Indications à la réalisation de l'examen pelvien lors des consultations pour motifs gynécologiques en médecine générale PDF Download
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Book Description
Objectif : Un suivi gynécologique de bonne qualité est important pour la santé des femmes, mais elles sont nombreuses à y être réticentes, du fait de son caractère invasif et intrusif. Une harmonisation des pratiques de l'examen pelvien, et des indications à le pratiquer, est nécessaire. Le but de cette étude est d'identifier dans la littérature les situations dans lequel la réalisation d'un examen pelvien est nécessaire, au cours des consultations pour motifs gynécologiques les plus fréquents en médecine générale. Matériel et méthode : Une revue rapide de littérature a été réalisée, basée sur les recommandations de la Cochrane. Les bases de données Pubmed et Embase ont été interrogées en mai 2022. Les études publiées depuis 2010 ont été incluses ; la population étudiée était les femmes âgées de plus de 15 ans, non gravides, en population générale. Les études devaient être comparatives. La qualité méthodologique des études a été évaluée à l'aide de grilles standardisées. Résultats : L'examen pelvien d'une patiente asymptomatique lors d'une consultation « de routine » n'est pas indiqué, sauf si nécessité de dépistage de cancer du col de l'utérus. Les auto-prélèvements vaginaux peuvent être utilisés pour le dépistage d'IST, mais ne sont pas validés pour le dépistage du cancer du col de l'utérus en population générale. Une patiente présentant une symptomatologie pelvienne devrait avoir un examen exhaustif, orienté selon la clinique. Un TV normal ne doit pas conduire à un arrêt des explorations. Les auto-prélèvements vaginaux sont validés pour le diagnostic d'infection à C.trachomatis mais ne le sont pas pour le diagnostic d'infection à N.gonorrhea. L'interrogatoire et l'examen clinique ont de faibles performances pour le diagnostic de candidose vulvo-vaginale et de vaginose bactérienne. Conclusion : Cette thèse a permis de clarifier certains aspects de l'examen pelvien. De nouveaux travaux, de meilleure qualité méthodologique, sont nécessaires afin de pouvoir émettre des recommandations de bonne pratique.
Book Description
Objectif : Un suivi gynécologique de bonne qualité est important pour la santé des femmes, mais elles sont nombreuses à y être réticentes, du fait de son caractère invasif et intrusif. Une harmonisation des pratiques de l'examen pelvien, et des indications à le pratiquer, est nécessaire. Le but de cette étude est d'identifier dans la littérature les situations dans lequel la réalisation d'un examen pelvien est nécessaire, au cours des consultations pour motifs gynécologiques les plus fréquents en médecine générale. Matériel et méthode : Une revue rapide de littérature a été réalisée, basée sur les recommandations de la Cochrane. Les bases de données Pubmed et Embase ont été interrogées en mai 2022. Les études publiées depuis 2010 ont été incluses ; la population étudiée était les femmes âgées de plus de 15 ans, non gravides, en population générale. Les études devaient être comparatives. La qualité méthodologique des études a été évaluée à l'aide de grilles standardisées. Résultats : L'examen pelvien d'une patiente asymptomatique lors d'une consultation « de routine » n'est pas indiqué, sauf si nécessité de dépistage de cancer du col de l'utérus. Les auto-prélèvements vaginaux peuvent être utilisés pour le dépistage d'IST, mais ne sont pas validés pour le dépistage du cancer du col de l'utérus en population générale. Une patiente présentant une symptomatologie pelvienne devrait avoir un examen exhaustif, orienté selon la clinique. Un TV normal ne doit pas conduire à un arrêt des explorations. Les auto-prélèvements vaginaux sont validés pour le diagnostic d'infection à C.trachomatis mais ne le sont pas pour le diagnostic d'infection à N.gonorrhea. L'interrogatoire et l'examen clinique ont de faibles performances pour le diagnostic de candidose vulvo-vaginale et de vaginose bactérienne. Conclusion : Cette thèse a permis de clarifier certains aspects de l'examen pelvien. De nouveaux travaux, de meilleure qualité méthodologique, sont nécessaires afin de pouvoir émettre des recommandations de bonne pratique.
