Ebook Adolescent gynecology: A clinical casebook - Part 2
➤ Gửi thông báo lỗi ⚠️ Báo cáo tài liệu vi phạmNội dung chi tiết: Ebook Adolescent gynecology: A clinical casebook - Part 2
Ebook Adolescent gynecology: A clinical casebook - Part 2
Chapter 15Case of a Girl with Low er Abdominal PainMegan Jacobs and Paritosh KaulCaseJuliet is a 16-year-old female who presents to the office complai Ebook Adolescent gynecology: A clinical casebook - Part 2 ining of lower abdominal pain for 5 days. Her pain increased progressively and was mildly relieved by ibuprofen. Juliet denies fevers, nausea, vomiting, diarrhea, constipation, back pain, dysuria, or hematuria. In addition, she denies vaginal discharge and does have some discomfort during sexual act Ebook Adolescent gynecology: A clinical casebook - Part 2 ivity. She has been with her cunent partner for the past 6 months. She has had oral and vaginal sex, and they use condoms. Juliet is also using a 52 mEbook Adolescent gynecology: A clinical casebook - Part 2
g levonorgestrel intrauterine device (IUD) for birth control for the past I year with very light irregular menses about every' 2-3 months since its plChapter 15Case of a Girl with Low er Abdominal PainMegan Jacobs and Paritosh KaulCaseJuliet is a 16-year-old female who presents to the office complai Ebook Adolescent gynecology: A clinical casebook - Part 2 er for which she was treated. Juliet has had three lifetime male sexual partners since coitarche at the age of 15. She denies history of sexual abuse or assault.Physical exam: Temperature 38.2 °C. pulse 82 bpm. blood pressure 106/74 mmHg, weight 142 lb. and BMI 23.6 kg/m2.Significant physical findin Ebook Adolescent gynecology: A clinical casebook - Part 2 gs: Right lower quadrant (RLQ) abdominal tenderness and no rigidity or guarding or rebound tenderness. Normal bowel sounds. No masses palpable. No cosEbook Adolescent gynecology: A clinical casebook - Part 2
tovertebral angle tenderness. Head and neck, cardiac, lung, and musculoskeletal examinations arc normal.Pelvic exam: Normal appearing vulva and no lesChapter 15Case of a Girl with Low er Abdominal PainMegan Jacobs and Paritosh KaulCaseJuliet is a 16-year-old female who presents to the office complai Ebook Adolescent gynecology: A clinical casebook - Part 2 nd vulva. Cervix: ectropion presentM. Jacobs. M.D.. F.A.A.P. (3J) • p. Kaul. M.D.Section of Adolescent Medicine. Department of Pediatrics. University of Colorado - Schoolof Medicine, Children’s Hospital Colorado, Aurora, co. USAe-mail: megan.jacobs@childrenscolorado.org: paritosh.kaul@childrenscolor Ebook Adolescent gynecology: A clinical casebook - Part 2 ado.org© Springer International Publishing AG 2018137H.J. Talib (ed.). Adolescent Gynecology.M. Jacobs and p. Kaul138Table 15.1 Differential diagnosisEbook Adolescent gynecology: A clinical casebook - Part 2
of lower abdominal pain in an adolescent female inGynecologicPregnancy—intrauterine or ectopicOvarian torsionOvarian cyst—simple, complex, or ruptureChapter 15Case of a Girl with Low er Abdominal PainMegan Jacobs and Paritosh KaulCaseJuliet is a 16-year-old female who presents to the office complai Ebook Adolescent gynecology: A clinical casebook - Part 2 traumaSexual assault/abuseGastrointestinalSmall bowel obstructionPostoperative adhesionsInflammatory' bowel diseaseIrritable bowel syndrome ConstipationUrinaryCystitis Ebook Adolescent gynecology: A clinical casebook - Part 2 Chapter 15Case of a Girl with Low er Abdominal PainMegan Jacobs and Paritosh KaulCaseJuliet is a 16-year-old female who presents to the office complaiGọi ngay
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