A practical guide to office gynecologic procedures by Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS
By Paul D Blumenthal MD MPH, Jonathan S. Berek MD MMS
Office dependent systems in surgical fields are speedily becoming making an allowance for faster prognosis and remedy. This new book, A useful advisor to workplace Gynecologic Procedures provides the step by step consultant to office-based approaches physicians have to deal with ladies within the ambulatory setting.
Covering the main commonplace place of work gynecologic tactics, this new e-book covers symptoms, right positioning, anesthesia and gear wanted for over 35 office-based systems. Chapters additionally current cautious tips on powerful sufferer management.
Perform gynecologic techniques in a cheap ambulatory surroundings, whereas enhancing the result on your sufferers with this easy-to-use scientific reference.
• Written via the school, fellows, and citizens of the Stanford division of Obstetrics and Gynecology
• comprises foreword through prestigious Editor, Dr. Jonathan Berek
• useful, illustrated advisor offers the “need-to-know” info on appearing universal workplace procedures
• CPT codes are indexed to avoid wasting you time
• Over 250 complete color-figures (illustrations, pictures) support establish and exhibit find out how to practice techniques
• handy better half site comprises absolutely searchable textual content and photographs supplying you entry to the content material anytime
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Extra info for A practical guide to office gynecologic procedures
Infection is usually self-limited and resolves spontaneously after a few months in immunocompetent individuals. Genital lesions, however, can be treated to prevent spread by sexual contact. Treatment may consist of chemi-ablative destruction of lesions, for example, with cantharidin (applied topically), cryotherapy, or immune modulation with imiquimod. Physical interventions are also used, including electrodessication, manual extrusion of the central core by squeezing the lesion, or removal with sterilized tweezers.
All patients should be instructed to begin sitz baths 1 to 2 days postprocedure. • Analgesics may be prescribed for outpatient pain management in the recovery period. CPT Code 56405. indd 22 12/01/13 8:09 AM 3 5 Condylomata and Molluscum Contagiosum Anahita Jafari and Paul D. Blumenthal Destruction of Condyloma (Genital Warts) Anogenital warts is the most common viral sexually transmitted infection in the United States. These warts, condylomata acuminata, are caused by human papilloma virus (HPV) infection, most commonly subtypes 6 and 11.
1) Patient Position • Lithotomy Landmarks • The vestibule is the innermost area of the vulva. It is immediately external to the hymenal ring, extending along the labia minora from the clitoris down to the most inferior aspect of the vaginal introitus (Fig. 1). • The vestibular glands, from whence vestibulitis may emanate are contained throughout the vestibular area, contained just under the mucosa. Anesthesia • No anesthesia required. Equipment • Cotton swab Technique 1. With the patient in the lithotomy position, begin by first gently swabbing at the 2 o’clock position of the vestibule.