Evaluation of Breast Masses and Nipple Discharges
Evaluation of Breast Masses and Nipple Discharges Annekathryn Goodman A solitary or dominant breast mass or an abnormal nipple discharge may be a harbinger of breast cancer, the most common…
Evaluation of Secondary Amenorrhea
Evaluation of Secondary Amenorrhea Shana L. Birnbaum Secondary amenorrhea is defined as cessation of menses for 3 or more months in a woman with previously normal cycles. The incidence of…
Approach to the Woman with Abnormal Vaginal Bleeding
Approach to the Woman with Abnormal Vaginal Bleeding Shana L. Birnbaum Abnormal vaginal bleeding poses diagnostic and management challenges across the entire age spectrum for women. About one half of…
Screening for and Prevention of Intimate Partner Violence
Screening for and Prevention of Intimate Partner Violence Kerri Palamara Intimate partner violence (IPV), defined as threatened or inflicted physical, sexual, or psychological abuse by a current or former partner…
Screening for Endometrial Cancer
Screening for Endometrial Cancer Annekathryn Goodman More than 95% of the cancers of the uterine corpus are adenocarcinomas arising from the endometrium. In the United States, endometrial cancer is nearly…
Screening for Ovarian Cancer
Screening for Ovarian Cancer Annekathryn Goodman The risk of developing epithelial ovarian cancer (the most common form) is far less than that of developing breast cancer and other gynecologic malignancies;…
Screening for Cervical Cancer
Screening for Cervical Cancer Annekathryn Goodman Almost all cervical cancer is caused by persistent infection with roughly 15 genotypes of human papillomavirus (HPV). The development of new vaccines shown to…
Screening for Breast Cancer
Screening for Breast Cancer Breast cancer ranks as the most common cancer among women, accounting for more than one in four cancer diagnoses, 250,000 new cases, and 40,000 deaths annually…
Glucocorticoid Therapy
Glucocorticoid Therapy David M. Slovik The therapeutic potency of glucocorticoids has led to their widespread use. Although benefits can be substantial, adverse effects are numerous, including serious metabolic derangements and…
Approach to the Patient with Hypothyroidism
Approach to the Patient with Hypothyroidism David M. Slovik Hypothyroidism is a common, readily treatable disorder. Increasingly, patients present with subclinical disease detected either as part of a screening program…
