威廉姆斯妇科学.pdf

威廉姆斯妇科学.pdf
 

书籍描述

内容简介
《威廉姆斯妇科学(第2版)(英文影印版)》涵盖了普通妇科、生殖内分泌和不孕、妇科泌尿以及妇科肿瘤等几乎所有妇科疾病,并以前所未有的广度和深度呈现给大家。600余幅精美的插图能极好地帮助读者理解文章内容,大量的诊断流程图及表格简明易懂地阐明了鉴别诊断和最佳治疗方案的选择。500余幅手术图示生动展示了妇科手术的过程和技巧,并对具体细节进行了详尽的说明,便于读者理解掌握。全面反映了当前妇科学的最新进展,尤其是微创手术、妇科肿瘤治疗以及辅助生殖技术等。

编辑推荐
《威廉姆斯妇科学(第2版)(英文影印版)》各具特色,并驾齐驱,同为国际妇产科学的经典之作,不但有助于您获取最新、最权威的妇科领域专业知识,而且可以阅读经典教科书地道、专业的英语,为高端专业人士必备参考书。

作者简介
作者:(美国)霍夫曼(Barbara L.Hoffman) (美国)肖尔格(Schorge J.O.) (美国)莎孚(Schaffer J.I.)

目录
SCETION 1
Editors
Contributors
Artists
Preface
Acknowledgments
SCETION 2
Reproductive Endocrinology
Amenorrhea
Polycystic Ovarian Syndrome and Hyperandrogenism
Anatomic Disorders
Evaluation of the Infertile Couple
Treatment of the Infertile Couple
Menopausal Transition
The Mature Woman
SCETION 3
Urinary Incontinence
Pelvic Organ Prolapse
Anal Incontinence and Functional Anorectal Disorders
Genitourinary Fistula and Urethral Diverticulum
SCETION 4
Principles of Chemotherapy
Principles of Radiation Therapy
Preinvasive Lesions of the Lower
Genital Tract
Cervical Cancer
Invasive Cancer of the Vulva
Vaginal Cancer
Endometrial Cancer
Uterine Sarcoma
Epithelial Ovarian Cancer
Ovarian Germ Cell and Sex
Cord—Stromal Tumors
Gestational Trophoblastic Disease
SCETION 5
SCETION 6

文摘
版权页:



The most frequent presenting complaints in otherwise healthy,immunocompetent nonpregnant women are dysuria, frequency, urgency, and incontinence.
Studies conducted by the National Institutes of Health(NIH), the Mayo Clinic, and others have shown that mostpatients can be treated with a short course of antibiotics without examination, urinalysis, or urine culture for an isolatedepisode of acute uncomplicated bacterial cystitis. It must beemphasized that a patient in this category can always be seen ifshe prefers. In addition, women should be instructed on clinicalchanges that warrant further attention such as fever > 100.4°Cand persistence or recurrence of hematuria, dysuria, and frequency despite treatment.
Women with these exclusions and others require evaluationto exclude other potential causes of their symptoms . For example, hematuria in a postmenopausal womanmay reflect cervical, uterine, or colonic bleeding evident at thetime of urination, rather than upper and lower urinary tractinfection. Similarly, burning with urination may indicatevulvitis.
Complicated or Recurrent Cystitis
As many as 50 percent of women who suffer an uncomplicatedacute bacterial episode of cystitis will have another infectionwithin a year. Up to 5 percent have recurring symptoms soonafter treatment. When symptoms develop in such women,the likelihood that a true infection is present is greater than80 percent.
Diagnosis
Thus, for selected women with complicated or recurrent infections or with persistent or new symptoms during treatment,urinalysis and urine culture are strongly encouraged. For aculture specimen to be informative, it must be accurately collected. A "clean catch" midstream voided urine specimen isusually sufficient. A patient should understand the reasons forand the steps associated with urine specimen collection, whichCulture. Urine culture allows accurate identification of aninciting pathogen and susceptibility testing of that pathogento a variety of antibiotics.

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