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    edited by David Chelmow, Leo J. Dunn Professor and Chair, ... Show More Virginia Commonwealth University School of Medicine, Richmond, VA, USA, Christine R. Isaacs, Associate Professor and Director, General Obstetrics and Gynecology Division, Medical Director of Midwifery Services, Virginia Commonwealth University School of Medicine, Richmond, VA, USA, Ashley Carroll, Assistant Professor, Department of Obstetrics and Gynecology, Virginia Commonwealth University School of Medicine, Richmond, VA, USA.
    Digital : Cambridge2015
    Section I. General gynecology : -- 1. A 45-year-old woman with heavy vaginal bleeding / Tod C. Aeby -- 2. A 29-year-old woman with a pelvic mass and altered mental status / Saweda A. Bright and Stephen A. Cohen -- 3. Acute exacerbation of chronic pelvic pain in a 32-year-old woman / Lee A. Learman -- 4. A 19-year-old woman with diabetes and hypertension requiring emergency contraception / David Chelmow -- 5. Bleeding, pain, and fever four days after first-trimester termination / Erin L. Murata and Tony Ogburn -- 6. A 25-year-old woman requesting emergency contraception / Reni A. Soon and Tod C. Aeby -- 7. Persistent trichomonas infection / Lilja Stefansson -- 8. A 42-year-old woman with recurrent unexplained vaginitis symptoms / Chemen M. Tate -- 9. A 30-year-old woman with vaginal itching / Lindsay H. Morrell -- 10. Sudden-onset left lower quadrant pain in a 21-year-old woman / Adrianne M. Colton -- 11. A 35-year-old woman with IUD string not visible / Michelle Meglin -- 12. A 38-year-old woman with sudden-onset shortness of breath / Chris J. Hong and David Chelmow -- 13. Vaginal bleeding in a 75-year-old woman / K. Nathan Parthasarathy and Peter F. Schnatz -- 14. A 60-year-old woman with severe vulvar itching and an ulcer / Alan G. Waxman -- 15. Urinary retention in a 19-year-old woman / Amanda B. Murchison and Megan Metcalf -- 16. Recurrent herpes infection in a 28-year-old woman / Breanna Walker -- 17. Vulvar infection and sepsis in a 42-year-old woman / L. Chesney Thompson -- 18. A 42-year-old woman with irregular bleeding / Alison F. Jacoby -- 19. Persistent HSV in an HIV-positive woman / Jennifer A. Cross -- 20. Incidentally discovered vaginal cyst in a 34-year-old woman / Roger P. Smith -- 21. A 45-year-old woman with an enlarging pelvic mass / Alison F. Jacoby -- 22. A 23-year-old woman with pelvic pain and fever / C. Nathan Webb -- 23. A 21-year-old woman with a new sexual partner / Elizabeth M. Yoselevsky and Christine R. Isaacs -- 24. A 21-year-old woman with persistent pain and fever after treatment for PID / Nicole S. Fanning -- 25. Acute vaginal and abdominal pain after defecation in a 79-year-old woman / Heidi J. Purcell and Laurie S. Swaim -- 26. Tachycardia and vaginal bleeding in pregnancy / Kimberly Woods McMorrow 27 Vaginal spotting at eight weeks' gestation { Amanda B. Murchison and Melanie D. Altizer -- 28. Heavy bleeding after medical management of a missed abortion / Elizabeth L. Munter -- 29. Abdominal pain and vaginal bleeding in a 24-year-old woman / Jessica M. Ciaburri -- 30. Unanticipated ultrasound findings at follow-up prenatal visit / Nikola Alexander Letham and Christopher Morosky -- 31. Early pregnancy spotting and an unusual ultrasound / Michelle Meglin -- 32. Undesired pregnancy in a 19-year-old woman / Megan L. Evans and Danielle Roncari -- 33. A pregnant 37-year-old woman with lower left quadrant pain / Rajiv B. Gala -- 34. Unruptured advanced ectopic pregnancy / Ellen L. Brock -- 35. A 23-year-old pregnant woman with acute-onset abdominal pain and hypotension / Rachel K. Love and Nicole Calloway Rankins -- 36. A woman with first-trimester vaginal bleeding / Valerie L. Williams and Amy E. Young -- 37. Midcycle spotting and worsening menorrhagia / Patricia S. Huguelet -- 38. A 40-year-old woman on tamoxifen therapy with a uterine mass / Megan A. Brady -- 39. Small mass prolapsing from the cervix found on routine pelvic examination / John G. Pierce Jr -- 40. A 35-year-old woman with a painful vulvar mass / Philippe Girerd -- 41. A 32-year-old woman urgently referred for a cervical mass noted on routine pelvic examination / Christopher A. Manipula -- 42. An 18-year-old woman with long-acting reversible contraception and new-onset bleeding / Jennifer Salcedo and Aparna Sridhar -- 43. Cyclic pain after endometrial ablation / Ellen L. Brock -- 44. Positive hCG in a patient who reports no sexual activity for one year / Roger P. Smith -- 45. Recalcitrant severe vaginal discharge and odor / Amber Price -- 46. A 25-year-old woman with a painful vulvar mass / Nan G. O'Connell -- 47. Acute abdominal pain two weeks after successful vaginal birth after Cesarean / Kathryn Shaia and Christine R. Isaacs -- 48. A 64-year-old woman with a simple ovarian cyst / John W. Seeds -- 49. A 26-year-old woman with acute pelvic pain and free fluid in the pelvis / Isaiah M. Johnson and Adrienne L. Gentry -- 50. A 36-year-old woman with fever and pelvic pain at 14 weeks' gestation / Frances Casey and Katie P. Friday -- 51. Acute fever and tachycardia in a 21-year-old woman during laparoscopy / Thomas C. Peng -- 52. A 40-year-old woman with hypertension and first-trimester bleeding / Fidelma B. Rigby and Angela M. Tran -- -- Section II. Pregnancy : -- 53. Nausea and vomiting at eight weeks' gestation / Brian Bond and Ashley Peterson -- 54. A 27-year-old woman with severe nausea and vomiting in pregnancy / Sarah Peterson -- 55. Early pregnancy with vaginal spotting / Kathryn A. Houston and Sarah B. Wilson -- 56. Positive RPR on initial prenatal labs / Ronald M. Ramus -- 57. A high-speed motor vehicle accident during pregnancy / Susan M. Lanni -- 58. A 32-year-old woman with fever and unilateral breast pain / Meghann E. Batten -- 59. A 36-year-old woman with nipple pain postpartum / Julie Zemaitis DeCesare and Karen Shelton -- 60. A woman in first-trimester pregnancy with fever, malaise, nausea, and vomiting / Saweda A. Bright and Susan M. Lanni -- 61. First-trimester flu-like symptoms in a 31-year-old woman / Lilja Stefansson and Susan M. Lanni -- -- Section III. Reproductive endocrinology and infertility : -- 62. Abdominal pain and distension seven days after egg retrieval for planned IVF / Richard Scott Lucidi -- 63. Irregular bleeding in a 39-year-old nulliparous woman desiring fertility / PonJola Coney -- 64. A 24-year-old woman with her third pregnancy loss / Richard Scott Lucidi -- 65. A 38-year-old woman with worsening postpartum fatigue / Amanda H. Ritter -- 66. A 19-year-old woman with primary amenorrhea / Amy Brown and Nicole W. Karjane -- 67. A 26-year-old woman with secondary amenorrhea / Mary T. Sale and Nancy A. Sokkary -- 68. Irregular bleeding in a 25-year-old woman / Anita K. Blanchard -- 69. A 28-year-old woman with irregular bleeding requiring transfusion / Ronan A. Bakker -- 70. A 29-year-old woman with secondary amenorrhea after a septic abortion / Nancy D. Gaba and Gaby Moawad -- -- Section IV. Pediatric and adolescent gynecology : -- 71. Worsening dysmenorrhea in a 14-year-old girl / Nicole W. Karjane -- 72. A seven-year-old girl with vaginal bleeding / Nicole W. Karjane -- 73. A four-year-old girl falls while exiting the bathtub / Sarah H. Milton and Elisabeth McGaw -- 74. Worsening cyclic pain and amenorrhea in a 13-year-old girl / Sarah H. Milton -- 75. Worsening cyclic pain and amenorrhea in a 13-year-old girl with a normal appearing but short vagina / Nicole W. Karjane -- 76. A 19-month-old girl with labial adhesions and acute urinary retention / Hong-Thao Thieu and Meredith S. Thomas -- 77. A 13-year-old girl with irregular menses and significant weight gain / Tiffany Tonismae and Eduardo Lara-Torre -- 78. A 14-year-old girl with anemia / Layson L. Denney and Sarah H. Milton -- 79. A 13-year-old girl with vulvar irritation and new-onset behavioral problems / Meredith Gray and Eduardo Lara-Torre -- 80. A 10-year-old girl with lower abdominal pain / Lisa Rubinsak and Ellen L. Brock -- -- Section V. Urogynecology : -- 81. Complete procidentia in a 70-year-old woman / Jordan Hylton and Saweda A. Bright -- 82. Incontinence in a 50-year-old woman after pessary placement / Tanaz R. Ferzandi -- 83. A periurethral mass in a 25-year-old woman / Barbara L. Robinson -- 84. A periurethral mass in a 45-year-old woman / Andrew Galffy and Christopher Morosky -- 85. New-onset incontinence in a 42-year-old woman / Tanaz R. Ferzandi -- 86. Urinary leakage following hysterectomy / Edward J. Gill -- 87. Urinary retention following urethral sling surgery / Edward J. Gill -- 88. A urethral mass in a postmenopausal woman / Audra Jolyn Hill -- -- Section VI. Gynecologic oncology : -- 89. A 70-year-old woman with a new vulvar mass / Weldon Chafe -- 90. A 45-year-old woman with a fungating cervical mass / Jori S. Carter -- 91. A 48-year-old woman with a 4-month history of intermittent abdominal pain and urinary frequency / Kirk J. Matthews and Jori S. Carter -- 92. A 65-year-old woman with profuse vaginal bleeding / Amy Hempel and Jori S. Carter -- 93. A 38-year-old woman with heavy vaginal bleeding 6 months after D & C for complete mole / Emily E. Landers and Warner K. Huh -- 94. A 62-year-old woman with a vulvar lesion / Megan M. Shine and Warner K. Huh -- 95. A 62-year-old woman with ovarian cancer and new-onset pelvic and right-leg pain / Kirk J. Matthews -- 96. A 64-year-old woman with ovarian cancer, emesis, and abdominal pain / Nguyet A. Nguyen and Warner K. Huh -- 97. A 65-year-old woman with new-onset fatigue, parasthesias, and muscle cramps after chemotherapy for ovarian cancer / Haller J. Smith and Warner K. Huh.