Women’s Health

 

Surgical considerations in invasive breast cancer: A clinician's update

, Amy J. Goldberg, MD, FACS May 10, 2012

Breast cancer requires a multidisciplinary approach in which all clinicians should have a fundamental knowledge of the armamentarium of other team members.
 

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.
 

How will your personal beliefs affect the care you deliver?

March 15, 2012

Caregivers are entitled to personal beliefs, but patients are entitled to receive the care they desire. Decide how you will handle the situation beforehand.
 

Can I be screened for ovarian cancer?

September 30, 2011

This information can help PAs and patients understand ovarian cancer and its symptoms and risk factors and to determine who should be screened.
 

Ovarian cancer: Breaking the silence

, September 16, 2011

More than 90% of women survive when ovarian cancer is caught early. The key is awareness, for both the patient and the PA.
 

Do drospirenone-containing oral 
contraceptives have a higher risk of VTE?

August 11, 2011

Because these products are among the top-selling OCs in the United States, awareness of the evidence regarding their safety is essential.
 

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.
 

The female athlete triad: Patients do best with a team approach to care

, April 04, 2011

Low energy, menstrual dysfunction, and diminished bone mineral density make up the female athlete triad—a complex, wide-ranging disorder.
 

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.
 

Stand up and be counted

December 27, 2010

When I first decided to go to PA school, I worried about being taken seriously as a clinician. I was concerned that my physician and nursing colleagues might think, "Oh, she is just a PA" when I made diagnostic and treatment decisions. I feared my patients would ask, "When do I get to see a real doctor?"
 

What's new in fracture prevention: 
New osteoporosis drug improves 
patient adherence

, Reamer Bushardt, PharmD, PA-C December 20, 2010

Denosumab is the latest monoclonal antibody used to help prevent fractures and provides a number of new benefits.
 

Does estrogen therapy improve the 
symptoms of stress urinary incontinence?

December 16, 2010

One formulation of estrogen may be helpful in postmenopausal women with stress urinary incontinence, but it isn't necessarily the best available treatment approach.
 

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.
 

Empowering PAs to ask female patients about their sexual health

, June 01, 2010

Physician assistants should be prepared to initiate a discussion on this vital aspect of a woman's overall health.
 

What's new in breast oncology

April 16, 2010

Genetic profiling with the 21-gene RT-PCR assay improves predictions for risk of 10-year recurrence and response to chemotherapy.
 

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.
 

Clarification of the meaning of a negative test result

October 16, 2009

Should I be tested for the BRCA gene?
 

Nonpharmaceutical options for hot flashes

October 16, 2009

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

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