Diagnostic algorithm to evaluate mastalgia

Slides:



Advertisements
Similar presentations
One suggested algorithm for evaluation of a woman with a suspected ectopic pregnancy. aExpectant management, D&C, or medical regimens are suitable options.
Advertisements

A. Cervical cytology collection devices: (1) Plastic spatula
Some examples of glass capillary viscometers (A) and a schematic diagram showing measurement of time of flow between two points (1 and 2) in a viscometer.
Drug protocols for ovulation induction. A
Drug protocols for ovulation induction. A
The common denominator is development of a self-perpetuating noncyclic hormonal pattern. Source: Polycystic Ovarian Syndrome and Hyperandrogenism, Williams.
The Distek 2100B United States Pharmacopeia automated dissolution system. (Image used permission from Distek, Inc.) Source: Solubility, Dissolution, and.
3D and 4D ultrasound volume ultrasound can obtain image planes and provide depth far beyond the capability of 2D ultrasound. Source: VOLUME SONOGRAPHY:
Comparison of disease progression in patients with colorectal cancer receiving vitamin C versus placebo. (Reproduced, with permission, from Moertel CG,
Transection of the utero-ovarian ligament
Reproduced from Hadzic A
Late decelerations due to uteroplacental insufficiency resulting from placental abruption. Immediate cesarean delivery was performed. Umbilical artery.
ACLS algorithm for bradycardia
Wong-Baker FACES pain scale (Wong-Baker FACES Foundation (2015)
Pathophysiology of esophageal reflux disease
Diagnostic approach: Dizziness.
A lateral radiograph of a 13-year-old child shows abnormal dentition, with supernumerary teeth, persistence of deciduous teeth, and impaction of permanent.
Formation of vitamin C radical by reduction of the vitamin E radical
A proposed summary algorithm for thrombophilia workup and anticoagulation therapy. (© Michael R. Foley, MD, Professor and Chairman, Department of Obstetrics.
Diurnal changes in plasma glucose and insulin in normal late pregnancy
Nine patterns of inflammatory skin disease. (See also Table 8–1.)
Pyogenic granuloma is characterized grossly by a lobulated red growth on a pedunculated or sessile base. (Photograph contributed by Dr. Abel Moron.) Source:
Diagnostic algorithm for normocytic anemia.
Multiple hepatic cysts in the setting of ADPKD
Intrauterine devices (IUDs). A. ParaGard T 380A copper IUD. B
Computed tomographic (CT) images in the axial plane of a 61-year-old woman with endometrial cancer. A. Massively enlarged and inhomogeneous uterus (arrows)
M-mode, or motion mode, is a linear display of the events of the cardiac cycle, with time on the x-axis and motion on the y-axis. M-mode is used commonly.
Staging of endometriosis
Characteristic appearances on imaging (a) Bone scan of tibial stress fracture (b) MRI of tibial stress fracture showing fracture line (arrows) in the presence.
(Used with permission from Lichtman’s Atlas of Hematology, www
Sagittal T2-weighted MRI scan of a Chiari showing typical peg-like appearance of cerebellar tonsils and associated syringomyelia. Source: Neurosurgery,
Manual removal of placenta. A. One hand grasps the fundus
Manual removal of placenta. A
Source: Chapter 23. Urinary Incontinence, Williams Gynecology, 2e
Algorithm for the laboratory diagnosis of androgen deficiency in the male. T, testosterone; LH, luteinizing hormone; FSH, follicle-stimulating hormone;
Algorithm for pain management in oncology patients
Ulcerative colitis. Note the continuous segment of mucosal erythema extending from the distal aspect of the specimen (right of image). This pattern of.
Peritoneal incision overlying the sacrum.
Source: Dizziness, Symptom to Diagnosis: An Evidence-Based Guide, 3e
(Data from Rosenfeld RL. N Engl J Med 2005; 353:2578–2588.)
Transvaginal sagittal uterine image displaying globular uterine enlargement and heterogeneous myometrial texture. Uterine wall thickening can show anteroposterior.
