Biomedical subjects

J B Millis

Publications and source records attributed to J B Millis.

3 recordsLinked to original sources

PubMed1992

Fragile beginnings: identification and treatment of postpartum disorders.

The transition to parenthood has long been recognized as a normal developmental crisis. However, 7 percent to 10 percent of all new mothers experience serious postpartum disorders that lie beyond the realm of the common "maternity blues." Postpartum depression and psychosis are hormonally based psychiatric illnesses that pose risks to the new mother and the family system. Too often, they are misdiagnosed as exclusively psychological and are undertreated by health care professionals. Early detection, assessment, and treatment are critical for the health and safety of both mother and child. Aggressive treatment may include individual and family therapy as well as medication. Women at particular risk for these illnesses should be identified during pregnancy. Efforts also should be made to prevent recurrence after subsequent deliveries.

Female↗

PubMed1978

Sonographic patterns in trophoblastic diseases.

A range of sonographic patterns in patients with hydatidiform moles can be appreciated with gray scale ultrasonography, which more readily reveals areas of internal hemorrhagic degeneration and fetal growth within a molar mass. Sonography may be used to evaluate patients suspected of having recurrent or invasive trophoblastic disease; a focus of invasive trophoblastic tumor can be identified as a cluster of high-amplitude echoes within the myometrium, which is frequently associated with echo-free areas of hemorrhage. The enlargement or regression of theca lutein cysts associated with these disease processes can also be monitored.

Female↗

PubMed1978

Differential diagnosis of pelvic masses by gray scale sonography.

An approach to the sonographic differential diagnosis of pelvic masses based on their size, location, internal consistency, and definition of borders is presented. Diagnostic schemes were derived from correlating the sonographic features with histomorphology in 170 surgically proven pelvic masses. Besides separating pelvic masses into the conventional categories of cystic, complex, and solid, gray scale sonographic features of a pelvic mass can be used to subcategorize these masses into a more useful differential diagnoses. Although the features seen on a sonographic image were specific in only two types of pelvic masses (pattern specificity greater than 85%), the sonographic information can be effectively utilized for establishing differential diagnoses of pelvic masses. Among the various sonographic patterns observed, homogenously cystic adnexal masses were the least specific pattern, whereas a predominantly cystic, extrauterine mass with internal septation was highly specific for a pseudomucinous cystadenoma. Several pelvic masses such as dermoid cysts demonstrated more than one sonographic appearance and, therefore, had to be considered in more than one diagnostic category.

Adnexal Diseases↗