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Pediatric and adolescent gynecology (PAG) is recognized as a specialist area and clinicians working in PAG need specific expertise. A wide spectrum of conditions needs to be addressed, ranging from simple disorders which respond to basic treatment to complex congenital anomalies with a genetic origin and life-long health consequences. Investigations must be appropriate and treatment should reduce symptoms and distress whilst optimizing gynecological and reproductive potential. Centered upon a series of common clinical presentations, this book includes stepwise guidance on the initial investigations, management, and treatment options. Guidance is supported by the most up-to-date evidence-base, written by clinicians with dedicated clinical and research experience in PAG. New techniques - such as laparoscopic surgery - are included and the importance of the psychological assessment of children with specific PAG disorders is highlighted. The book also includes an authoritative chapter on safeguarding - recognizing the unique opportunity for gynecologists in child protection.
This book provides a multidisciplinary overview of developmental anomalies, disorders and intersex conditions. These are complex conditions that demand high standards of care and treatment by all healthcare professionals involved with the management of these psychological, medical and surgical problems. Contributions from leading international experts from a wide range of disciplines, aims to distil their wealth of expertise and to provide the best possible advice and recommendations for medical intervention. Issues such as the psychological well-being of the patient, the need for informed consent and the right to know one's diagnosis. Patients and their families expect high standards of care, communication and consultation, and this book will help doctors achieve this. Emphasising the multidisciplinary approach to healthcare, this is essential reading for specialists in paediatric and adolescent gynaecology, reproductive endocrinologists, paediatric and plastic surgeons, and clinical geneticists.
A cross-disciplinary take on the rising phenomenon of female genital cosmetic surgery, from world-leading experts, in a single volume.
Examining the fascinating history of female genital cosmetic surgery, Camille Nurka traces the origins of contemporary ideas of genital normality. Over the past twenty years, Western women have become increasingly worried about the aesthetic appearance of their labia minora and are turning to cosmetic surgery to achieve the ideal vulva: a clean slit with no visible protrusion of the inner lips. Long labia minora are described by medical experts as ‘hypertrophied,’ a term that implies deformity and the atypical. But how far back does the diagnosis of labial hypertrophy go, and where did it originate? Female Genital Cosmetic Surgery tells the story of the female genitalia from the alien world of ancient Greek gynaecology to the colonial period of exploration and exploitation up to the present day. Bringing together historical, medical, and theoretical documentation and commentary, Nurka uncovers a long tradition of pathologizing female anatomy, a history sure to be of interest to any reader who wishes to know more about how medicine shapes our commonly held ideals.
"This open access illustrated guide focuses on Female Genital Mutilation/Cutting (FGM/C) in children and adolescents. FGM/C comprises all procedures that involve partial or total removal of the external female genitalia or injury to the female genital organs for nonmedical reasons. It is mainly carried out during childhood, before the age of 15. The signs of FGM/C can be subtle, and the examiner must be trained with a wide range of normal genitalia both before and after puberty, FGM/C types and subtypes, complications and differential diagnosis. This volume is a reference containing iconographic material of both pre and post pubertal genitals with and without genital cutting. This book will guide health care professionals in making the correct diagnosis, outline the clinical management, enhance patients provider communication, and will enable accurate recording and reporting to governments where required"--Publisher's description.
This book challenges law’s reliance on neurology’s brain-sex binary. The brain has become the latest candidate in a historical search for a reliable and fixed biological marker of ‘true sex’ that has permeated every aspect of Western culture, including law. As definitions of the sexed and gendered body have become ever more contentious, the development and dissemination of brain-sex theories have come to dominate popular understanding of LGBTI+ identities. But, this book argues, the brain is no more helpful than earlier biological measures in ensuring just outcomes. Examining how law determines and differentiates ‘male’ and ‘female’ in two contested areas of sexed identity â€...
Paediatric and Adolescent Gynaecology (PAG) is a subspecialty that encompasses a broad spectrum of conditions affecting girls from birth up to adulthood. For younger children, vulval dermatological conditions are frequently seen, whilst the adolescent population will often present with menstrual dysfunction or pelvic pain, with a range of aetiologies. This book, aimed at trainees and consultants in the field and all healthcare professionals working in the multidisciplinary team providing care for girls with gynaecological conditions, offers practical, detailed advice on dealing with this spectrum: including rarer conditions such as disorders of puberty, including precocious puberty, delayed puberty and primary amenorrhoea, differences in sex development and Mullerian duct anomalies. Written by international experts in the field, this book will inform and inspire generations of healthcare professionals working in PAG.
Drawing on interviews with intersex people, their parents and medical experts the author describes views on intersex in medical and activist communities, and the evolution of thought in regard to intersex visibility and transparency. She explores the terminology and argues that the renaming of 'intersex' as a 'disorder of sex development' is strong evidence that the intersex diagnosis is dubious.
Publisher description
High quality critical care medicine is a crucial component of advanced health care. Completely revised and updated, Key Topics in Critical Care, Second Edition provides a broad knowledge base in the major areas of critical care, enabling readers to rapidly acquire an understanding of the principles and practice of this area of modern clinical medicine. Expanded to include the latest hot topics, the new edition puts an increased emphasis on recent reviews and contains added references to key landmark papers. Using the trademark Key Topics style, each topic has been written by an expert in the field and includes a succinct overview of the subject with references to current publications for further reading. The book provides a framework for candidates of postgraduate medical examinations such as FRCS, MRCP, and FRCA and a reference that can be consulted in emergency situations. New topics include: Critical illness polyneuromyopathy End of life care Inotropes and vasopressors Medical emergency team (outreach critical care) Status epilepticus Venous thromboembolism