Changes in the ovarian follicle, endometrial thickness, and serum hormone levels during a 28-day menstrual cycle. P, progesterone; E2, estradiol; LH, luteinizing.
Neuraxial analgesia. A. Combined spinal-epidural analgesia. B
Cervical pregnancy. A. Transvaginal sonography, sagittal view of a cervical pregnancy. Sonographic findings with cervical pregnancy may include: (1) an.
Various combined oral contraceptive (COC) pills. A. Extended-use COCs
Increased nuchal translucency, with measurements more than 3 mm
Abdominal CT imaging performed postpartum in a woman with severe HELLP syndrome and right-upper quadrant pain. A large subcapsular hematoma (asterisk)
A standard epidural order form.
Intrauterine devices. The coronal planes of 3-dimensional sonography best depict the type and positioning of the Copper T 380A IUD (ParaGard) (A) and levonorgestrel-containing.
Mechanism of labor for the left occiput transverse position, lateral view. A. Engagement. B. After engagement, further descent. C. Descent and initial.
(Reproduced, with permission, from Emiliano Chavira, MD.)
AAA, abdominal aortic aneurysm; ABIs, ankle-brachial index; GI, gastrointestinal; GU, genitourinary; MRI, magnetic resonance imaging; PAD, peripheral arterial.
Intrauterine devices (IUDs)
COCs = combination oral contraceptive pills; GnRH = gonadotropin-releasing hormone; IUI = intrauterine insemination; NSAIDs = nonsteroidal antiinflammatory.
Intrauterine insemination (IUI)
MRI safety signs. The danger signs are placed at the 5-Gauss exclusion zone (5 G = T) to limit access of individuals with cardiac pacemakers into.
Drawing illustrates the steps of oocyte development and corresponding follicular maturation. In the fetal period, once the primordial germ cells arrive.
Cut-away view of a modern MRI machine. Please see text for description. Source: Overview of Diagnostic Modalities and Contrast Agents, Introduction to.
The common denominator is development of a self-perpetuating noncyclic hormonal pattern. Source: Chapter 17. Polycystic Ovarian Syndrome and Hyperandrogenism,
within a Pfannenstiel incision scar. A
Da Vinci Surgical System. A. Operator console. B
A. Diffusion tensor image (DTI) of connections between different areas of cortex. (Courtesy of Dr. Thomas Schultz, Max Planck Institute for Intelligent.
Source: Dizziness, Symptom to Diagnosis: An Evidence-Based Guide, 3e
Types of vulvectomy used in the treatment of vulvar cancer. A
Drug protocols for ovulation induction. A
Sagittal magnetic resonance T1-weighted image with contrast of the lumbar spine demonstrating diskitis/osteomyelitis associated with a spinal epidural.
Flow chart that summarizes the current management of acute anterior cruciate ligament (ACL) injuries. MRI, magnetic resonance imaging. (Reproduced, with.
Mammogram images (A, B) indicate an irregular mass in the upper outer left breast. Ultrasound of the left breast (C) shows this to be a solid, hypoechoic.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Copyright © 2004 The McGraw-Hill Companies, Inc. All rights reserved.
Presentation transcript:

Diagnostic algorithm to evaluate mastalgia Diagnostic algorithm to evaluate mastalgia. Oil of evening primrose or vitamin E is frequently used for mild/moderate pain, but the effects are no better than placebo. hCG = human chorionic gonadotropin; MRI = magnetic resonance imaging. Source: Breast Disease, Williams Gynecology, 3e Citation: Hoffman BL, Schorge JO, Bradshaw KD, Halvorson LM, Schaffer JI, Corton MM. Williams Gynecology, 3e; 2016 Available at: https://obgyn.mhmedical.com/DownloadImage.aspx?image=/data/books/1758/p9780071849081-ch012_f008.png&sec=118169130&BookID=1758&ChapterSecID=118169061&imagename= Accessed: October 29, 2017 Copyright © 2017 McGraw-Hill Education. All rights reserved