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Cervical-Cancer Screening Guidelines

The incidence of cervical cancer, as well as mortality rates from the disease, has decreased over the past 30 years because of widespread screening with cervical cytology. The American College of Obstetricians and Gynecologists (ACOG) recently published a clinical management guideline on cervical cytology screening.
Continue reading “Cervical-Cancer Screening Guidelines”

Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester

New criteria for the use of ultrasonography to assess prenatal viability, introduced by the Society of Radiologists in Ultrasound, will help ensure obstetricians are not too hasty in determining that an embryo has ceased developing.
Continue reading “Diagnostic Criteria for Nonviable Pregnancy Early in the First Trimester”

Diagnostic Criteria for Preeclampsia

Preeclampsia: For the diagnosis of preeclampsia, both hypertension and proteinuria must be present.

  • Blood pressure: 140 mm Hg or higher systolic or 90 mm Hg or higher diastolic after 20 weeks of gestation in a woman with previously normal blood pressure. Systolic increased > 30 mm Hg or diastolic increased > 15 mm Hg in a patient with preexisting chronic hypertension.
  • Proteinuria: 0.3 g or more of protein in a 24-hour urine collection (usually corresponds with 1+ or greater on a urine dipstick test) Continue reading “Diagnostic Criteria for Preeclampsia”

CDC Diagnostic Criteria for the Diagnosis of Pelvic Inflammatory Disease (PID)

Minimal criteria*

Syndromes or Disease Entities That Have Been Associated with Polycystic Ovaries

A- Hyperandrogenism

o Steroidogenic enzyme deficiencies

§ Congenital adrenal hyperplasia

§ Aromatase deficiency

o Androgen-secreting tumors

§ Ovarian

§ Adrenal

o Exogenous androgens

§ Anabolic steroids

§ Transsexual hormone replacement

o Other

§ Acne

§ Idiopathic hirsutism

Continue reading “Syndromes or Disease Entities That Have Been Associated with Polycystic Ovaries”

Diagnostic Criteria in Polycystic Ovary Syndrome (PCOS)

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder of reproductive-aged women. This syndrome is predominantly characterized by irregular menstrual cycles, hyperandrogenism, and characteristic findings on pelvic ultrasound. Women with PCOS also frequently suffer from metabolic dysfunction, obesity, infertility and are at an increased risk of pregnancy complications and long-term cardiovascular disease. Continue reading “Diagnostic Criteria in Polycystic Ovary Syndrome (PCOS)”

2001 Bethesda System Terminology

Specimen Type: Indicate conventional smear (Pap smear) vs. liquid based vs. other

Specimen Adequacy

  • Satisfactory for evaluation (describe presence or absence of endocervical/transformation zone component and any other quality indicators, e.g., partially obscuring blood, inflammation, etc.)
  • Unsatisfactory for evaluation … (specify reason)
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