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ISBNSpecification
  SPECIFICATION
CHALLENGING OFFICE CASES IN OBSTETRICS AND GYNECOLOGY
Author: RIZK
ISBN: 9789352501762
Year: 2016
Publisher: JAYPEE BROTHERS MEDICAL PUBLISHERS PVT LTD.
Category: OBSTETRICS & GYNAECOLOGY
Edition: 1
Format: Paperback
Language: English
Pages: 216
 ABOUT THE TITLE
Each chapter covers a complex topic that may be difficult to manage due to its rarity or associated issues outside the usual scope of Obstetrics/Gynecology office practice. Familiarity with these topics, before the patients are seen, will allow the practitioner enhanced knowledge to address patient needs, but the chapters are short enough to review so that when a patient with one of the diagnoses presents for care, the physician can quickly review and devise a management strategy.
This book enhances the care of women outpatients and the physician satisfaction inherent in the office care of women.

Key Features The care of Office Obstetrics and Gynecology patients can be quite challenging at times. This book, Challenging Office Cases in Obstetrics and Gynecology, describes 30 complex topics which may be difficult to manage due to its rarity. It also offers literature review and concrete suggestions for management options. It will help the practitioners improve care to women patients in the office setting.

Author: Botros RMB Rizk
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 TABLE OF CONTENTS
Chapter 01 R efusal of Cesarean Section 1
Sheila A Connery
Characteristics of Women Who Refuse
Cesarean Delivery 1
Background of Patients Who Refuse Surgery 2
International Management of Women Who Refuse Cesarean
Delivery 3
American Congress of Obstetrics and Gynecology (Acog )
Recommendations 4
Final Thoughts 5
Chapter 02 Office Management of Recurrent Pregnancy Loss 7
Sarwat Ibrahim
Emotional Support of Patients with Recurrent Pregnancy
Loss 7
Causes of Recurrent Pregnancy Loss 8
Summary of Medical Evaluation 13
Final Thoughts 13
Chapter 03 Counseling the Adolescent with Undesired Pregnancy 15
Kate C Arnold, Katie M Smith
Challenges of Adolescent Pregnancy 15
Counseling Concepts 16
Patient Alternatives 16
Counseling after a Negative Pregnancy Test 17
Disclosing the Pregnancy 18
After Pregnancy 18
Final Thoughts 18
Chapter 04 Office Management Congenital Anomaly 20
Maria Vogiatzi, Kara Dent
Description of Omphalocele 20
Incidence 20
Etiology 21
Diagnosis of Omphalocele 21
Counseling of the Parents 22
Prognosis, Antenatal Care and Mode of Delivery 23
Treatment 24
Final Thoughts 24
Chapter 05 Office Care of Homeless Pregnant Patients 26
Olga Sarkodie, Inga Sarkodie
Description of the Problem 26
Management of the Pregnant Homeless Patient 29
Final Thoughts 30
Chapter 06 Care of the Obstetric Patient with Poor Maternal-Fetal
Attachment 32
William D Po
Factors that Promote Mfa 33
Factors that Diminish Mfa 34
Substance Abuse/Custody Loss 35
Factors that are Inconclusive 35
Final Thoughts 36
Chapter 07 Prenatal Care of the Surrogate Mother 38
Elisa A Crouse, Kirsten Crouse Bays
Definitions 38
The Process 39
The Law 40
Role of the Ob/Gyn 41
The Pregnancy 43
Final Thoughts 44
Chapter 08 Office Management of Stillbirth 45
George H Davis
Grief 46
Breaking the News 46
First Trimester Demise 47
Next Steps 48
Difficult Scenarios 49
Do’s and Don’ts 50
Final Thoughts 51
Chapter 09 Privacy Violation in the Office 52
Martin K Wong
Introduction: Why Privacy Matters 52
Physician Duty and Oath 53
Privacy and the Law 53
Creating a Culture of Privacy 55
Talking the Talk and Walking the Walk 55
Practice Reputation and Market Forces 56
Practical Steps to Ensure Patient Privacy 57
Management of the Vignette 57
Final Thoughts 58
Chapter 10 Office Management of Pseudocyesis 59
Martin E Olsen
Physiology of Pseudocyesis 60
Evaluation of the Patient with Pseudocyesis 60
Delusion of Pregnancy 62
Treatment of Pseudocyesis 62
Final Thoughts 63
