■ CMAJ – Canadian Medical Association Journal
Serie Five Things to Know About
■ Diagnosing ovarian cancer
Melissa Walker, Mara Sobel
CMAJ. 2018 Oct 22; 190(42): E125
1 – Early-stage ovarian cancer is difficult to diagnose because presenting symptoms are vague and nonspecific
2 – Transvaginal ultrasonography is the initial imaging modality for women with symptoms of ovarian cancer
3 – Serum tumours markers can be helpful when a complex ovarian cyst is identified
4- The RMI II can be used in primary care to identify women requiring urgent assessment
5 – Women with a strong family history of breast, ovarian or colon cancer should be referred to a genetic counsellor
■ Adnexal torsion: Five Things to Know About Online
Jessica Papillon-Smith, Mara Sobel
CMAJ. 2018 Jun 25; 190(25): E769.
1 – Adnexal torsion should be considered in women of all ages with acute abdominopelvic pain
2 – Signs and symptom are often nonspecific
3 – Transvaginal ultrasonography is the imaging modality of choice to asses the adnexae
4 – Adnexal torsion is a surgical emergency
5 – At surgery, the affected ovary should be preserved
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6019344/
■ Retained intrauterine devices in pregnancy: Five Things to Know About Online
Ari P. Sanders, Barry H. Sanders
CMAJ. 2018 Apr 9; 190(14): E440
4 – In North America, 5%-10% of reproductive-aged women use an intrauterine device for contraception
2 – Pregnancies are at increased risk of adverse outcomes with a retained IUD
3 – Current evidence supports removal of retained IUDs in pregnancy
4 –There are procedures to remove intrauterine devices in pregnancy when the strings are not visible
5 – When pregnancy continuation is desired, retained IUDs should be removed at the earliest gestational age possible
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5893319/
■ Prepubertal vulvovaginitis: Five Things to Know About Online
Emily P A Brander, Sarah K McQuillan
CMAJ 2018, vol 190 (26): E800
1 – Inflammation and irritation of the lower genital tract, or vulvovaginitis, is common in prepubertal girls
2 – Common presenting symptoms include pruritus, discharge, discomfort and dysuria
3 – About 25% of vulvovaginitis cases in children are caused by infections
4 – Recurrent symptoms, associated with a foul smell, may be due to a foreging body in the vagina
5 – Psoriasis, atopic dermatitis and linchen sclerosus may cause chronic vulvar dermatosis
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028267/
■ Mifepristone: Five Things to Know About Online
Sheila Dunn, Melissa Brooks
CMAJ. 2018 Jun 4; 190(22): E688
1 – Mifepristone, the drug for medical abortion, became available in Canada in January 2017
2 – Combined mifepristone and misoprostol is safe and highly effective
3 – There are few contraindications for using mifepristone
4 – Mifepristone abortion can be provided in primary care
5 – Many government insurance plans cover mifepristone and misoprostol
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5988520/
■ Dr Paulo Fernando Leite
Cardiologia/Prevenção Cardiovascular
Estratificação de Risco Cardiovascular
Consultório: Rua Padre Rolim 815/sala 601
Tel: 33245518
CRMMG: 7026
Email: pfleite1873@gmail.com
Data: out 2019