MARC details
| 000 -LEADER |
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| fixed length control field |
02809nam a22002537a 4500 |
| 001 - CONTROL NUMBER |
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| control field |
OB 2017 0006 |
| 003 - CONTROL NUMBER IDENTIFIER |
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| control field |
PILC |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
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| control field |
20240720152936.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
171027b xxu||||| |||| 00| 0 eng d |
| 040 ## - CATALOGING SOURCE |
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| Language of cataloging |
eng |
| Transcribing agency |
FEU-NRMF MEDICAL LIBRARY |
| Description conventions |
rda |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
english |
| 050 ## - LIBRARY OF CONGRESS CALL NUMBER |
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| Classification number |
OB 2017 0006 |
| 245 ## - TITLE STATEMENT |
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| Title |
Recurrent hematuria in genital ambiguity: is genital reconstruction the best option? : |
| Remainder of title |
a diagnostic and therapeutic dilemma / |
| Statement of responsibility, etc. |
Myka Janine M. Villarroya. |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
|---|
| Place of publication, distribution, etc. |
Fairview, Quezon City: |
| Name of publisher, distributor, etc. |
Department of Obstetrics and Gynecology, FEU-NRMF, |
| Date of publication, distribution, etc. |
2017. |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Other physical details |
tables, photos; |
| Dimensions |
(in folder) + |
| Accompanying material |
with flash drive (soft copy). |
| 336 ## - CONTENT TYPE |
|---|
| Source |
rdacontent |
| Content type term |
text |
| 337 ## - MEDIA TYPE |
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| Source |
rdamedia |
| Media type term |
unmediated |
| 338 ## - CARRIER TYPE |
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| Source |
rdacarrier |
| Carrier type term |
volume |
| 504 ## - BIBLIOGRAPHY, ETC. NOTE |
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| Bibliography, etc |
Includes appendices and bibliographical references. |
| 520 ## - SUMMARY, ETC. |
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| Summary, etc. |
Abstract: Congenital Adrenal Hyperplasia (CAH) is an inherited autosomal recessive disease that causes virilization of the external genitalia. The deficiency of the enzyme, 21-hydroxylase will most likely have leads to genitalia. The objective of this paper is to present the dilemma in the diagnosis and management of Recurrent hematuria in patient with Genital ambiguity secondary to Congenital Adrenal Hyperplasia. This is a case of a 22 year old, female, with recurrent hematuria and Urinary Tract Infection, has genital ambiguity due to congenital hyperplasia was worked up for possible genital reconstruction. On ultrasound finding, the distal end of the vaginal canal seems to be connected to the urethra and was noted to be 1.32cm from meatus; Hamatoclpos was also noted. Is the recurrent hematuria due to cyclic menstruation of this patient? Surgical management of genital ambiguity due to congenital adrenal hyperplasia is associated with few immediate postoperative, infectious and urinary complications as well as unwanted permanent outcomes such as Vaginal stenosis and the like. The exact method of reconstruction depends on the anatomy of the patient. In our patient she had enlarged clitoris measuring 1 x 0.5 x 1 cm. However, in this patient who is reared as female, emotionally confident that she is a woman with the complaint of recurrent hematuria and UTI, will genital reconstruction improve the patient medically, psychologically and emotionally? What about the postoperative complications that may happen after the operation? These questions posed a dilemma on the surgeons on whether the restoration of anatomical, functional, cosmetic and psychosexual aspect will be the best option for this patient. Definitive plan for our case was Cliteroplasty with creation of Neovagina. However due to financial constraints patient opted for medical management. |
| 521 ## - TARGET AUDIENCE NOTE |
|---|
| Target audience note |
Research - Department of Obstetrics & Gynecology |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Personal name |
Villarroya, Myka Janine M., MD. |
| Relator term |
author |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
Library of Congress Classification |
| Koha item type |
Room Use |