Author: World Health Organization Publisher: World Health Organization ISBN: 9241547006 Category : Health & Fitness Languages : en Pages : 284
Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Oreste Gentilini Publisher: Springer Nature ISBN: 3030247627 Category : Medical Languages : en Pages : 218
Book Description
This contributed book covers all aspects concerning the clinical scenario of breast cancer in young women, providing physicians with the latest information on the topic. Young women are a special subset of patients whose care requires dedicated expertise. The book, written and edited by internationally recognized experts who have been directly involved in the international consensus guidelines for breast cancer in young women, pays particular attention to how the disease and its planned treatment can be effectively communicated to young patients. Highly informative and carefully structured, it provides both theoretical and practice-oriented insight for practitioners and professionals involved in the different phases of treatment, from diagnosis to intervention, to follow-up – without neglecting the important role played by prevention.
Author: Donald E. Greydanus Publisher: McGraw Hill Professional ISBN: 0071593543 Category : Medical Languages : en Pages : 833
Book Description
An essential guide to interpreting signs and symptoms in infants, children, and adolescents [Copy:] This well-illustrated, full-color handbook offers a logical, systematic approach to differential diagnosis is children, and is ideal for developing the skills and confidence necessary for diagnosing pediatric patients. Incorporating must-know anatomy, pathophysiology, and diagnostic tools, Pediatric Diagnostic Examination will sharpen your ability to effectively manage every step of the diagnostic examination process. Features: Icons that lead you quickly and easily to key signs, problems, findings, and syndromes Easy-to-follow, consistent template for all chapters, covering physiology and mechanics, functional anatomy, taking patient history, key symptoms and signs, suspicions, diagnostic tools, and important clinical alerts Useful for diagnosing children of all ages Coverage of all regions and systems Numerous diagrams, tables, and clinical photographs-all in full-color Written by practicing pediatricians experienced enough to know the complications and pitfalls you will encounter in daily practice
Author: Mohamed M. Ghoneim (M.D.) Publisher: Butterworth-Heinemann ISBN: Category : Medical Languages : en Pages : 216
Book Description
* First comprehensive source on facts about consciousness while under anesthesia * Includes a detailed pharmacology of drugs * Details techniques for detection and prevention. * Author is leading expert in field
Author: World Health Organization Publisher: World Health Organization ISBN: 9789241544825 Category : Analgesia Languages : en Pages : 74
Book Description
The second edition of a guide, which introduced a simple, yet highly effective method for the relief of cancer pain. Thoroughly revised and updated, the new edition further refines the WHO method, which advocates the use of a small number of relatively inexpensive drugs, including morphine. Revisions draw on experiences with millions of patients around the world as well as new knowledge about the specific pain syndromes unique to cancer. Completely new are chapters describing the international system by which morphine and other opioids are made available for medical purposes. The book has two parts. Part one provides a practical guide to the relief of cancer pain, concentrating on drug treatment as the mainstay of pain management. The most extensive section sets out detailed guidelines for the selection and prescribing of non-opioid analgesics, opioid analgesics, drugs for neuropathic pain, and adjuvant drugs for the treatment of adverse effects, the enhancement of pain relief and the management of concomitant psychological disturbances. Information ranges from explanations of how specific drugs work, through the precautions to take in the presence of certain disorders, to a list of factors that influence the effectiveness of opioids. Concerning the use of opioids, readers are reminded that psychological dependence does not occur in cancer patients and that the only correct dose of morphine is the one that relieves the pain. Part two provides a guide to opioid availability. A discussion of the reasons why opioids continue to be underprescribed or difficult to obtain is followed by an explanation of the Single Convention on Narcotic Drugs.
