Overview

ABOUT THE SUBJECT MATTER Adolescence is a time of significant change. The adolescent era spans the interval between childhood and adulthood. It is a time of physical, social, and even emotional upheaval. During this relatively brief period of time not only does physical growth accelerate but, of more significance in the biology of any species, the individual attains reproductive maturity. Within this time frame, the human being acquires the capacity to procreate and perpetuate our species. From a reproductive standpoint, throughout adeolescence the individual is being prepared for perhaps what might be considered the most important function an organism has during his/her brief sojourn on earth, namely to endow successor(s) with a minute quan­ tity of DNA to enable continuation of its form of life. The interlude be­ tween childhood and adulthood is not always socially or emotionally sim­ ple. The anatomic and physiologic modifications that come to pass during adolescence are not necessarily paralleled by a capacity to assume the societal responsibilities associated with reproductive maturity. Although the physiologic changes normally proceed in a predetermined fashion, adaptation to a changing role is a far more trying process. Accustomed to living in a child's world, the subject of adolescent change requires considerable time and understanding to facilitate exis­ tence in the adult world. The early stages of sexual awareness, for ex­ ample, are generally extremely confusing and, as evidenced by the in­ ordinately high frequency of teenage pregnancy and sexually transmitted diseases, can be extraordinarily dangerous.

Full Product Details

Author:   Alfred Bongiovanni
Publisher:   Springer-Verlag New York Inc.
Imprint:   Springer-Verlag New York Inc.
Edition:   Softcover reprint of the original 1st ed. 1983
Dimensions:   Width: 17.00cm , Height: 1.50cm , Length: 24.40cm
Weight:   0.488kg
ISBN:  

9781461583264

ISBN 10:   1461583268
Pages:   258
Publication Date:   29 December 2011
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Active
Availability:   Manufactured on demand  
We will order this item for you from a manufactured on demand supplier.

Table of Contents

1 The Initial Encounter.- 1. Introduction.- 2. The Physician.- 3. The Patient.- 4. The Physical Examination.- 5. The Consultation.- 6. The Team Approach.- 7. Summary.- 2 Pubertal Development.- 1. Introduction.- 2. Ovarian Embryology.- 3. Endocrinology of the Female Fetus.- 4. Adolescent Growth and Maturation.- 5. Hormonal Changes at Puberty.- References.- 3 Ovarian Dysfunction in the Adolescent.- 1. Introduction.- 2. Normal Sexual Development.- 3. Classification of Menstrual Dysfunction.- 4. Diagnosis.- 5. Therapy.- References.- 4 Sexual Behavior in Adolescence.- 1. Introduction.- 2. The Sexual System.- 3. Aspects of Physician-Patient Interaction.- 4. Changing Social and Sexual Mores.- 5. Psychosexual Development in Adolescence.- 6. Interviewing and History Taking.- 7. Physical Examination.- 8. Common Sexual Problems.- 9. Uncommon Sexual Disorders.- References.- Recommended Reading for Teenagers and Adults.- 5 Teenage Pregnancy.- 1. Introduction.- 2. Cost to Society of Adolescent Pregnancy.- 3. Health Problems and Teen Pregnancy.- 4. Prevention.- 5. A Hospital-Based Program Description.- 6. Other Programs for Pregnant Adolescents.- References.- 6 Contraceptive Use among Adolescents.- 1. Introduction.- 2. Contraception and Neoplasia.- 3. Methods to Improve Contraceptive Utilization.- 4. Recommendations for Contraceptive Use.- References.- 7 Venereal Disease in Adolescents.- 1. Introduction.- 2. Overview of Sexually Transmitted Diseases.- 3. Gonorrhea.- 4. Syphilis.- 5. Herpes Genital Infection.- 6. Condyloma Acuminatum.- 7. Pediculosis Pubis (Crab Lice).- 8. Scabies.- 9. Chancroid.- 10. Granuloma Inguinale.- 11. Chlamydia trachomatus.- 12. Vulvovaginitis.- 13. Conclusion.- 8 Rape of the Adolescent.- 1. Introduction.- 2. Notification of Authorities.- 3. Permission to Examine and Treat.- 4. The Police Interview.- 5. Medical Examination and Treatment.- 6. Laboratory Evaluation.- 7. Specific Laboratory Tests.- 8. Medical Therapy.- 9. Evidence Handling.- 10. Records.- 11. Follow-Up.- 12. Psychological Aspects of Rape.- References.- 9 Gynecologic Tumors of Adolescence.- 1. Introduction.- 2. Incidence.- 3. Etiology.- 4. Diagnosis.- 5. Vulva.- 6. Vagina.- 7. Uterus.- 8. Fallopian Tube.- 9. Ovary.- References.- 10 Laboratory Evaluation in Adolescence.- 1. Clinical Evaluation.- 2. Pituitary Hormones.- 3. Ovarian Hormones.- 4. Androgens.- 5. Adrenal Function.- 6. Sex Chromosome Analysis.- 7. Thyroid Tests.- References.- 11 Legal Considerations in the Treatment of Minors.- 1. Introduction.- 2. Legal Background.- 3. Special Legal Considerations in the Treatment of Adolescents.- 4. Statutes Set the Law of Each State.- 5. A Physician’s Liability for Lack of Consent.- 6. Emergency Treatment.- 7. A Parent’s Refusal to Consent to Treatment of a Minor Child.- 8. Compensation for Services.- 9. Conclusion.- References.- Recommended Reading.

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