Pediatric, Adolescent and Young Adult Gynecology

Pediatric and Adolescent Gynecology is often poorly taught because it is multidisciplinary and tends to fall between departments. Traditional teaching falls into rigid compartments with obstetric–gynecology trainees rarely seeing children and pediatric trainees often neglecting the female reproductive system having been inadequately taught what to look for.
Nevertheless, the young ob/gyn patient presents unique problems which are different from the mature woman. This includes the spectrum of illnesses, development, approach, management, and effect on later life and fertility. Malignant tumors, for example, have different pathology, management and response to chemotherapy.
The adolescent gynecology consultation is uniquely challenging and the quality of the advice and counselling the patient receives is of the utmost importance. Crucial issues at this time of life relate to the risks of sexual activity, teenage pregnancy, contraception and STDs. Accurate recognition and sensitive management of child sex abuse is also a highly problematic and challenging area.
The specialty certification boards in obstetrics–gynecology and pediatrics have recognized the historic problem of teaching and assessment in this field and now have examination questions on the subject. Consequently, a good textbook at trainee level is desperately needed which sets the context and explains the most important parts of the subject, without attempting to be an exhaustive reference for the sub–specialist as most of the other books are.
This book is a practical and concise clinical guide to patient care which is user friendly and brings readily accessible help for common problems. It ranges form the commonest problem (vulvovaginitis) through to the less common but urgent problems including the newborn with ambiguous external genitalia, the prepubertal child with vaginal bleeding due to anovulatory dysfunctional uterine bleeding and possible vaginal rhabdomyosarcoma, an d the adolescent with severe vaginal bleeding and pregnancy complications (miscarriages, ectopic pregnancy). It emphasizes diagnosis and management and each chapter has an outline and summary.
Each chapter follows a clear structure:
1. outline of chapter
2. summary of chapter – quick review of essential details
3. body of chapter for in depth review when there is time
4. fewer than 60 references, recent and reviews
Separate section of “Quick–Takes” for instant diagnostic possibilities.
It is designed for the obstetrician–gynecologist, pediatrician, and adolescent medicine and primary care physician. In short, for all doctors who are likely to come across gynecological problems in children and adolescents. It will also be of great value in related fields such as urology, general surgery, psychiatry, dermatology, public health, law and education. It will be a referral source for medical personnel including social service, nurse practitioners and physician’s assistants.

Spis treści:
1 Introduction.
Albert Altchek.
2 Personal Overview.
Albert Altchek.
3 Age Group Associated Concerns.
Albert Altchek.
4 Evaluation of the newborn.
Albert Altchek.
5 Early Diagnosis and Management of Atypical Appearing Genitalia.
Robert Rapaport and Genna Klein.
6 Diagnosis and Management of Congenital Adrenal Hyperplasia.
Maria I. New, Karen Lin–Su and Saroj Nimkarn.
7 Androgen Insensitivity and Gonadal Dysgenesis.
Claude Migeon and Kara Pappas.
8 The Gynecological Approach to the Child, Adolescent and Young Adult.
Albert Altchek.
9 Vulvovaginitis in the child.
Albert Altchek.
10 Vaginal bleeding in the child.
Albert Altchek.
11 Ovarian Cysts in the Fetus, Infants, and Children.
Mark Arkovitz and Robert Cusick.
12 Genital Trauma.
Diane F. Merritt.
13 Sexual Abuse.
Nancy D. Kellogg.
14 Adolescent Sexuality.
Don Sloan.
15 Psy chologic aspects of Gynecologic Problems and Preparing for Psychodramas.
Albert Altchek.
16 Approach to and evaluation of the Adolescent.
Angela Diaz, Ivanya L Alpert, Anne Nucci–Sack, Elizabeth Lorde–Rollins, Mara Minguez and Mary Rojas.
17 Puberty in girls.
Frank Biro.
18 Delayed Puberty.
Janice L. Bacon.
19 Primary and secondary amenorrhea.
Rachel J. Miller and Paula Hillard.
20 Precocious Puberty.
Peter A. Lee and Christopher Houk.
21 Dysmenorrhea.
Albert Altchek.
22 Pelvic Pain, Endometriosis, and the Role of the Gynecologists.
Nezhat Farr, A. Shamshirsaz Alireza, Yildirim Gazi, Ceana Nezhat and Nezhat Camran.
23 Management of Chronic Pelvic Pain in the Adolescent.
Kenneth A. Levey.
24 Adolescent Anovulatory Dysfunctional Uterine Bleeding and Menorrahgia.
Albert Altchek.
25 Bleeding Disorders in the Adolescent Female.
Aaron Rausen.
26 Congenital Gynecologic Anomalies I – Rokitansky Syndrome.
Albert Altchek.
27 Congenital Anomalies II and Diagnostic Problems.
Albert Altchek.
28 Laparoscopy in the Pediatric and Adolescent Female.
Robert K. Zurawin.
29 Breast Problems.
Yasmin Jayasinghe and Patricia Simmons.
30 Contraceptive Choices in Pediatrics, Adolescent, and Young Adult Gynecology.
Albert George Thomas.
31 Contraception in Adolescence.
George Creatsas and Efthimios Deligeoroglou.
32 Labor in the Adolescent.
Emanuel A. Friedman.
33 The Polycystic Ovary Syndrome—Challenges and Opportunities in Adolescent Medicine.
Nathan Kase.
34 Acute Abdominal and Pelvic Pain.
Jeremy T. Aidlen and Steven Dolgin.
35 Acute Gynecologic Pain.
Charles Ascher–Walsh and Michael Brodman.
36 Vulva Disorders in Children.
Raymond H. Kaufman.
37 Dermatology – The Dermatologist view of diagnosis and treatment of vulva lesions.
Robin Carder and Jennifer Aranda.
38 Management of Ovarian Cysts in the Adolescent and Youn g Adult.
John P. Curtin, Leslie Boyd and Khush Mittal.
39 Pediatric Gynecologic Cancer.
Jamal Rahaman and William Bradley.
40 Cervix Cytology, Dysplasia and Human Papillomavirus.
Bradley Monk and Ali Mahdavi.
41 Herpes Simplex Viruses Types 1 and 2.
David Barker.
42 Sexually Transmitted Infections.
Rhoda Sperling.
43 Imaging.
Sabah Servaes.
44 Preservation of Fertility.
Alan B. Copperman and Michelle Tham.
45 Where Law and Medicine Meet.
Rhea G. Friedman, J.D..
46 Minors’ Rights to Reproductive Health Care and Privacy.
Rhea G. Friedman, J.D..
47 HPV Infection and Cervical Neoplasm in Adolescents.
Liane Deligdisch.
48 Endometrial Pathology in Young Patients.
Liane Deligdisch.
49 Ovarian Tumors in Children, Adolescents, and Young Patients.
Liane Deligdisch.
50 Gestational Trophoblastic Diseases in Adolescents and Young Adults.
Liane Deligdisch.
51 Rhabdomyosarcoma of the vagina and cervix.
Frederique Penault–Llorca, Florence Mishellany and Hinde El Fatemi.
52 Benign ovarian disorders.
Frederique Penault–Llorca, Ericka Rivera–Serrano and Wassim Essamet.
53 The History of Pediatric and Adolescent Gynecology in the United States.
Alvin F. Goldfarb.
54 A History of the International Federation of Infantile and Juvenile Gynaecology.
Irmi–Rey Stocker and Monica Epelman

