Medscape women's health最新文献_第5页

The effect of estrogen on appetite. 雌激素对食欲的影响。

Medscape women's health Pub Date : 1998-11-01

N Geary

引用次数: 0

Innovations in breast cancer imaging: PET for diagnosis and follow-up. 乳腺癌影像学的创新:PET诊断和随访。

Medscape women's health Pub Date : 1998-11-01

L P Adler, G Bakale, K C Schnur, R R Shenk

引用次数: 0

STD interactive case challenge--diagnosing and treating chronic vulvar pain and erythema. 性病互动病例挑战——慢性外阴疼痛和红斑的诊断和治疗。

Medscape women's health Pub Date : 1998-11-01

J Larkin, G Thomas, J Toney

引用次数: 0

Primary care guide to managing a breast mass: step-by-step workup. 管理乳房肿块的初级保健指南:逐步检查。

Medscape women's health Pub Date : 1998-10-01

J R Osuch, V L Bonham, L L Morris

{"title":"Primary care guide to managing a breast mass: step-by-step workup.","authors":"J R Osuch, V L Bonham, L L Morris","doi":"","DOIUrl":"","url":null,"abstract":"Missed breast cancer is the most common malpractice suit filed in the US. But even without a biopsy of every mass, clinicians can reduce the risk of failed diagnosis to 1% by using a triple-diagnosis method to working up a breast mass, according to these experts, who offer a step-by-step guide. Includes QuickTimeTM video of breast exam. Failure to diagnose breast cancer in a timely manner is the most common reason for malpractice litigation in the US. Unless the potential for false-negative results of physical examination, mammography, ultrasound, and fine-needle aspiration biopsy (FNAB) is recognized, delay in the diagnosis of breast cancer will continue to occur. A systematic, thorough approach to the workup of any breast mass-- including a careful history, clinical breast examination, and documentation--is crucial. Upon detection of a mass, distinguishing the cyst from the solid mass (often by fine-needle aspiration or FNAB) is one of the most important tasks facing the clinician. Although most cysts resolve upon aspiration, solid masses require further workup to rule out cancer. Because of the false-negatives associated with individual methods of diagnosis, the authors recommend the triple-diagnosis method of detection. Simultaneous evaluation of a breast mass using clinical breast examination, radiography, and FNAB can lower the risk of missing cancer to only 1%, effectively reducing the rate of diagnostic failure and increasing the quality of patient care.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"3 5","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20715672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Coronary artery disease in women: understanding the diagnostic and management pitfalls. 女性冠状动脉疾病:了解诊断和管理陷阱。

Medscape women's health Pub Date : 1998-10-01

R F Redberg

{"title":"Coronary artery disease in women: understanding the diagnostic and management pitfalls.","authors":"R F Redberg","doi":"","DOIUrl":"","url":null,"abstract":"Coronary artery disease kills more women than all cancers combined, yet the clinical picture in women is different enough from men that the diagnosis can be missed or delayed. A cardiologist highlights these gender-based differences and explains why certain diagnostic tests are better than others at identifying CAD in women. Coronary artery disease (CAD) is the leading killer of women in the US. After menopause, mortality rates from CAD in women nearly equal those of men. Yet the clinical picture in women is different enough from that in men that it can obscure the correct diagnosis. Women are 10 years older than men, on average, when presenting with CAD, possibly due to delayed diagnosis or presentation. Differences in symptomatology between men and women are important to note. For example, other diseases, such as arthritis or osteoporosis, can obscure CAD symptoms. Further, compared with men, women's chest pain is more often associated with abdominal pain, dyspnea, nausea, and fatigue. More women than men with CAD have diabetes, hypertension, hypercholesterolemia, and a family history of CAD. Clinicians need to know how to assess the gender-specific pretest likelihood of CAD in women, starting with a careful review of the patient's chest pain history. Other risk factors, including smoking, abdominal obesity, and certain comorbidities, should be taken into consideration. The diagnostic accuracy of exercise testing is slightly lower for women than men. Certain diagnostic tests, particularly exercise echocardiography and exercise thallium/sestamibi testing, offer more prognostic information than traditional exercise electrocardiographic studies without imaging. Mortality associated with interventional procedures--such as angioplasty and coronary artery bypass grafting (CABG)--is slightly higher in women, although long-term survival rates are similar for both sexes. Detection of CAD at an earlier stage in women may result in earlier referrals for CABG, with the benefit of lower associated mortality rates.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"3 5","pages":"1"},"PeriodicalIF":0.0,"publicationDate":"1998-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20715669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Primary care guide to managing a breast mass: a legal perspective on risk management. 管理乳腺肿块的初级保健指南:风险管理的法律视角。

Medscape women's health Pub Date : 1998-10-01

J R Osuch, V L Bonham, L L Morris

引用次数: 0

Interactive case challenge. Dysphoric disorders in women: a case of premenstrual syndrome. 交互式案例挑战。女性烦躁不安:经前综合征1例。

Medscape women's health Pub Date : 1998-10-01

T Pearlstein, N Jain, C Zlotnick, M Howard, S Diaz

引用次数: 0

Dysphoric disorders in women: a case of perinatal depression. 女性烦躁不安:围产期抑郁症1例。

Medscape women's health Pub Date : 1998-07-01

T Pearlstein, S Diaz, M Howard, C Zlotnick, N Jain

引用次数: 0

Pelvic prolapse: diagnosing and treating cystoceles, rectoceles, and enteroceles. 骨盆脱垂:诊断和治疗囊突、直肠突和肠突。

Medscape women's health Pub Date : 1998-07-01

R D Cespedes, C A Cross, E J McGuire

{"title":"Pelvic prolapse: diagnosing and treating cystoceles, rectoceles, and enteroceles.","authors":"R D Cespedes, C A Cross, E J McGuire","doi":"","DOIUrl":"","url":null,"abstract":"The current generation of women is maintaining a healthier and more active lifestyle into an older age. Treatable conditions such as stress urinary incontinence and pelvic prolapse detract from this active lifestyle. In many cases, an improved quality of life can be maintained by treating pelvic prolapse conditions with relatively minor surgical procedures. Optimal treatment requires a knowledge of pelvic floor anatomy, an understanding of the various pelvic floor defects, and experience in selecting the appropriate procedure. The unequivocal diagnosis of pelvic prolapse conditions can only be made on physical examination. Each section of the vagina -- anterior, posterior, lateral, and apex -- must be inspected and evaluated separately to define the true nature and degree of prolapse. The examination should be performed with a moderate amount of urine in the bladder, and the patient must strain forcefully during the procedure. In some cases, this requires that the patient stand or sit upright during part of the examination to allow all areas of prolapse to become manifest. When the proper procedures are performed, excellent long-term results can be anticipated. The successful treatment of cystoceles requires an evaluation for both lateral and central defects, as inadequate treatment of either defect will lead to recurrences. The treatment of rectoceles is more controversial: Most clinicians would repair symptomatic rectoceles, but many choose not to treat asymptomatic rectoceles because there is little documented benefit to justify the risk of postoperative dyspareunia. Small asymptomatic enteroceles may be treated with a pessary; however, large symptomatic enteroceles usually require surgery.","PeriodicalId":79687,"journal":{"name":"Medscape women's health","volume":"3 4","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"1998-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"20647277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ob-Gyn interactive case challenge--liver disease in the third trimester of pregnancy. 妇产科互动病例挑战——妊娠晚期肝病。

Medscape women's health Pub Date : 1998-07-01

G T Everson

引用次数: 0