Thomas Zheng MD - Comprehensive Handbook: Obstetrics & Gynecology

Comprehensive

Handbook

Thomas Zheng, MD

Comprehensive

Handbook

3rd Edition

Contents

Comprehensive Handbook

Obstetrics & Gynecology

3rd Edition

Thomas Zheng, MD

Department of Obstetrics and Gynecology

Valleywise Health/District Medical Group

Phoenix, Arizona

Clinical Associate Professor of OB/GYN

University of Arizona College of Medicine-Phoenix

Comprehensive Handbook Obstetrics and Gynecology, 3rd Edition, ePub

ISBN-10 : 0982267789

ISBN-13 : 9780982267783

Copyright 2021 by Phoenix Medical Press LLC

Previous editions, 2009 and 2012 by Phoenix Medical Press LLC

All Right Reserved

10335 N. 49th Place

Paradise Valley, AZ 85253

Email: phoenixmedicalpress@outlook.com

Reviewers

Mike Brady, MD

Residency Program Director, Department of OB/GYN, Creighton University School of Medicine-Phoenix at Valleywise Health and Dignity-St. Josephs Hospital

Professor of Creighton University SOM Clinical Associate Professor of University of Arizona COM-Phoenix

Linda Chambliss, MD, MPH

Professor of OB/GYN, Creighton University School of Medicine

Clinical Professor, University of Arizona School of Medicine-Phoenix

Dean V. Coonrod, MD, MPH

Chair, Department of OB/GYN, Valleywise Health/District Medical Group

Professor & Chair, Department of OB/GYN, Creighton University School of Medicine Regional Campus

Professor of University of Arizona College of Medicine-Phoenix

Heather Dalton, MD

Assistant Professor

Division of Gynecologic Oncology

University of Arizona College of Medicine

Creighton University School of Medicine-Phoenix

Arizona Oncology (US Oncology Network)

Nita Desai MD, MBA

Chief and Fellowship Director Division of Advanced GYN Surgery & Pelvic Pain

Vice Chair, Academic Department of OB/GYN, Dignity-St. Josephs Hospital and Medical Center

Assistant Professor, Creighton University School of Medicine-Phoenix

Michael R. Foley, MD

Professor and Chair

Department of Obstetrics and Gynecology

Banner University Medical Center Phoenix, University of Arizona College of Medicine- Phoenix

Gregg Giannina, MD

Director of Maternal Fetal Medicine

Department of OB/GYN

St. Peters University Hospital

New Brunswick, NJ

Kendra M. Gray, DO

Maternal Fetal Medicine Fellow

Department of Obstetrics and Gynecology

Banner University Medical Center University of Arizona College of Medicine- Phoenix

David L. Greenspan, MD

Clinical Associate Professor

Obstetrics, Gynecology and Pathology

University of Arizona College of Medicine-Phoenix

Ian Komenaka, MD

Breast Surgeon, Department of Surgery

Valleywise Health/District Medical Group

Associate Professor of Clinical Surgery, University of Arizona College of Medicine

Associate Professor of Surgery, Creighton University School of Medicine

Paul M. Magtibay, MD

Professor and Chair

Department of Medical & Surgical Gynecology

Mayo Clinic Arizona

Elyssa Metas, MD

Department of OB/GYN, Valleywise Health/

District Medical Group

Global Womens Health Fellow, Creighton

University School of Medicine - Phoenix

Bradley J. Monk, MD

Professor, Division of Gynecologic Oncology

Arizona Oncology (US Oncology Network)

University of Arizona College of Medicine

Creighton University School of Medicine-Phoenix

Abraham Nick Morse, MD, MBA

Assistant Professor of Obstetrics and Gynecology

Department of OB/GYN

Tufts University School of Medicine Boston, MA

Linda R. Nelson, MD, PhD

Professor of OB/GYN

University of Arizona College of Medicine-Phoenix

Professor of Clinical OB/GYN

Creighton University School of Medicine-Phoenix

Travis Powell, MD

Department of OB/GYN, Valleywise Health/District Medical Group

Assistant Professor, University of Arizona College of Medicine and Creighton University School of Medicine

Sonam Singh, MD

Department of OB/GYN, Valleywise Health/District Medical Group

Assistant Professor, University of Arizona College of Medicine and Creighton University School of Medicine

Lingjin Zheng, MD

Resident, Psychiatry

Washington University School of Medicine in St. Louis

Notice

Although the information in the handbook is carefully compiled by the author from various reputable sources and reviewed by at least two experts in the respective fields, the accuracy and completeness cannot be guaranteed. The author, reviewers, and publisher are not responsible for any liability or injury that may arise from using the handbook. This handbook is designed as a convenient pocket guide for busy clinicians and is not intended to replace any textbooks, journals, or other information sources.

Authors Note

No mans opinions are better than his information. Paul Getty (1960)

The quote above is on the plaque that I received at my graduation from the Phoenix Integrated Residency in OB/GYN (PIROG). The Department of Family Medicine kindly gave me the Best Consulting Obstetrician/Gynecologist Award. Whether as a resident or as an attending physician, I always try to provide the latest and unbiased information to patients and colleagues.

OB/GYN practice is complex. There is no way we can remember everything, and I still reference this handbook daily. Every time I go to clinic, I double check to make sure it is in my pocket. When I learn something new or useful, I add it to the handbook.

This handbook is derived from the PIROG Manual that I put together for the residents and medical students. Although many excellent textbooks, manuals, and websites are available, none of these sources adequately address the daily needs of residents and students in a pressured environment. This handbook is no magic bullet either. Let me put it this way: It may function like 325 mg of Tylenol to ease your pain and provide you some comfort.

Since the first edition was published in 2009, the handbook has been well received. Hearing the kind words and encouragement of my readers motivated me to do an even better job with the new edition. Now the third edition is finally here! It is a big improvement over the second edition in every aspect. An immense effort has been made to maximize its content throughout the writing and design process. I hope it will help guide you through many busy rotations and sleepless nights.

I would like to thank all the reviewers for their continuous feedback and edits. Their suggestions have enriched the book content. I also want to recognize all the individuals who contributed to the very first edition of the PIROG Manual and helped me throughout my residency.

Special thanks goes to our readers. You are the ones who keep this project going. Please contact me at thomaszheng99@gmail.com if you see any errors or have any suggestions.

Thomas Zheng, MD

Phoenix, Arizona

Abbreviations

: increase

: decrease

+: positive

: negative

: change or trimester

AB: abortion

ABG: arterial blood gas

AC: abdominal circumference

ACOG: American College of Obstetricians and Gynecologists

ADA: American Diabetes Association

AFI: amniotic fluid index

AGC: atypical glandular cells

AGC-NOS: atypical glandular cells not otherwise specified

AHA: American Heart Association

AIS: adenocarcinoma in situ

AJOG: Am J Obstet Gynecol

AMA: advanced maternal age

AROM: artificial rupture of membrane