ (Cervix) 123 Cervical Cancer 124 Cervical Erosion 125 Cervical Eversion 126 Cervical Polyps 127 Cervical Stenosis 128 Cervicitis 129 Nabothian Cysts SECTION VIII Uterine Pathology 130 Adenomyosis 131 Asherman Syndrome (Uterine Synechia) 132 Dysfunctional (Abnormal) Uterine Bleeding 133 Endometrial Cancer 134 Endometrial Hyperplasia: Simple and Complex 135 Endometrial Polyps 136 Endometritis 137 Hematometra 138 Intermenstrual Bleeding 139 Irregular Menstrual Periods 140 Menorrhagia 141 Postmenopausal Vaginal Bleeding 142 Sarcoma (Uterine) 143 Uterine Anomalies: Bicornuate, Septate, and Unicornuate Uterus 144 Uterine Leiomyomata (Fibroids, Myoma) 145 Uterine Prolapse SECTION IX Adnexal Disease 146 Adenofibroma 147 Clear Cell Carcinoma 148 Dermoid Cyst (Teratoma) 149 Dysgerminoma 150 Ectopic Pregnancy 151 Endometriosis 152 Epithelial Stromal Ovarian Tumors 153 Germ Cell Tumor 154 Granulosa Cell Tumors 155 Hydrosalpinx (Chronic Pelvic Inflammatory Disease) 156 Krukenberg Tumor 157 Mucinous Ovarian Cysts 158 Ovarian Cancer 159 Ovarian Cysts 160 Ovarian Fibroma 161 Ovarian Torsion 162 Pelvic Inflammatory Disease 163 Pseudomyxoma Peritonei 164 Serous Ovarian Cysts 165 Sertoli-Leydig Cell Tumor (Arrhenoblastoma) 166 Tubo-Ovarian Abscess 167 Transitional Cell (Brenner) Tumor SECTION X Breast Diseases and Conditions 168 Accessory Nipples (Polythelia) 169 BRCA1 and BRCA2 Mutations 170 Breast Cancer 171 Breast Cyst 172 Breast Duct Ectasia 173 Breast Fat Necrosis 174 Breast Fibroadenoma 175 Breast Intraductal Papilloma 176 Fibrocystic Breast Change 177 Galactocele 178 Galactorrhea 179 Mammography 180 Mastitis (Lactational) 181 Mastodynia and Mastalgia (Breast Pain) 182 Mondor Disease 183 Nipple Discharge 184 Paget Disease of the Breast SECTION XI Reproductive, Genetic, and Endocrine Conditions 185 Amenorrhea: Primary 186 Amenorrhea: Secondary 187 Androgen Insensitivity Syndrome 188 Anovulation 189 Assisted Reproduction 190 Down Syndrome 191 Gonadal Dysgenesis 192 Hereditary Cancer Syndromes 193 Hirsutism 194 Hyperprolactinemia 195 Infertility 196 Menopause 197 Precocious Puberty 198 Polycystic Ovary Syndrome 199 Recurrent Pregnancy Loss 200 Sexual Ambiguity 201 Sheehan Syndrome 202 Turner Syndrome 203 Uterine Agenesis 204 Vaginal Agenesis 205 Virilization SECTION XII Obstetrics: General Considerations 206 Preconceptional Care and Counseling 207 Routine Prenatal Care: First Trimester 208 Routine Prenatal Care: Second Trimester 209 Routine Prenatal Care: Third Trimester 210 Antepartum Fetal Testing 211 Biophysical Profile 212 Contraction Stress Testing 213 Doppler Flow Studies 214 Nonstress Testing 215 Normal Labor 216 Fetal Heart Rate Testing: Bradycardia 217 Fetal Heart Rate Testing: Periodic Changes 218 Fetal Heart Rate Testing: Reduced Variability 219 Fetal Heart Rate Testing: Tachycardia 220 Obstetric Anesthesia/Analgesia 221 Normal Postpartum Changes 222 Breastfeeding (Lactation) SECTION XIII Obstetric Conditions and Concerns 223 Abnormalities of Placental Implantation (Placenta Accreta Spectrum) 224 Active Management of Labor 225 Acute Fatty Liver of Pregnancy 226 Amniotic Fluid Embolism 227 Breech Birth 228 Caput Succedaneum 229 Cardiovascular Disease in Pregnancy 230 