Attributes of Using Ultrasound to Diagnose and Manage Patients with Abnormal Premenopausal and Postmenopausal Bleeding Free Download
Using Ultrasound to Diagnose and Manage Patients with Abnormal Premenopausal and Postmenopausal Bleeding Free Download. Cancer of the endometrium is the most common type of gynecologic cancer in the United States. Vaginal bleeding is the presenting sign in more than 90% of postmenopausal women with endometrial carcinoma. Clinical risk factors for endometrial cancer, including but not limited to age, obesity, use of unopposed estrogen, specific medical comorbidities (eg, polycystic ovary syndrome, type 2 diabetes mellitus, atypical glandular cells on screening cervical cytology), and family history of gynecologic malignancy also should be considered when evaluating postmenopausal bleeding.
The clinical approach to postmenopausal bleeding requires prompt and efficient evaluation to exclude or diagnose endometrial carcinoma and endometrial intraepithelial neoplasia. Transvaginal ultrasonography usually is sufficient for an initial evaluation of postmenopausal bleeding if the ultrasound images reveal a thin endometrial echo (less than or equal to 4 mm), given that an endometrial thickness of 4 mm or less has a greater than 99% negative predictive value for endometrial cancer. Transvaginal ultrasonography is a reasonable alternative to endometrial sampling as a first approach in evaluating a postmenopausal woman with an initial episode of bleeding.
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For students of all the branches of medicine and surgery and health professionals that aspire to be greater and better at their procedures and medications. A renowned book by those who have read it and learnt from it. Many have already ordered it and is on the way to their home. Whether you work in the USA, Canada, UK or anywhere around the world. If you are working as a health professional then this is a must read.
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