- Ultrasonography criteria for the diagnosis of early pregnancy loss have recently been redefined.
- Medical and surgical management are safe and effective, and should be influenced largely by patient preference.
- Recommendations regarding interval to next conception have recently shifted away from the traditional 3 months.
Latest Updates
Antisocial Personality Disorder and Its Clinical Management
- Follow-up studies have shown the continuity of antisocial behaviors from childhood through the adult years.
- Research has implicated brain regions that control judgment and impulse control.
- Cognitive-behavioral therapy may be helpful in mild cases.
Management of Depression, Part 1: Identification and Diagnosis
- The two leading classification systems for diagnosing mental illness are the Diagnostic and Statistical Manual of Mental Disorders (DSM) published by the American Psychiatric Association and the ICD-10, the most recent edition of the International Classification of Diseases published by the World Health Organization.
- There is no standard medical workup for a patient presenting with depression. Health care providers use their clinical judgment in conjunction with a good history, review of medical systems, and physical examination. Indiscriminate ordering of laboratory tests in depressed patients rarely yields useful results. A pooled analysis of psychiatric inpatients showed the rates of clinically significant laboratory findings to be remarkably low.
- Single-photon emission CT (SPECT) has been promoted by some as a reliable tool in diagnosing and treating a number of psychiatric disorders, including depression. SPECT measures regional cerebral blood flow using a gamma-emitting tracer in the blood.
- Zika virus: Delayconception if potential exposure: 8 weeks: females or 3 months: males
- Subclinical hypothyroid: Treatment is associated with improved pregnancy outcomes when TSH levels are above 4 mIU/L.
- Tubal patency: Hysterosalpingo-contrast sonography was recently introduced as an additional screening method to assess tubal patency.
Acute Testicular Torsion Management
- Orchiopexy without transparenchymal suturing is a new surgical approach for the treatment of acute testicular torsion.
- There is a recent focus on the role of ischemia-reperfusion injury in acute testicular torsion and medications that may help prevent damage caused by ischemia-reperfusion injury.
- Fasciotomy with tunica vaginalis flap is a new surgical technique aimed at preventing damage from ischemia reperfusion injury.
- There is a new focus on immediate reconstruction with testicular prosthetic at the time of orchiectomy for testicular torsion.
Clinical Evaluation of Immigrant and Refugee Women
- Cultural sensitivity and openness is more important than cultural ‘competence’ when treating migrants from diverse backgrounds
- Guidelines are available for effective and appropriate use of qualified medical interpreters
- Mental health screening is not only to assess effects of prior trauma but to determine challenges in acculturation
- There is increasing recognition of the need for preventive counseling and chronic care in migrant women
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