Clinical protocols in pediatric and adolescent gynecology by Sally Perlman, Steven T. Nakajima, S. Paige Hertweck

By Sally Perlman, Steven T. Nakajima, S. Paige Hertweck

content material: Ambiguous genitalia Amenorrhea Bartholin's Abscess Breast Abscess Breast Anomalies Breast Asymmetry Breast Mass Cervical Mass Clitoromegaly Condyloma Acuminatum birth control melancholy Dysfunctional Uterine Bleeding Dysmenorrhea consuming problems Emergency birth control EMLA use, Topical Anesthetic Endometriosis lady Circumcision Genital Trauma Gynecologic exam Hemangioma of Vulva excessive possibility Behaviors Hirsutism Hymenal Anatomy Labial Abscess Labial Adhesions Labial Asymmetry/Hypertrophy Labial/Vulvar Mass Lichen Sclerosus Menstruation Menstrasul administration of the Mentally constrained sufferer Molluscum Contagiosum Nipple Discharge weight problems Oncology sufferers and Gynecologic matters Operative Care Osteoporosis Ovarian /Adnexal Torsion Ovarian Cysts Ovarian lots and Tumors Pap trying out Pelvic Inflammatory disorder Pelvic discomfort Polycystic Ovarian Syndrome being pregnant untimely Ovarian Failure Premenstrual Dysphoric illness Premenstrual Syndrome Prolactin problems Puberty Radiologic Imaging for Gynecologic stipulations Rape Sexual Abuse sexual intercourse Sexually Transmitted ailments Substance Abuse poisonous surprise Syndrome Tubal Mass Turner Syndrome Urethral Prolapse Urinary Tract an infection Uterine lots Uterovaginal Agenesis/Androgen Insensitivity Vaginal Bleeding within the Prepubertal sufferer Vaginal Tract Anomalies Vulvar Nevi Vulvar Ulcers Vulvovaginitis

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Sample text

Strong academic performance and established career goals are associated with successful use of contraception See Figure 21–14, the self­administered confidential adolescent questionnaire in Gynecologic examination (Chapter 21).  Expect breakthrough bleeding.

Obstet Gynecol Clin North Am 2000; 27:19–34 Page 27 6 Breast asymmetry KEY POINTS Neonatal: Unilateral or bilateral breast enlargement Secondary to maternal estrogen stimulation May have associated clear or cloudy nipple discharge Spontaneous resolution within 1st months of life Persistence requires evaluation for precocious puberty • Consider ultrasound to rule out cyst before referral to pediatric endocrinology Adolescent: Common complaint at thelarche as the onset of breast development (thelarche) is often asymmetric Usually resolves by late adolescence 25% persist after age 18 DIAGNOSIS History When did breast development (thelarche) begin?

Expect breakthrough bleeding.

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