Obstetrics & Gynecology

 

Dysfunctional uterine bleeding from the primary care perspective

, Daniel Cervonka, DHSc, PA-C April 23, 2012

PAs need to be informed about the diagnosis and management of excessive uterine 
bleeding, which is one of the most common reasons women seek gynecologic care.
 

Right lower quadrant pain in a middle-age woman

March 21, 2012

A patient with a history of hysterectomy and a family history of ovarian cancer complains of increased abdominal girth, early satiety, periodic postprandial emesis, and bloating.
 

A Day in the Life: Jacqueline McSparron, PA-C

February 27, 2012

A woman who became a PA so she could provide health care in Africa is living her dream.
 

Ask a Librarian!—November 2011

, November 17, 2011

This month's topics include the evidence pyramid--how certain types of studies offer more rigorous evidence than others--and resources for PAs interested in OB/GYN topics.
 

Preimplantation genetic diagnosis

September 22, 2011

This article reviews the use of preimplantation genetic diagnosis (PGD), an assisted reproductive technology that has been used to evaluate embryos for genetic conditions prior to implantation.
 

Vaginal bleeding, suprapubic cramping, and blood clots in a female patient

, Michael H. Stella, MD; Ali S. Raja, MD, MBA, MPH July 26, 2011

A patient with a history of two cesarean sections and one therapeutic abortion presented after she passed several small blood clots and experienced cramping over the past hour.
 

What caused this massive abdominal and pelvic cyst?

, Michael H. Stella, MD; Ali S. Raja, MD, MBA, MPH May 20, 2011

A 27-year-old woman presented to the ED for evaluation of abdominal pain that was present for the past 12 hours and progressively worsening abdominal distention that had persisted for 3 months.
 

Sudden cramps and vaginal bleeding during pregnancy

April 22, 2011

A female patient with sudden onset vaginal bleeding and cramps and a positive pregnancy test presented to the emergency department for evaluation.
 

Osteoporosis and pregnancy-induced hypertension

March 17, 2011

Osteoporosis and pregnancy-induced hypertension are discussed in an easy to read review format, with an emphasis on assessment, diagnosis, and treatment. A sample question is provided for each subject to test your knowledge.
 

A rare pelvic neoplasm is discovered 
during a routine evaluation

, Kevin Cunningham, PA-C; Melanie Kim, PA-C January 10, 2011

Ultrasonography performed to check the position of an intrauterine device revealed an angiomyxoma, a benign but aggressive tumor.
 

What's new in minimally invasive surgery: 
Robotic technology speeds recovery and improves outcomes

October 21, 2010

A new robotic surgery technique offering surgeons greater flexibility and precision decreases the patient's recovery time and risk of complications.
 

PCOS: Clinical presentation guides treatment of this multifaceted disease

, Gloria Stewart, EdD, PA-C, ATC October 05, 2010

The clinical presentation of patients with PCOS can vary. Treatment is based on recognizing its many manifesting symptoms.
 

Cervical cancer: Updated screening guidelines

From CSAC, the Clinical and Scientific Affairs Council of the AAPA July 20, 2010

Key recommendations include age at initial screen, screening intervals, and discontinuation and the impact of the HPV vaccine.
 

A Day in the Life of Gina Brown, MPAS, PA-C

June 25, 2010

A PA working at a family practice clinic in Kabul, Afghanistan, describes her day as a Mother-Child Health Coordinator.
 

Painful subcutaneous abdominal mass in a woman with a history of cesarean section

June 07, 2010

Years of worsening pain in a surgical scar proved baffling until an MRI revealed a soft-tissue mass in an uncommon location.
 

Drain placement with antibiotics provides effective therapy for appendicitis in pregnancy

Megan Bales Fulton, PA-C; Bennett Fontenot, MD; Stuart M. Leon, MD, FACS March 15, 2010

Conservative management is used effectively to treat a woman with a ruptured appendix at 32 weeks' gestation.
 

A rare presentation of metastatic breast cancer in a woman with apparent cholangiocarcinoma

Holly L. Johnson, MPAS, PA-C? March 08, 2010

Jaundice and intermittent abdominal pain were the only clues to a primary breast cancer that manifested without the usual symptoms.
 

Some unopposed estrogen products require progestogen protection

January 22, 2010

A new verdict for hormone therapy (HT): Safe for younger, symptomatic women
 

A new verdict for hormone therapy (HT): Safe for younger, symptomatic women

Janie L. Knotts, PA-C; William A. Childers Jr, MS, PA-C December 02, 2009

New research data and updated indications have created a niche for hormone therapy in younger women going through menopause.
 

The role of human papillomavirus testing in cervical cancer screening

Lauren Morasse, MS, PA; Adi Davidov, MD; Mario R. Castellanos, MD November 02, 2009

HPV infection can progress to cervical cancer. Updated screening guidelines identify those at high risk for more serious disease.
 

Nonpharmaceutical options for hot flashes

October 16, 2009

Is black cohosh a safe and effective substitute for hormone replacement therapy?
 

Should I be tested for the BRCA gene?

Jill Gore, MPAS, PA-C September 24, 2009

Patients whose family members have breast, ovarian, or prostate cancer will want to know their risk of disease and if there's anything the can do to reduce it.
 

Is hormone replacement therapy for me?

Adrienne D. Miller July 23, 2009

The benefits and risks of hormone replacement therapy are updated. The patient handout provides answers to patients' most frequently asked questions.
 

Extremes of opinion about this PA's 'Day'

July 09, 2009

A Day in the Life: Michelle M. Howe, MPAS, PA-C
 

A Day in the Life: Michelle M. Howe, MPAS, PA-C

Michelle M. Howe, MPAS, PA-C June 11, 2009

Facing down protesters, reassuring anxious patients, and conducting research for a better future are all in a day's work for a PA working at a large family planning clinic.
 

Erythema infectiosum: Recognizing the many faces of fifth disease

Ellen D. Mandel, DMH, MPA, PA-C June 02, 2009

The multiple manifestations of this viral infection are described. Are you able to recognize these etiologies?
 

Why can't I have an orgasm?

Margaret Allen, PA-C May 27, 2009

A strong clinician-patient relation is crucial in the treatment of women with sexual dysfunction, such as anorgasmia.
 

A pregnant woman with persistent headaches and seizures

Hilary D. Sugar; Denise Rizzolo, PA-C, PhD February 20, 2009

A 21-year-old Hispanic woman, 29 weeks pregnant, presents to the emergency department with a persistent headache and subsequent seizures. Her headache began 1 week earlier with pain predominantly on the right temporal side and was associated with blurry vision.
 

Ovarian cancer: The search for an accurate screening technique

Lindsay Anderson, PA-C, MPAS February 06, 2009

Few cases of ovarian cancer are diagnosed early; however, new modalities promise earlier detection and a better prognosis.
 

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