Chapter 051 Menstrual Disorders and Pelvic Pain (Part 3) pptx

... associated with elevated gonadotropins with hyperandrogenism and Chapter 051. Menstrual Disorders and Pelvic Pain (Part 3) Algorithm for evaluation of amenorrhea. β-hCG, human chorionic gonadotropin; ... other disorders, such as mutations in the FSH or LH receptors. Aromatase deficiency and 17α-hydroxylase deficiency are associated with elevated gonadotropins wit...

Ngày tải lên: 06/07/2014, 20:20

... Chapter 051. Menstrual Disorders and Pelvic Pain (Part 1) Harrison's Internal Medicine > Chapter 51. Menstrual Disorders and Pelvic Pain Menstrual Disorders and Pelvic Pain: ... origin. Depending on its cause, pelvic pain may require urgent surgical attention. Menstrual Disorders Definition and Prevalence Amenorrhea refers to the...

Ngày tải lên: 06/07/2014, 20:20

... Chapter 051. Menstrual Disorders and Pelvic Pain (Part 2) Figure 51-1 Androgen resistance syndrome requires gonadectomy because ... karyotype, but because of the lack of androgen receptor responsiveness, they have severe underandrogenization and female external genitalia. The absence of pubic and axillary hair distinguishes them ... Disorders of menstrual func...

Ngày tải lên: 06/07/2014, 20:20

... Chapter 051. Menstrual Disorders and Pelvic Pain (Part 4) Polycystic Ovarian Syndrome: Treatment The major abnormality ... cyclic pain may occasionally cause noncyclic pain, and the converse is also true. Table 51-1 Causes of Pelvic Pain Acute Chronic Premenstrual symptoms Mittelschmerz Dysmenorrhea Cyclic pelvic ... pelvic pain Endometriosis...

Ngày tải lên: 06/07/2014, 20:20

... that begins with the onset of menstrual bleeding and gradually decreases over the next 12–72 h. It may be associated with nausea, diarrhea, fatigue, and headache and occurs in 60–93% of adolescents, ... hypersensitivity, resulting in pain. Secondary dysmenorrhea is caused by underlying pelvic pathology. Endometriosis results from the presence of endometrial glands and stroma...

Ngày tải lên: 06/07/2014, 20:20

... can be brief and consist of pinprick, touch, and vibration testing in the hands and feet plus evaluation of stance and gait, including the Romberg maneuver. Evaluation of stance and gait also ... Discretion must be Chapter 025. Numbness, Tingling, and Sensory Loss (Part 3) Examination of Sensation The main components of the sensory examination are tests of primary s...

Ngày tải lên: 06/07/2014, 13:20

... L3, and L4 roots) passes anterior to the hip and is not stretched by sitting. The description of the pain alone often fails to distinguish between sclerotomal pain and radiculopathy. Pain ... "sclerotomal" pain may explain some cases of back and leg pain without evidence of nerve root compression. Radicular back pain is typically sharp and radiates from the...

Ngày tải lên: 06/07/2014, 08:20

... the response to near is often relatively intact. When the near stimulus is Chapter 029. Disorders of the Eye (Part 3) Demonstration of a relative afferent pupil defect (Marcus Gunn pupil) ... smooth, symmetric, full, and maintained in all directions without nystagmus. Saccades, or quick refixation eye movements, are assessed by having the patient look back and forth betwee...

Ngày tải lên: 06/07/2014, 15:21

... 1 8 1 1 4 Chapter 070. Nutritional Requirements and Dietary Assessment (Part 3) Note: This table presents recommended dietary allowances (RDAs) in bold type and adequate intakes ... α-tocopherol that occurs naturally in foods, and the 2R-stereoisomeric forms of α-tocopherol (RRR-, RSR-, RRS-, and RSS-α-tocopherol) that occur in fortified foods and supplements...

Ngày tải lên: 07/07/2014, 01:20

... in hormone-dependent endometrial and breast cancers; and ethanol in alcoholism. However, the etiology and pathogenesis of these disorders are multifactorial, and diet is only one of many risk ... illness, and stability of his or her condition. Chapter 070. Nutritional Requirements and Dietary Assessment (Part 5) Physiologic Factors Growth, strenuous physical activ...

Ngày tải lên: 07/07/2014, 01:20