Đang chuẩn bị nút TẢI XUỐNG, xin hãy chờ
Tải xuống
Tham khảo tài liệu 'thực hành xử lý sản khoa - trường hợp 6', y tế - sức khoẻ, y dược phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | CLINICAL CASES 283 34.2 B. Because of the high dose of estrogens nausea and vomiting are the most common side effect. 34.3 c. The progestin-only method may have a better efficacy and fewer side effects nausea . CLINICAL PEARLS Emergency contraception consists of high-dose combination hormones or high-dose progestin. Emergency contraception is effective when initiated within 72 hr of intercourse. The main side effect of combination hormonal EC therapy are nausea and vomiting. REFER E N c E s Mishel DR. Family planning. In Stcnchever MA Drocgemueller w Herbst AL Mishcll DR eds. Comprehensive gynecology 4th ed. St. Louis Mosby-Year Book. 2001 295 368. Moore i.l DeCherney AH. Contraception and sterilization. In Hacker NF and Moore Ki eds. Essentials of obstetrics and gynecology 3rd ed. Philadelphia Saunders. 1998 516 531. CASE 35 A 16-year-old female comes into your office for a routine physical examination. She states that her menses began at age 12 years and occurs each month. She is sexually active and uses an oral contraceptive agent for birth control. She states that her aunt developed breast cancer at age 60 years. On examination her BP is 100 70 HR 80 min and temp is 99 E Her thyroid gland is normal on palpation as are her cardiac and pulmonary examinations. Her breasts and pubic hair are Tanner stage IV. She has a normal nulliparous cervix on speculum examination. Bimanual examination reveals a normally sized uterus and no adnexal masses. What is your next step What is the most likely cause of mortality 286 CASE FI LUS OBSTETRICS AND GYNECOLOGY ANSWERS TO CASE 35 Health Maintenance Age 16 Years Siiiiinuirv A 16-year-old female comes into your office for a routine physical examination. Iler menses occurs monthly. She is sexually active and uses an oral contraceptive. Her BP is 100 70. Examinations of her thyroid gland heart lungs breasts and pubic hair arc within normal limits. T he speculum and bimanual examinations arc normal. Next step Pap smear. Most likely
