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The Merck Manuals (outside the U.S. and Canada: The MSD Manuals; Chinese: 默沙东诊疗手册; pinyin: Mòshādōng Zhěnliáo Shǒucè) are medical references published by the American pharmaceutical company Merck & Co. (known as MSD outside the United States and Canada), that cover a wide range of medical topics, including disorders, tests, diagnoses, and drugs.
At this point of the pelvic exam, the examiner will insert the speculum to visualize other internal structures: the cervix, uterus, and ovaries. [20] [21] If this is the first pelvic exam of the patient, the examiner will show the speculum to the patient, explain its use and answer any questions. The appropriate sized speculum is selected. [20]
The first edition of The Merck Manual was published in 1899 by Merck & Co., Inc. for physicians and pharmacists and was titled Merck's Manual of the Materia Medica. [6] [7] The 192 page book which sold for US $1.00, was divided into three sections, Part I ("Materia Medica") was an alphabetical listing of all known compounds thought to be of therapeutic value with uses and doses; Part II ...
Sagittal pelvic outlet diameter Same, but may require minor side-to-side scrolling to visualize both end points. The closest bony points of the sacrococcygeal joint and the pubic bone next to the symphysis. This is also called the obstetric anteroposterior diameter of the pelvic outlet, to distinguish from the anatomic one which includes the ...
A pelvic exam and digital rectal exam are done to evaluate the amount of protrusion and anal sphincter tone. [5] Fluoroscopic defecography (FD), evacuation proctography, or dynamic magnetic resonance imaging (MR defecography, MRD) may be used to evaluate functional and anatomic conditions.
The MerckManual and MerckHome templates helps markup links to respectively the Professional Edition and Home Edition of the Merck Manual of Diagnosis and Therapy medical textbooks. Three parameters are required, with options (to maintain backwards compatibility) for a fourth for page number and fifth for alternative displayed text. Section number
This exam includes a speculum exam with visual inspection of the cervix for abnormal discharge, which is usually purulent or bleeding from the cervix with little provocation. [4] Swabs can be used to collect a sample of this discharge for inspection under a microscope and/or lab testing for gonorrhea , chlamydia , and Trichomonas vaginalis .
Medical tests include a blood test, to see whether the abnormal bleeding has caused anemia, and a pelvic ultrasound, to see whether the abnormal bleeding is caused by a structural problem, such as a uterine fibroid. [2] Ultrasound is specifically recommended in those over the age of 35 or those in whom bleeding continues despite initial ...