Nota biograficzna:
Albert Altcheck, MD, Clinical Professor of Obstetrics, Gynecology and Reproductive Science; Chief of Pediatric and Adolescent Gynecology; Attending Obstetrician/Gynecologist, Mount Sinai School of Medicine, New York City, USA.

Okładka tylna:
Pediatric and Adolescent Gynecology is often poorly taught because it is multidisciplinary and tends to fall between departments. Traditional teaching falls into rigid compartments with obstetric–gynecology trainees rarely seeing children and pediatric trainees often neglect ing the female reproductive system having been inadequately taught what to look for.
Nevertheless, the young ob/gyn patient presents unique problems which are different from the mature woman. This includes the spectrum of illnesses, development, approach, management, and effect on later life and fertility. Malignant tumors, for example, have different pathology, management and response to chemotherapy.
The adolescent gynecology consultation is uniquely challenging and the quality of the advice and counselling the patient receives is of the utmost importance. Crucial issues at this time of life relate to the risks of sexual activity, teenage pregnancy, contraception and STDs. Accurate recognition and sensitive management of child sex abuse is also a highly problematic and challenging area.
The specialty certification boards in obstetrics–gynecology and pediatrics have recognized the historic problem of teaching and assessment in this field and now have examination questions on the subject. Consequently, a good textbook at trainee level is desperately needed which sets the context and explains the most important parts of the subject, without attempting to be an exhaustive reference for the sub–specialist as most of the other books are.
This book is a practical and concise clinical guide to patient care which is user friendly and brings readily accessible help for common problems. It ranges form the commonest problem (vulvovaginitis) through to the less common but urgent problems including the newborn with ambiguous external genitalia, the prepubertal child with vaginal bleeding due to anovulatory dysfunctional uterine bleeding and possible vaginal rhabdomyosarcoma, and the adolescent with severe vaginal bleeding and pregnancy complications (miscarriages, ectopic pregnancy). It emphasizes diagnosis and management and each chapter has an outline and summary.
Each chapter follows a clear structure:
1. outline of chapter
2. summary of cha pter – quick review of essential details
3. body of chapter for in depth review when there is time
4. fewer than 60 references, recent and reviews
Separate section of “Quick–Takes” for instant diagnostic possibilities.
It is designed for the obstetrician–gynecologist, pediatrician, and adolescent medicine and primary care physician. In short, for all doctors who are likely to come across gynecological problems in children and adolescents. It will also be of great value in related fields such as urology, general surgery, psychiatry, dermatology, public health, law and education. It will be a referral source for medical personnel including social service, nurse practitioners and physician’s assistants.