Pediatric, Adolescent and Young Adult Gynecology

  • ID: 835362
  • Book
  • 516 Pages
  • John Wiley and Sons Ltd
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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.

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Contributors vii

Preface xi

Foreword xiii

Dedication xiv

1 Introduction 1Albert Altchek

2 Evaluation of the Newborn 12Albert Altchek

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

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

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

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

7 Vulvovaginitis in the Child 60Albert Altchek

8 Vaginal Bleeding in the Child 81Albert Altchek

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

10 Genital Trauma 97Diane F. Merritt

11 Sexual Abuse 111Nancy D. Kellogg

12 Adolescent Sexuality 124Don Sloan

13 Psychologic Aspects of Gynecologic Problems 131Albert Altchek

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

15 Puberty in Girls 141Frank M. Biro

16 Delayed Puberty 145Janice L. Bacon

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

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

19 Dysmenorrhea 171Albert Altchek

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

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

22 Adolescent Anovulatory Dysfunctional Uterine Bleeding and Menorrhagia 204Albert Altchek

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

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

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

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

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

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

29 Contraception in Adolescence 299George Creatsas & Efthimios Deligeoroglou

30 Labor in the Adolescent 308Emanuel A. Friedman

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

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

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

34 Vulva Disorders in Children 358Raymond H. Kaufman

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

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

37 Pediatric Gynecologic Cancer 390William Bradley III & Jamal Rahaman

38 Cervix Cytology Dysplasia and Human Papillomavirus 397Ali Mahdavi & Bradley J. Monk

39 Herpes Simplex Viruses Types 1 and 2 408David A. Baker

40 Sexually Transmitted Infections 415Rhoda Sperling

41 Imaging 427Sabah Servaes & Monica Epelman

42 Preservation of Fertility 445Michelle Tham & Alan B. Copperman

43 Where Law and Medicine Meet 449Rhea G. Friedman

44 Minors’ Rights to Reproductive Healthcare and Privacy 453Rhea G. Friedman

45 Human Papillomavirus Infection and Cervical Neoplasm Pathology in Adolescents 457Liane Deligdisch

46 Endometrial Pathology in Young Patients 462Liane Deligdisch

47 Ovarian Tumor Pathology in Children Adolescents and Young Women 467Liane Deligdisch

48 Gestational Trophoblastic Diseases Pathology in Adolescents and Young Adults 474Liane Deligdisch

49 Rhabdomyosarcoma of the Vagina and Cervix 480Frédérique Penault–Llorca, Hinde El Fatemi, & Florence Mishellany

50 Benign Ovarian Disorders 482Frédérique Penault–Llorca, Erika Rivera–Serrano, & Wassim Essamet

51 The History of Pediatric and Adolescent Gynecology in the United States 484Alvin F. Goldfarb

52 A History of the International Federation of Infantile and Juvenile Gynecology (FIGIJ) 487Irmi Rey–Stocker

Index 493

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"Serves an important purpose ... .Conditions are well described with numerous explanatory diagrams and pictures and they include some illnesses that most trainees or even specialists may never have seen." (The Obstetrician & Gynaecologist, 2010)

"A complete resource on the subject. ... It adds the perspective of young adult issues, which has not been addressed previously. I highly recommend this text to those in training and those in practice who see any pediatric, adolescent, or young adult women." (Fertility and Sterility, October 2009)

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