Chapter 11 Office Management of Unsuccessful Infertility
Treatment 65
Tresa Lombardi, Rebecca Usadi
Evaluation 65
Management 67
Final Thoughts 68
Chapter 12 Disclosing Office Medical Error 70
Catherine Hildebrand, Elisa A Crouse
Preparation Phase 71
The Conversation 72
The After Effects 73
Prevention Strategies 73
Final Thoughts 74
Chapter 13 Office Diagnosis of Cancer 75
Maria F Lopez-Davila, Catherine Gazzaniga
Communication Strategies 75
Modern Management of Bad News Delivery 77
Final Thoughts 78
Chapter 14 Office Diagnosis of Intimate Partner Violence 80
Molly M Greenwade, Katie M Smith
Clinical Presentation 81
Management 82
Final Thoughts 84
Chapter 15 Office Diagnosis of Sexual Abuse 86
Jennifer Villavicencio, Roxanne A Vrees
Histoty and Presentation 88
Timing 89
Physical Examination 89
Legal Considerations and Documentation 90
Final Thoughts 90
Chapter 16 Reproductive Care of the Intellectually Disabled Adult 92
Rebecca Seay, Martin E Olsen
Ethical Principles 93
Unique Healthcare Requirements 93
Sexual Abuse 94
Contraception and Sterilization 94
Pregnancy and Parenting 96
Final Thoughts 96
Chapter 17 Office Care of the Suicidal Patient 97
Rahul Lauhan, Keith A White, Merry N Miller
Risk Factors for Suicide 97
Clinical Evaluation of Current Risk 99
Final Thoughts 101
Chapter 18 The Angry Office Patient 103
Suzanne Yancey Bush, Janet Shepherd
The Four Step Solution 105
Case Review 107
Final Thoughts 107
Chapter 19 The Office Patient with Psychosis 109
Faith A Aimua
Prevalence 110
Etiology 110
Evaluation 112
Clinical Management 114
Medications 114
Psychosocial Interventions 115
Final Thoughts 116
Chapter 20 Abusive Patient in the Office 118
Suzanne Yancey Bush
Conditions Associated with Abusive Behavior 118
Five Strategies Handle Verbally Abusive Patients 120
Lessons from the Vignette 121
Final Thoughts 122
Chapter 21 Office Management of Bereavement 124
Sara Petruska
Normal and Complicated Grieving 125
Perinatal Grief 128
Final Thoughts 128
Chapter 22 The Overly-friendly Patient 130
Jessica R Jackson, Julie Z DeCesare
Defining Boundary Violations 130
Ethical Principles 131
Romantic Relationships with Patients 131
Stalking Behavior by Patients 133
Social Media and the Patient 134
Cultural Considerations 134
Clinical Scenarios 135
Final Thoughts 136
Chapter 23 The Drug Seeking Patient 138
Stephen Loyd 138
Approach to the Patient 139
Red Flags 139
Confronting the Patient 140
Final Thoughts—The Vignette Patient 140
Chapter 24 Alcohol Intervention in the Office 142
Stephen Loyd
Evaluation 143
Intervention 145
Treatment 145
Acute Alcohol Withdrawal 145
Rehabilitation 146
Final Thoughts 146
Chapter 25 Office Care of the Female Sex Worker 147
Rayan A Elkattah
Health Concerns of Female Sex Workers 148
Evaluation of Sex Workers 151
Management 152
Final Thoughts 154
Chapter 26 Office Care of the Transgender Patient 157
Erin Murata, Tony Ogburn
Approach to the Patient during the Office Visit 158
Patient Evaluation, Treatment and Goals of Care 160
Final Thoughts 162
Chapter 27 Factitious Disorders in the Ob/Gyn Office 165
Shelly Holmström, Dawn Palaszewski
Etiology and Risk Factors 166
Differential Diagnosis 167
Evaluation and Diagnostic Approach 167
Management 168
Final Thoughts 169
Chapter 28 End-of-Life Discussions in the Office 171
Sarwat Ibrahim
Supporting the Patient 172
Breaking Bad News 172
Advance Directives 173
Depression, Grief and Anxiety 175
Final Thoughts 176
Chapter 29 Office Care of the Lesbian Patient 178
Beth Cronin
The Welcoming Office 179
Care of Adolescents 180
Gynecologic Office Visit 180
Mental Health Screening 181
Pregnancy and Parenting Counseling 181
Final Thoughts 182
Chapter 30 Office Management of Elder Abuse 184
Melanie Altizer, Margaret Whitney
Physician Role 185
Risk Factors 185
Recognition of Elder Abuse 186
Intervention 186
Abuse in Institionalized Settings 188
Final Thoughts 188
Index 191
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