By Eugene Toy, Edward Yeomans, Linda Fonseca, Joseph Ernest
Actual sufferers, actual circumstances train you high-risk obstetrics "This is a wonderful guide on excessive danger obstetrics. the perfect viewers is scientific scholars or citizens within the box who like genuine existence eventualities to intensify their studying. it's best fitted to these in a time crunch, and citizens and scholars definitely qualify. three Stars."--Doody's assessment provider Case documents: High-Risk Obstetrics makes use of fifty scientific instances to demonstrate evidence-based perform in high-risk obstetrics sufferers. each one case comprises open-ended questions, prolonged dialogue, perform Pearls, a “Controversy” dialogue, comprehension questions, and references to the most up-tp-date literature with a quick critique of every article. This detailed studying approach teaches you to be a greater clinician via studying within the context of genuine sufferers and reinforcing the newest evidence-based drugs. gains transparent and easy-to-follow case-based structure is helping citizens and fellows strengthen scientific considering abilities in response to present magazine articles and landmark stories, with an accompanying short critique "Practical Pearls" provide evidence-based strategies for sufferer administration "Controversy" characteristic discusses present controversies and diversified perspectives relating to each one case Multiple-choice comprehension questions accompany every one case unique line drawings and scientific pictures confirmed studying approach improves examination rankings
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Additional info for Case Files High-Risk Obstetrics (1st Edition)
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An efficient, cost-effective, and evidence-based approach is best. The clinician should be careful not to have “blinders” to only focus on one diagnosis, such as a 25-year-old woman with a pelvic mass has uterine fibroids, but rather keep an “open mind” to various diagnosis and be on the alert for “red flags” that may indicate inconsistencies with the primary diagnosis. Patients are conscious of the time, convenience, and number of visits required to reach a diagnosis, and these factors should also be taken into account in formulating the diagnostic plan.
This total blood volume begins increasing as early as 6 weeks gestation and plateaus at 30 to 34 weeks of pregnancy, increasing by some 40% to 50% in most gravidas. Plasma volume begins to increase at 10 weeks gestation and plateaus at 30 weeks’ gestation while the red blood cell mass begins increasing at 10 weeks and continues its rise until term. The reasons for these expansions remain unknown. The use of iron supplementation has been shown to enhance the increase in RBC mass from 18% to 30% by term.
Though not completely understood, glucosuria is common in pregnant women even with normal blood sugars (Level II-3). Two common effects of pregnancy on the eye are corneal thickening and decreased intraocular pressure (Level II-3). REFERENCES 1. Bernstein I, Zeigler W, Badger G. Plasma volume expansion in early pregnancy. Obstet gynecol. 2001;97:669. 2. Bhagwat A, Engel P. Heart disease and pregnancy. Cardiol Clin. 1995;13:163. 3. Davison J, Hytten F. The effect of pregnancy on the renal handling of glucose.