By Eugene Toy, Edward Yeomans, Linda Fonseca, Joseph Ernest
Actual sufferers, actual situations educate you high-risk obstetrics "This is a superb guide on excessive hazard obstetrics. the precise viewers is clinical scholars or citizens within the box who like genuine lifestyles situations to intensify their studying. it's best fitted to these in a time crunch, and citizens and scholars definitely qualify. three Stars."--Doody's evaluation carrier Case documents: High-Risk Obstetrics makes use of fifty medical situations to demonstrate evidence-based perform in high-risk obstetrics sufferers. each one case contains open-ended questions, prolonged dialogue, perform Pearls, a “Controversy” dialogue, comprehension questions, and references to the most up-tp-date literature with a quick critique of every article. This specified studying approach teaches you to be a greater clinician by means of studying within the context of genuine sufferers and reinforcing the newest evidence-based medication. positive aspects transparent and easy-to-follow case-based structure is helping citizens and fellows enhance medical considering abilities in line with present magazine articles and landmark stories, with an accompanying short critique "Practical Pearls" provide evidence-based suggestions for sufferer administration "Controversy" function discusses present controversies and varied perspectives with regards to each one case Multiple-choice comprehension questions accompany every one case unique line drawings and medical photos confirmed studying method improves examination rankings
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Extra info for Case Files High-Risk Obstetrics (1st Edition)
Understand combination first- and second-trimester screening modalities and their detection rates. Considerations This patient should first decide about any further testing from two broad options: noninvasive screening or diagnostic invasive testing. ” There is a long-recognized increase in the risk for fetal aneuploidy with advancing maternal age, and the increased risk takes a dramatic turn upward after the mid-thirties. Historically, women who would be age 35 or older on the estimated delivery date were automatically offered invasive testing.
6. Past medical history: Any illnesses, such as hypertension, hepatitis, diabetes mellitus, cancer, heart disease, pulmonary disease, and thyroid disease, should be elicited. Duration, severity, and therapies should be included. Any hospitalizations should be listed with reason for admission, intervention, and location of hospital. 7. Past surgical history: Year and type of surgery should be elucidated and any complications documented. Type of incision (laparoscopy vs laparotomy) should be recorded.
Additionally, because patients may be anxious due to possible serious fetal malformations or genetic disorders, the obstetrician must be nondirective in counseling the patient, and refrain from “coloring” the discussion with excessive preconceived beliefs or notions, but allow the patient and her family to receive the information in an unbiased fashion. Clinical Pearl The history is usually the single most important tool in obtaining a diagnosis. The art of seeking the information in a nonjudgmental, sensitive, and thorough manner cannot be overemphasized.