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Acute Care and Emergency Gynecology: A Case-Based Approach
The Journal of Emergency Medicine, Vol. 49, No. 4, p. 588, 2015 Copyright Ó 2015 Elsevier Inc. Printed in the USA. All rights reserved 0736-4679/$ - see front matter
Book and Other Media Reviews , ACUTE CARE AND EMERGENCY GYNECOLOGY: A CASE-BASED APPROACH. Chelmow D, Isaacs CR, Carrol A. Cambridge, UK, Cambridge University Press, 2015, 303 pages, paperback, $99.
material a great deal. The cases cover the entire spectrum of gynecology, including breast disease, infectious disease, complications of pregnancy, deep vein thrombosis, urinary symptoms, and intra-abdominal masses. I was disappointed that pre-eclampsia, eclampsia, and cardiomyopathy were not mentioned, although perhaps these are better covered in an obstetric text. There was a case involving a motor vehicle crash and a pregnant patient. Perimortem cesarean section was discussed briefly, but I would have liked to have seen it covered in more detail. The 10 cases in the section on pediatric and adolescent problems were especially instructive. We rarely encounter these problems, yet many of them can be serious. I learned that the most common cause for vaginal bleeding in a prepubertal girl is a foreign body, and the most common foreign body is toilet paper. Also the most common symptom of an adolescent with von Willebrand disease is heavy menstrual bleeding and anemia. In summary, although written entirely by gynecologists, this textbook has an abundance of interesting, educational, well-organized, and profusely illustrated examples of gynecology problems that we encounter daily in our practice. This book will be especially useful as a teaching tool for medical students and residents, as well as a review for the emergency medicine boards. I found the cases to be representative of common problems, as well as some that are rare in the ED.
Several years ago, we did an analysis of the most common complaint in our emergency department (ED). It came as a surprise to no one that is was females with abdominal pain. Many of our patients do not have primary care physicians or gynecologists, or are unable to get a timely appointment. For this reason, it behooves us to have a good understanding of gynecology, not just the acute life-threatening problems, but also the nonemergency problems that constitute the diagnosis of the majority of the patients we see. The 108 contributors of this text, all gynecologists and mainly from Virginia, have gathered 97 cases of gynecologic problems divided into six sections. Section one is General Gynecology, section two is Pregnancy, section three is Reproductive Endocrinology, section four is Pediatric and Adolescent, section five is Urogynecology, and section six is Oncology. Each case is organized to include history; physical examination; ‘‘how would you handle/ manage this patient?; the bulk of the case, including diagnosis, treatment, and disposition; a few key teaching points; and, finally, 3–5 references. Organizing the text in this manner makes it easy to use the work as an educational tool and, because each case is only 3–4 pages long, several can be covered in a teaching session. The excellent color illustrations of various conditions and the numerous ultrasound reproductions enhance the textual
Edward J. Otten, MD, FACMT, FAWM Professor of Emergency and Pediatrics, Director, Division of Toxicology, University of Cincinnati College of Medicine, Cincinnati, Ohio http://dx.doi.org/10.1016/j.jemermed.2015.05.015
588
Book and Other Media Reviews , ACUTE CARE AND EMERGENCY GYNECOLOGY: A CASE-BASED APPROACH. Chelmow D, Isaacs CR, Carrol A. Cambridge, UK, Cambridge University Press, 2015, 303 pages, paperback, $99.
material a great deal. The cases cover the entire spectrum of gynecology, including breast disease, infectious disease, complications of pregnancy, deep vein thrombosis, urinary symptoms, and intra-abdominal masses. I was disappointed that pre-eclampsia, eclampsia, and cardiomyopathy were not mentioned, although perhaps these are better covered in an obstetric text. There was a case involving a motor vehicle crash and a pregnant patient. Perimortem cesarean section was discussed briefly, but I would have liked to have seen it covered in more detail. The 10 cases in the section on pediatric and adolescent problems were especially instructive. We rarely encounter these problems, yet many of them can be serious. I learned that the most common cause for vaginal bleeding in a prepubertal girl is a foreign body, and the most common foreign body is toilet paper. Also the most common symptom of an adolescent with von Willebrand disease is heavy menstrual bleeding and anemia. In summary, although written entirely by gynecologists, this textbook has an abundance of interesting, educational, well-organized, and profusely illustrated examples of gynecology problems that we encounter daily in our practice. This book will be especially useful as a teaching tool for medical students and residents, as well as a review for the emergency medicine boards. I found the cases to be representative of common problems, as well as some that are rare in the ED.
Several years ago, we did an analysis of the most common complaint in our emergency department (ED). It came as a surprise to no one that is was females with abdominal pain. Many of our patients do not have primary care physicians or gynecologists, or are unable to get a timely appointment. For this reason, it behooves us to have a good understanding of gynecology, not just the acute life-threatening problems, but also the nonemergency problems that constitute the diagnosis of the majority of the patients we see. The 108 contributors of this text, all gynecologists and mainly from Virginia, have gathered 97 cases of gynecologic problems divided into six sections. Section one is General Gynecology, section two is Pregnancy, section three is Reproductive Endocrinology, section four is Pediatric and Adolescent, section five is Urogynecology, and section six is Oncology. Each case is organized to include history; physical examination; ‘‘how would you handle/ manage this patient?; the bulk of the case, including diagnosis, treatment, and disposition; a few key teaching points; and, finally, 3–5 references. Organizing the text in this manner makes it easy to use the work as an educational tool and, because each case is only 3–4 pages long, several can be covered in a teaching session. The excellent color illustrations of various conditions and the numerous ultrasound reproductions enhance the textual
Edward J. Otten, MD, FACMT, FAWM Professor of Emergency and Pediatrics, Director, Division of Toxicology, University of Cincinnati College of Medicine, Cincinnati, Ohio http://dx.doi.org/10.1016/j.jemermed.2015.05.015
588