| Preface | 5 |
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| Contents | 7 |
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| Contributors | 10 |
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| Primary Care and the Obstetrician-Gynecologist | 14 |
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| Primary Care in Obstetrics and Gynecology: Health Maintenance and Screening | 15 |
| Background Information | 15 |
| Screening, Counseling, and Immunization | 32 |
| Suggested Reading | 43 |
| Pediatric and Adolescent Patients | 44 |
| Introduction | 44 |
| Prepubertal Vulvovaginitis | 44 |
| Genital Bleeding in Childhood | 50 |
| Abnormal Genitalia | 51 |
| Pubertal Aberrancy | 57 |
| Menstrual Dysfunction | 59 |
| Contraception | 63 |
| Case Studies | 63 |
| Suggested Reading | 65 |
| Elderly Patients | 66 |
| Background Information | 66 |
| Establishing a Diagnosis | 70 |
| Clinical Intervention | 79 |
| Special Considerations | 82 |
| Summary | 83 |
| Suggested Reading | 84 |
| Lesbian Patients | 85 |
| Background Information | 85 |
| How Common Is Female Homosexuality? | 87 |
| Neuroendocrinology of Homosexuals | 87 |
| Family Relationships and Other Factors | 88 |
| Sexuality and Safe Sex | 88 |
| Diagnostic Considerations | 88 |
| Gynecologic Care | 92 |
| How to Approach the Patient | 92 |
| Summary | 94 |
| Case Studies | 95 |
| Suggested Reading | 96 |
| The Role of Genomic and Applied Molecular Biology | 98 |
| Introduction | 98 |
| Background Information | 99 |
| A Quick Review of Molecular Biology | 99 |
| Where to Find DNA | 101 |
| Principles of DNA Diagnosis | 101 |
| Further Refinements | 105 |
| DNA Arrays = The Chip | 108 |
| Clinical Applications | 109 |
| Keeping Up with the Developments in the Field | 109 |
| Case Studies | 110 |
| Glossary | 111 |
| Suggested Reading | 111 |
| Emergencies in the Office Setting | 113 |
| Background Information | 113 |
| Establishing the Diagnoses | 115 |
| Clinical Intervention | 115 |
| Neurologic Deficits/Disability | 121 |
| Thought-Provoking Cases | 124 |
| Summary | 125 |
| Suggested Reading | 126 |
| Clinical Management Principles for the Office Setting | 127 |
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| Abnormal Pap Smear: Gynecologic Pathology and Management | 128 |
| Introduction | 128 |
| Screening Guidelines | 134 |
| Triage for Cytologic Abnormalities | 137 |
| Case Studies | 150 |
| Suggested Reading | 151 |
| Mood Disorders | 153 |
| Major Depressive Disorder | 153 |
| Bipolar Disorder | 156 |
| Other Mood Disorders | 157 |
| Treatment of Depression | 161 |
| Treatment of Bipolar Disorders | 172 |
| Special Clinical Situations | 175 |
| Suggested Reading | 179 |
| Breast Disease | 181 |
| Background Information | 181 |
| Establishing a Diagnosis | 182 |
| Common Problems | 192 |
| Screening for Breast Cancer | 192 |
| Clinical Intervention and Treatment | 193 |
| Summary | 198 |
| Suggested Reading | 199 |
| Cardiovascular Hypertension | 201 |
| Background Information | 201 |
| Establishing the Diagnosis of Hypertension | 205 |
| Therapy | 211 |
| Monitoring Therapy | 216 |
| Case Study | 217 |
| Summary | 218 |
| Suggested Reading | 218 |
| Chronic Pelvic Pain | 221 |
| Introduction | 221 |
| Overview | 222 |
| History | 222 |
| Physical Examination | 223 |
| Laboratory and Diagnostic Studies | 224 |
| Gynecologic Causes of Chronic Pelvic Pain | 226 |
| Miscellaneous Gynecologic Causes of Chronic Pelvic Pain | 232 |
| Urologic Causes of Chronic Pelvic Pain | 237 |
| Gastroenterologic Causes of Chronic Pelvic Pain | 239 |
| Musculoskeletal Causes of Chronic Pelvic Pain | 243 |
| Psychiatric Causes of Chronic Pelvic Pain | 244 |
| Conclusion | 244 |
| Suggested Reading | 245 |
| Contraception Update | 246 |
| Introduction | 246 |
| Hormonal Contraception | 247 |
| Intrauterine Contraception | 258 |
| Barrier Methods of Contraception | 262 |
| Emergency Contraception | 266 |
| Case Studies | 267 |
| Coronary Heart Disease in Women: Diagnosis, Evaluation, and Preventive Therapy | 270 |
| Background Information | 270 |
| Evaluation of Chest Pain Syndromes | 271 |
| Clinical Characteristics and Therapies of Coronary Heart Disease in Women | 274 |
| Coronary Preventive Interventions | 277 |
| Menopausal Hormone Therapy: Is There Evidence for Coronary Disease Prevention | 283 |
| Summary | 286 |
| Suggested Reading | 286 |
| Dermatologic Disorders | 288 |
| Background Information | 288 |
| Common Tumors | 292 |
| Pigmented Lesions | 298 |
| Rashes | 300 |
| Purpura—Macular and Palpable | 310 |
| Urticaria/Urticarial Lesions | 311 |
| Pruritus Without Rash | 312 |
| Suggested Reading | 312 |
| Diabetes Mellitus | 313 |
| Background Information | 313 |
| Diagnosis | 314 |
| Classification | 315 |
| Initial Evaluation of the Patient with Diabetes Mellitus | 316 |
| Management | 316 |
| Gestational Diabetes | 328
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