Clinical case A 36-year-old, G1P1, previously healthy woman presents with left sided pelvic pain. She presents to her PCP who performs a CBC and comprehensive panel that are unrevealing, abdominal exam shows bloating without point tenderness. She has a history…
Clinical case A 34-year-old female presents with worsening abdominal distension. She is found to have a 22 cm solid and cystic pelvic mass likely arising from the right ovary on MRI, and no evidence of metastatic disease ( Fig. 5.1…
Clinical case Forty-year-old G1P1 presented to her local emergency department with back pain. A CT scan showed a 14 cm right ovarian cyst, and CA-125 was elevated at 49 U She underwent a robotic-assisted laparoscopic right salpingo-oophorectomy, with surgical findings…
Clinical case A 76-year-old female presents with vague abdominal pain, increased abdominal girth, and early satiety over the past 3 months. On physical exam, she was noted to have abdominal distension, right lower quadrant tenderness on palpation, and a fixed…
Clinical case A 58-year-old G2P2 female presents with a 10 cm complex adnexal mass and postmenopausal bleeding. CT imaging also demonstrates a 4 cm perihepatic tumor implant ( Fig. 2.1 ). Image-guided biopsy of this implant demonstrates an adult granulosa…
Clinical case A 22-year-old G0 presents to an emergency department with pain and vomiting. CT scan of the abdomen/pelvis reveals a complex mass with cystic and solid components, including scattered calcifications, which occupies a large portion of the abdomen and…
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Obstetrical Decisions and Neonatal Outcomes The nature of obstetrical practice requires consideration of two patients: mother and fetus. Their intrinsic biological interdependence creates unique challenges not typically encountered in other realms of medical practice. Often there is a paucity of…
Cardiovascular disease (CVD) is the leading cause of mortality among women in the United States and developed countries. Women on average experience CVD mortality about 10 years later than men. However, women experience a higher fatality rate following a first…
Critical care, as a branch of medicine, is a young specialty. Specialized intensive care units (ICUs) date only from the 1950s, having arisen either in response to polio epidemics, in which patients needed respiratory care up to and including mechanical…