Pediatric, Adolescent and Young Adult Gynecology

The young ob/gyn patient presents unique problems different from the mature woman but which training often neglects. This user-friendly, practical book provides generous coverage of all aspects of pre-womanhood gynecology. Ranging from the commonest problems to the less common but urgent, it emphasizes diagnosis, special care and management throughout.

Autorentext
Albert Altcheck, MD, Clinical Professor of Obstetrics, Gynecology and Reproductive Science; Chief of Pediatric and Adolescent Gynecology; Attending Obstetrician/Gynecologist, Mount Sinai School of Medicine, New York City, USA.

Klappentext
Pediatric and Adolescent Gynecology is often poorly taught because it is multidisciplinary and tends to fall between departments. Traditional teaching falls into rigid compartments with obstetric-gynecology trainees rarely seeing children and pediatric trainees often neglecting the female reproductive system having been inadequately taught what to look for.

Nevertheless, the young ob/gyn patient presents unique problems which are different from the mature woman. This includes the spectrum of illnesses, development, approach, management, and effect on later life and fertility. Malignant tumors, for example, have different pathology, management and response to chemotherapy.

The adolescent gynecology consultation is uniquely challenging and the quality of the advice and counselling the patient receives is of the utmost importance. Crucial issues at this time of life relate to the risks of sexual activity, teenage pregnancy, contraception and STDs. Accurate recognition and sensitive management of child sex abuse is also a highly problematic and challenging area.

The specialty certification boards in obstetrics-gynecology and pediatrics have recognized the historic problem of teaching and assessment in this field and now have examination questions on the subject. Consequently, a good textbook at trainee level is desperately needed which sets the context and explains the most important parts of the subject, without attempting to be an exhaustive reference for the sub-specialist as most of the other books are.

This book is a practical and concise clinical guide to patient care which is user friendly and brings readily accessible help for common problems. It ranges form the commonest problem (vulvovaginitis) through to the less common but urgent problems including the newborn with ambiguous external genitalia, the prepubertal child with vaginal bleeding due to anovulatory dysfunctional uterine bleeding and possible vaginal rhabdomyosarcoma, and the adolescent with severe vaginal bleeding and pregnancy complications (miscarriages, ectopic pregnancy). It emphasizes diagnosis and management and each chapter has an outline and summary.

Each chapter follows a clear structure:

1. outline of chapter

2. summary of chapter quick review of essential details

3. body of chapter for in depth review when there is time

4. fewer than 60 references, recent and reviews

Separate section of Quick-Takes for instant diagnostic possibilities.

It is designed for the obstetrician-gynecologist, pediatrician, and adolescent medicine and primary care physician. In short, for all doctors who are likely to come across gynecological problems in children and adolescents. It will also be of great value in related fields such as urology, general surgery, psychiatry, dermatology, public health, law and education. It will be a referral source for medical personnel including social service, nurse practitioners and physician's assistants.

Inhalt

Contributors vii

Preface xi

Foreword xiii

Dedication xiv

1 Introduction 1
Albert Altchek

2 Evaluation of the Newborn 12
Albert Altchek

3 Early Diagnosis and Management of Atypical-Appearing Genitalia 14
Genna W. Klein & Robert Rapaport

4 Diagnosis and Management of Congenital Adrenal Hyperplasia 25
Karen Lin-Su, Saroj Nimkarn, & Maria I. New

5 Androgen Insensitivity and Gonadal Dysgenesis 36
Claude Migeon & Kara Pappas

6 The Gynecologic Approach to the Child Adolescent and Young Adult 53
Albert Altchek

7 Vulvovaginitis in the Child 60
Albert Altchek

8 Vaginal Bleeding in the Child 81
Albert Altchek

9 Ovarian Cysts in the Fetus Infant and Child 87
Robert A. Cusick & Marc S. Arkovitz

10 Genital Trauma 97
Diane F. Merritt

11 Sexual Abuse 111
Nancy D. Kellogg

12 Adolescent Sexuality 124
Don Sloan

13 Psychologic Aspects of Gynecologic Problems 131
Albert Altchek

14 Approach to and Evaluation of the Adolescent Female 134
Anne Nucci-Sack, Mary Rojas, Ivanya L Alpert, Elizabeth Lorde-Rollins, Mara Minguez, & Angela Diaz

15 Puberty in Girls 141
Frank M. Biro

16 Delayed Puberty 145
Janice L. Bacon

17 Primary and Secondary Amenorrhea 150
Rachel J. Miller & Paula J. Adams Hillard

18 Precocious Puberty 159
Peter A. Lee & Christopher P. Houk

19 Dysmenorrhea 171
Albert Altchek

20 Pelvic Pain Endometriosis and the Role of the Gynecologist 174
Farr R. Nezhat, Alireza A. Shamshirsaz, Gazi Yildirim, Ceana Nezhat, & Camran Nezhat

21 Management of Chronic Pelvic Pain in the Adolescent 194
Kenneth A. Levey

22 Adolescent Anovulatory Dysfunctional Uterine Bleeding and Menorrhagia 204
Albert Altchek

23 Bleeding Disorders in the Adolescent Female 210
Aaron R. Rausen

24 Congenital Gynecologic Anomalies I Rokitansky Syndrome (MRKH Syndrome) 215
Albert Altchek

25 Congenital Anomalies II No Eponym Syndrome and Diagnostic Problems 231
Albert Altchek

26 Laparoscopy in the Pediatric and Adolescent Female 246
Robert K. Zurawin

27 Disorders of the Young Breast 256
Yasmin Jayasinghe & Patricia Simmons

28 Contraceptive Choices in Pediatric Adolescent and Young Adult Gynecology 265
Albert George Thomas Jr

29 Contraception in Adolescence 299
George Creatsas & Efthimios Deligeoroglou

30 Labor in the Adolescent 308
Emanuel A. Friedman

31 The Polycystic Ovary Syndrome Challenges and Opportunities in Adolescent Medicine 316
Nathan Kase

32 Acute Abdominal and Pelvic Pain 340
Jeremy T. Aidlen & Stephen E. Dolgin

33 Acute Gynecologic Pain 347
Charles J. Ascher-Walsh & Michael Brodman

34 Vulva Disorders in Children 358
Raymond H. Kaufman

35 Dermatology The Dermatologist's View of Diagnosis and Treatment of Vulvar Conditions 369
Jennifer Aranda & K. Robin Carder

36 Management of Ovarian Cysts in the Adolescent and Young Adult 380
Leslie R. Boyd, Khush Mittal, & John P. Curtin

37 Pediatric Gynecologic Cancer 390
William Bradley III & Jamal Rahaman

38 Cervix Cytology Dysplasia and Human Papillomavirus 397
Ali Mahdavi & Bradley J. Monk 39 Herpes Simplex Viruses Types 1 and...