When performing an assessment of the female genital tract, it is essential not just to understand the appearance of the normal anatomy, but also the normal variations of this anatomy that may occur. W...hen these normal variations are identified, they may sometimes require treatment to improve quality of life, and this eChapter identifies and describes the most common normal variations of the female genital tract, provides criteria for diagnosis and outlines the preferred treatment of these variations.
The Gynecologist's Perspective
The Gynecologist’s Perspective provides the fundamental guidelines for performing an accurate assessment on any patient presenting with a vulvar or vaginal complaint. A thorough assessment forms the... foundations for an accurate diagnosis, and this in turn leads to an optimal and effective management plan for the patient. Written by a distinguished gynaecologist, this eChapter provides the reader with a systematic gynaecological assessment methodology that is thorough, easy to understand and simple to apply in clinical practice.
The Dermatologist's Perspective
It is increasingly common for gynaecologists and dermatologists to work in partnership in the diagnosis and management of diseases of the vulva and vagina. This is because understanding the fundamenta...ls of dermatology applicable to the vulva and vagina has repeatedly been shown to be a valuable adjunct to the rationalisation of diagnosis, classification, investigation and management of disease. This eChapter describes these fundamentals in detail, describes the common dermatological conditions of the vulva, and provides guidance regarding contemporary treatment options.
Some of the most complex disorders of the vulva and vagina are the neoplasms, and this is because of the variety of cells native to the anatomy gives rise to a wide range of possibilities in terms of ...potential cancer types. This comprehensive eChapter has been written by a distinguished gynaecological oncologist and provides descriptions, clinical features, diagnostic and treatment guidelines for over 240 different neoplasms of the vulva and vagina, and is an excellent resource for any health professional.
Developmental abnormalities of the vulva and vagina are commonly manifest at birth but may also present during delayed puberty, sexual intercourse or during an obstructed labour. Divided into conditio...ns where the gender of the genitalia is not in question, and those where there are various degrees of clitoral enlargement, labial fusion and where gonadal abnormalities show one or more facets of male genitalia, this chapter describes the conditions associated with each of these conditions in turn, and describes contemporary management options.
The Psychologist's Perspective
Managing patients with gynaecological difficulties requires a great deal of sensitivity as well as an understanding of female sexuality, psychosocial and cultural issues. The genitals have many social..., religious, emotional and moral connotations and, along with sexual behaviour, still carry many taboos. As such, working in this area requires a sound knowledge base, patience and good interview skills. This eChapter aims address that need and clarify some of the nonmedical factors associated with chronic vulvar symptoms.
Endocrine and Metabolic Disorders and Di...sorders of Pigmentation
This eChapter is part of the Vulva and Vaginal Manual, and draws together two important areas associated with the treatment of diseases of the vulva and vagina: diseases cause by endocrine and metabol...ic disorders, and diseases caused by disorders of pigmentation. A range of disorders are described, including their clinical features, diagnosis and treatment, and this illustrated eChapter will be a valuable resource for anyone wishing to refresh their knowledge of this complex aspect of women’s health.
The Pathologist’s Perspective
Good pathology is crucial to the management of vulvovaginal disease, but how is good pathology obtained? There are two clinical situations in which a tissue sample is sent for pathology: rashes and di...screte lesions. Rashes are sent for accurate pathological diagnosis, but lesions require in addition to confirmation of clinical diagnosis, the pathological assessment of prognostic factors and margins. This eChapter describes both approaches in detail, including biopsy techniques, and tips on how to read a pathologist’s report.
Trauma to the female genital tract is unfortunately relatively common, and often occurs during childbirth. However, serious genital trauma may also occur during consensual or non-consensual sex or be ...self-induced or accidental in origin, with all injuries requiring significant skills to identify and treat appropriately. This eChapter is from the eBook The Vulva and Vaginal Manual, and describes the most common forms of trauma to female genitalia, including an extended discussion on the topic of female circumcision.
