Download e-book for kindle: Hacker & Moore's Essentials of Obstetrics and Gynecology by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel


By Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel

ISBN-10: 0808924168

ISBN-13: 9780808924166

Get tips on review, prognosis, and administration of a variety of obstetric and gynecologic issues from the main finished and concise reference at the topic. The 5th Edition of this well known and functional source positive factors extra scientific photographs and fabric on vaccination and sickness prevention.

The full-color layout with illustrations and pictures supplement the textual content. entry the whole textual content on-line, besides an extra snapshot gallery, case experiences, and on-line note-taking through scholar seek advice for a greater studying experience.

• contains a full-color layout and pictures for a visually obtainable consultant that simply correlates to real scientific experience.
• provides must-know details successfully and successfully via a concise, transparent writing style.
• encompasses a bankruptcy on vaccination and affliction prevention and starting place for elevated scientific concentration and utility.
• comprises extra scientific photos for a clearer visible presentation of scientific applications.
• displays alterations within the APGO/CREOG ambitions via up-to-date content.

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Additional info for Hacker & Moore's Essentials of Obstetrics and Gynecology (5th Edition)

Sample text

Only the glans clitoris is visible externally. The body, composed of a pair of corpora cavernosa, extends superiorly for a distance of several centimeters and divides into two crura, which are attached to the undersurface of either pubic ramus. Each crus is covered by the corresponding ischiocavernosus muscle. Each vestibular bulb (equivalent to the corpus spongiosum of the penis) extends posteriorly from the glans on either side of the lower vagina. Each bulb is attached to the inferior surface of the perineal membrane and covered by the bulbocavernosus muscle.

Vaginal wall relaxation should be evaluated using either a Sims’ speculum or the posterior blade of a bivalve speculum. The patient is asked to bear down (Valsalva’s maneuver) or to cough to demonstrate any stress incontinence. If the patient’s complaint involves urinary stress or urgency, this portion of the examination should be carried out before the bladder is emptied. The cervix should be inspected to determine its size, shape, and color. The nulliparous patient generally has a conical, unscarred cervix with a circular, centrally placed os; the multiparous cervix is generally bulbous, and the A NULLIPAROUS B MULTIPAROUS FIGURE 2-3 Cervix of a nulliparous patient (A) and a ­multiparous patient (B).

In addition to the routine gynecologic history and physical examination, these patients should be evaluated for any sensory impairment (such as visual or hearing loss), any impaired mobility, malnutrition, urinary incontinence, or confusion, which may be due to polypharmacy. Appropriate referral, when improvement can be reasonably expected, should be considered for these problems once identified. Gynecologic conditions such as atrophic vaginitis, uterine and vaginal prolapse, and genital tract malignancies are among the more common problems encountered in the geriatric patient.

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Hacker & Moore's Essentials of Obstetrics and Gynecology (5th Edition) by Neville F. Hacker, Joseph C. Gambone, Calvin J. Hobel

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