Cervical Insufficiency 231 Cholecystitis in Pregnancy 232 Chorioamnionitis 233 Diabetes Mellitus in Pregnancy 234 Fetal Alcohol Syndrome 235 Gestational Trophoblastic Disease 236 Gingivitis in Pregnancy 237 HELLP Syndrome 238 Hepatitis in Pregnancy 239 Hyperemesis Gravidarum 240 Intrauterine Growth Restriction 241 Multiple Gestation 242 Obstetric Lacerations 243 Oligohydramnios 244 Placenta Previa 245 Placental Abruption 246 Polyhydramnios 247 Postpartum Breast Engorgement 248 Postpartum Depression 249 Pre-Eclampsia and Eclampsia 250 Pruritic Urticarial Papules and Plaques of Pregnancy (PUPPP) 251 Puerperal Infection (Endometritis) 252 Rh Incompatibility 253 Shoulder Dystocia 254 Spontaneous Pregnancy Loss (Abortion, Miscarriage) 255 Third Trimester Bleeding 256 Trauma in Pregnancy 257 Uterine Atony and Postpartum Hemorrhage 258 Uterine Inversion 259 Uterine Rupture SECTION XIV Procedures 260 Amniocentesis 261 Aspiration of Breast Cyst 262 Bartholin Gland Cyst/Abscess Drainage 263 Bartholin Gland Marsupialization 264 Breast Biopsy: Core 265 Breast Biopsy: Open 266 Breast Imaging 267 Cervical Cerclage 268 Cervical Conization (Cold Knife) 269 Cervical Polypectomy 270 Cesarean Birth 271 Chorionic Villus Sampling 272 Circumcision (Male; Newborn and Infant) 273 Colposcopy 274 Cervical Cryocautery 275 Cystourethroscopy 276 Diaphragm Fitting 277 Dilation and Curettage 278 Endometrial Biopsy 279 External Cephalic Version 280 Forceps-Aided Birth 281 Hysteroscopy: Diagnostic 282 Hysteroscopy: Polyp and Leiomyoma Resection 283 Intrauterine Contraceptive Device Insertion 284 Intrauterine Contraceptive Device Removal 285 Loop Electrosurgical Excision Procedure and Large Loop Excision of the Transformation Zone Conizations 286 Pessary Fitting 287 Sonohysterography 288 Speculum Examination 289 Subdermal Contraceptive Capsule Insertion 290 Subdermal Contraceptive Capsule Removal 291 Transvaginal Ultrasonography 292 Trigger Point Injection 293 Urodynamic Testing: Complex 294 Urodynamic Testing: Simple 295 Vacuum-Assisted Birth INDEX For medical students, generalists, and specialists alike, Netter’s Obstetrics & Gynecology, 4th Edition, provides superbly illustrated, up-to-date information on the conditions and problems most often encountered in OB/GYN practice. Classic Netter images are paired with concise, evidence-based descriptions of common diseases, conditions, diagnostics, treatments, and protocols. Large, clear illustrations and short, to-the-point text provide quick, authoritative access to expert medical thinking—perfect for gaining knowledge of this complex field, for everyday clinical practice, or for staff and patient education. Features concise, exquisitely illustrated coverage of Anatomy and Embryology, Gynecology and Women’s Health, and Obstetrics. Contains more than 300 exquisite Netter images, as well as new, recent paintings by Carlos Machado, that provide a quick and memorable overview of each disease or condition. Includes eleven new chapters, including Sexuality and Gender Dysphoria, Alcohol Abuse in Women, Anal Incontinence, Cardiovascular Disease in Women, Genitourinary Syndrome of Menopause, Hereditary Cancer Syndromes, External Cephalic Version, and more.