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Key points Postoperative febrile morbidity is related to infection in approximately 20% of cases and noninfectious causes in 80% of cases. Infection in older adults will not always present with classic findings. The amount of temperature elevation may not reflect…
Key points Optimal preparation for an operation facilitates a successful result and protects the patient and physician. The most significant risk factors for postoperative morbidity are preoperative conditions. They may affect the operation, anesthesia, and postoperative course and may preclude…
Key points The most common large cyst of the vulva is a cystic dilation of an obstructed Bartholin duct, with a lifetime risk estimated to be 2%. These cysts occur most often during the third decade. Inflamed cysts may be…
Key points The breast consists of approximately 20% glandular tissue and 80% fat and connective tissue; increasing proportions of fibroglandular to fatty tissues are the mark of denser breasts. Breast density is associated with increased risks of malignancy. Lymph drainage…
Key points It is important to give the child a sense that she will be in control of the examination process. Emphasize that the most important part of the examination is just “looking” and that there will be conversation during…
Key points Long-acting reversible contraception (LARC) methods are safe, effective, and have minimal risk of user error; thus they have become the recommended option for most women with complicated chronic illnesses. The severity of asthma symptoms increases around the time…
Key points Evidence-based medicine (EBM) seeks to improve the care of patients and the delivery of care to patients. Descriptive-observational studies, including cross-sectional studies and case series, help generate hypotheses and characterize the context of disease. Case-control studies allow us…
Key points The labia majora are homologous to the scrotum in the man. The labia minora are homologous to the penile urethra and a portion of the skin of the penis in men. The clitoris complex is composed of both…
Key points Oocyte meiosis is arrested in prophase I from the fetal period until a luteinizing surge (LH) preceding ovulation. With the LH surge, the oocyte completes meiosis I associated with a decrease to 23 chromosomes with diploid (2 N…