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CMElectures

Office Gynecology for the Family Practitioner

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Overview / Abstract:

David M. Goodner, MD, is clinical associate professor of obstetrics and gynecology at the University of Pennsylvania School of Medicine. Here, he discusses a full range of gynecologic disorders, including breast disease, amenorrhea, vaginitis, menopause, and sexually transmitted diseases.

This lecture and the post-test is worth 1.5 credit hours.

Among the breast disorders covered in this lecture are nipple discharge, and fibrocystic breast disease and mastodynia. The author cites the predisposing factors and the incidence of breast cancer -some 200,000 cases a year -and the factors involved in screening decisions.

Dr. Goodner defines amenorrhea, and lists its causes, diagnosis and management; similarly, he discusses the pathophysiology, evaluation, and physical examination for the several manifestations of vaginitis -the commonest gynecologic problem that the family doctor encounters -including candida, vaginosis, and trichomonas vaginalis.

The lecture continues with a discussion of the American College of Obstetrics and Gynecology recommendations for breast cancer screening and of the management of Pap smear abnormalities as well as pelvic inflammatory disease and ectopic pregnancy.

Etiology and management of chronic pelvic pain, in which endometriosis is the most frequent gynecologic problem in women undergoing laparoscopy for such pain, are discussed. The author notes that the National Institutes of Health Women's Health Initiative (WHI) findings "shook the foundation of traditional hormone management {of menopause} to its core." This had to do with the increased risks WHI found with estrogen plus progestin therapy. The author stresses that evaluating quality of life, as helped by the Kupperman Menopause Index and the Green Climacteric Scale, is "extremely important" for menopausal patients and their physicians.

The lecture concludes with coverage of sexually transmitted diseases (STDs) including human papilloma virus and chlamydia trichomatous as well as gonorrhea, syphilis, and herpes simplex virus and their presentation and therapy.

Expiration

Oct 06, 2012

Discipline(s)

Physician CME

Format

Online, Seminar

Credits / Hours

David M. Goodner, MD, is clinical associate professor of obstetrics and gynecology at the University of Pennsylvania School of Medicine. Here, he discusses a full range of gynecologic disorders, including breast disease, amenorrhea, vaginitis, menopause,

Presenters / Authors / Faculty

David M. Goodner, M.D., F.A.C.O.G., Renee T. Anderson, D.O., Richard L. Nemiroff, M.D.

Activity Specialities / Related Topics

OB/GYN / Women's Health, Family Medicine

Keywords / Search Terms

CMElectures Office Gynecology for the Family Practitioner

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