Chapter 051 Menstrual Disorders and Pelvic Pain (Part 5) potx

... 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

... 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

... 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

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

Ngày tải lên: 06/07/2014, 20:20

... cord a Minor trauma Strain or sprain Whiplash injury b Chapter 016. Back and Neck Pain (Part 5) Laboratory, Imaging, and EMG Studies Routine laboratory studies are rarely needed for ... is limited by pain or poor effort. EMG and nerve conduction studies will be normal when only limb pain or sensory nerve root injury or irritation is present. Causes of Back...

Ngày tải lên: 06/07/2014, 08:20

... Chapter 016. Back and Neck Pain (Part 15) Other Causes of Neck Pain Rheumatoid arthritis (RA) (Chap. 314) of the cervical apophyseal joints produces neck pain, stiffness, and limitation ... fourth and fifth digits. EMG and nerve conduction studies confirm the diagnosis. Treatment consists of surgical resection of the anomalous band. The weakness and wasting of int...

Ngày tải lên: 06/07/2014, 12:20

... illustrate, tingling dysesthesias in an acral distribution (hands and Chapter 025. Numbness, Tingling, and Sensory Loss (Part 5) Touch localization is performed by light pressure for an ... one hand at a time. If they are unable to identify it in one hand, it should be placed in the other for comparison. Individuals unable to identify common objects and coins in one hand a...

Ngày tải lên: 06/07/2014, 13:20

... the healthy individuals of a specific age and sex. The types of evidence and criteria used to establish nutrient requirements vary by nutrient, age, and physiologic group. The EAR is not useful ... activity, composition of diet, coexisting diseases, and drugs. When only slight differences exist between the requirements for nutrient sufficiency and excess, dietary planning becom...

Ngày tải lên: 07/07/2014, 01:20

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

Ngày tải lên: 07/07/2014, 01:20