Author: World Health Organization Publisher: ISBN: 9789241548120 Category : Medical Languages : en Pages : 166
Book Description
These guidelines have been developed to support countries to relieve pain in their paediatric populations. These guidelines address persisting pain in children caused by conditions such as cancer, HIV/AIDS, sickle-cell disease, burns, trauma, and phantom limb pain. Recommendations -- developed following a careful and transparent appraisal of available evidence -- are presented for the pharmacological treatment of mild, moderate and severe pain. The guidelines include chapters on the various systems used to classify pain and on the evaluation of pain, which reviews the available tools for routine pain measurement in children. Provision of sustainable pain relief within health care systems is covered in a separate chapter. Since morphine and other opioid analgesics -- required for the relief of moderate-to-severe pain in children -- are listed under the 1961 UN Single Convention on Narcotic Drugs, the new guidelines include an annex explaining the Convention's requirements for the handling and procurement of opioid analgesics for the relief of pain.
Author: Jerry G. Blaivas Publisher: Oxford University Press, USA ISBN: 9780199753727 Category : Medical Languages : en Pages : 61
Book Description
Overactive bladder (OAB) affects 33 million Americans and as many as one in five people over the age of 40 experience symptoms of the disorder, namely sudden urinary urgency and incontinence. Since OAB incidence increases with age, it is expected that the prevalence of OAB will increase further in the developed world as the aging population grows. Diagnosis and treatment of this widespread condition can present many clinical challenges as even the commonly accepted definition has been controversial. Treatments include dietary and lifestyle changes as well as several types of medications such as anti-cholinergic and anti-spasmodic agents. Part of the Oxford American Pocket Notes series, this monograph is intended for health care professionals who treat patients with overactive bladder. This practical, up-to-date guide covers the pathophysiology, etiology, and clinical features of OAB. In addition, it includes helpful information for differential diagnosis, tips for managing comorbidities, and current guidelines for treatment. Uniquely compact and affordable, this concise book is a perfect resource in a range of care settings such as the hospital, clinic, and nursing home.
Author: Claus D. Buergelt Publisher: John Wiley & Sons ISBN: 0470962844 Category : Medical Languages : en Pages : 565
Book Description
Color Atlas of Equine Pathology offers a practical guide to identifying equine diseases, presenting a single resource with more than 1000 images showing predominantly gross pathology. Organized by body systems, the book allows for picture matching during or after an equine necropsy. In this user-friendly atlas, each chapter takes a common format, presenting the disease process as well as congenital, degenerative, inflammatory, and neoplastic sequences, with text boxes offering quick reference to key information. The book begins with an introductory chapter summarizing the principles of the equine field necropsy, and subsequent organ-based chapters depict gross features of disease, focusing on macroscopic digital images supplemented by histology and immunohistochemistry when necessary. Some clinical information for correlation with pathology is included. Color Atlas of Equine Pathology is an essential resource for diagnostic veterinary pathologists and pathology residents, as well as for equine practitioners performing necropsies in the field.
Author: World Health Organization Publisher: World Health Organization ISBN: 9241545720 Category : Medical Languages : en Pages : 90
Book Description
Cervical cancer is the second most common cancer among women worldwide, with 80 per cent of deaths occurring in developing countries. It is an important area for cancer control programmes because of the burden of the disease and the potential for effective prevention via screening. This publication is based on a comprehensive consultation undertaken by WHO in 2001, involving leading experts in the field of cancer epidemiology, screening and treatment. It focuses on the current situation in low and middle income countries, discusses the efficacy of screening methods available, and assesses potential future developments.
Author: Élise Chaineau
Author: Élise Chaineau
Author: World Health Organization
Author: Oreste Gentilini
Author: Donald E. Greydanus
Author: Mohamed M. Ghoneim (M.D.)
Author: World Health Organization
Author: World Health Organization
Author: Jerry G. Blaivas
Author: Claus D. Buergelt
Author: World Health Organization