This richly illustrated eChapter provides an overview of the anatomy, histology and microbiology of the female genital tract. Including sections on embryology, illustrated anatomy, histology, and the ...non-epithelial cells and hormone receptors of the vulva, the eChapter serves as an excellent primer or reference for both those wishing to refresh their knowledge of the female genital region, and those wishing to explore the other eChapters of the Vulva and Vaginal Manual.
The Oncologist’s Perspective
Although cancers of the vulva and vagina are uncommon, they are a particularly challenging disease to treat. Understanding the diagnosis and management of benign, pre-malignant and malignant pathologi...es is greatly enhanced when conducted in a collaborative manner with a gynaecologic oncologist, or with an understanding of the fundamentals of an oncological approach. To address this need, this eChapter provides an introductory review of the oncologists perspective towards the diagnosis and treatment of cancers of the vulva and vagina.
This comprehensive eChapter provides an in-depth and wide ranging explication of the viruses, bacteria, fungi and parasites that can cause infections of the vulva and vagina. Illustrated with copious ...high quality photographs, both rare and common infections are described, as well as tips for diagnosis and contemporary treatment pathways. This resource is suitable for any health professional providing clinical services in the areas of women’s health and paediatrics.
Non-neoplastic Cysts and Swellings
The differential diagnosis of relatively benign cysts and swellings from neoplasms is critical for determining the appropriate treatment pathway. However, the variety of non-neoplastic cysts and swell...ings of the vulva and vagina is extensive, and it is essential that health professionals understand their clinical and pathological attributes in order to facilitate correct diagnosis. This eChapter is from the Ausmed publication The Vulva and Vaginal Manual and provides a comprehensive review of the topic.
Functional disorders of the vulva and vagina represent one of the more challenging aspects of women’s health, largely because specific disorders are often a mix of organic, mechanical and psychologi...cal elements. There are a range of functional disorders that are common, and it is essential that any health care practitioner be able to identify them if appropriate management options are to be instituted. This eChapter is from the Ausmed publication The Vulva and Vaginal Manual and provides a comprehensive overview of the topic
This chapter includes the preliminary information found in, and relating to, the second edition of Palliative Care Nursing: A Guide to Practice. It offers nurses and healthcare professionals an eviden...ce-based approach to providing better care for people in palliative care and for those who love and support them.
Geriatric Medicine: A Pocket Book for Do...ctors, Nurses, Other Health Professionals and Students
Geriatric Medicine is a pocket guide for doctors, nurses, and other health professionals and students in response to our ageing community and the implications they have for the health professionals. T...he second edition contains new, up-to-date material on models of service delivery, cancer and palliative care, and residential care.
Draining Wounds, Fistulae, and Peristoma...l Wounds
Draining wounds, fistulae, and peristomal wounds present challenges to nurses and can cause significant concern to patients and their carers. The management of these wounds can be complicated—depend...ing on the individual patient, the wound, the resources available, and the skill of the nurse. This chapter discusses draining wounds, fistulae, and peristomal wounds.
The application of evidence-based practice to health-care management is relevant to people at all levels of health care—and this includes the nurse manager, who is responsible for the overall coordi...nation of nursing team resources.
Managing Relatives’ Concerns
As consumers of health services have become more knowledgeable about their care and treatment, their expectations have risen. There has been a similar growth in the knowledge and expectations of the r...elatives of those receiving care—relatives want and expect high standards of care and treatment. This chapter explores some of the background to relatives’ concerns and suggest strategies that can be used by nurse managers when dealing with a concerned relative.
The Nurse Manager as Educator
Nurses as ‘knowledge workers’ will stay committed to their employers if they are provided with the resources for interesting work, and if they are able to learn, grow and use all of their skills. ...If such an environment is not forthcoming, nurses, like other knowledge workers, will move on. This presents nurse managers with challenges in creating an environment in which nurse practitioners can flourish and perform effectively.