By D. Keith Edmonds, John Dewhurst
End result of the accelerating velocity with which new wisdom is amassed and new advancements are introduced into sensible use, it really is crucial that the professional retains abreast of present developments. the recent 6th variation of this highly-acclaimed and well-established textual content has been largely revised and up to date to supply the postgraduate learning for the MRCOG exam with the main up to date info on hand. below the specialist supervision of a brand new editor, Mr Keith Edmonds, the booklet has been comprehensively revised and given a totally new glance with the addition, for the 1st time, of color illustrations and two-colour textual content. There also are 5 new chapters.The thorough remodeling of all chapters and the contributions of many newly rising specialists of their numerous fields will perpetuate the wonderful culture of this 'classic' textual content into the following century. Readers will locate the ebook stimulating and academic, and a reference textual content that may improve their wisdom and perform.
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Extra resources for Dewhurst's Textbook of Obstetrics and Gynaecology for Postgraduates
A clitoral reduction is best undertaken in the neonatal period before the child is discharged from hospital. By doing so, visible evidence of maleness is removed, the parents can more regularly regard their child as female and there is no risk of a third party seeing masculinized genitalia and reporting the child's doubtful sex. Whenthe folds are thick division of the fused labial folds is best left until well after puberty. The clitoris may be reduced in size by either amputation, which gives a good cosmeticresult and is compatible with normal coitus and orgasm, or more commonly, by a reduction clitoroplasty with preservation of the glans, with its nerve and blood supply in an attemptto maintain clitoral sensation (Dewhurst 1981).
Breast growthis divided into five stages (Tanner classification; Tanner 1962) and it begins around 9 years of age, the full development taking around5 years. It is unusual for no breast tissue to develop by 13 years of age. Axillary hair only has three stages, and this development tends tooccur later at around the age of 13. The growth spurt occurs at between IO and 14 years,andmost girls willreachtheirmaximum height between these ages. 1 years (Marshall & Tanner 1969). delay in the remainder up to age 16 must be considered as normal (Marshall 1974).
Annu Rev Physiol46,53-65. ), 315-20. Dupont B, Oberfield SE, Smithwik EM et al. (1977)Close genetic linkage between HLA and congenital adrenal hyperplasis. Lancet ii, 1309-12. Edmonds DK (1989)Intersexuality. In: Dewhurst's Practical Paediatric and Adolescent Gynaecology. London: Butterworths, pp. 17-20. Fayez JA, Bunch TR & Miller GL (1974)Virilisationin pregnancy associated with polycystic ovaries. Obstet Gynecol44,511-21. Forrest MG, Orgiazzi J, Tranchant D et al. (1978) Approach to the mechanism of androgen production in a case of Krukenberg tumour duringpregnancy.