Of 83 patients with tubo-ovarian abscess studied retrospectively, 18 were treated within 24 hours of admission with total abdominal hysterectomy and bilateral salpingoo-ophorectomy. The other 65 patients were treated conservatively. In six patients, conservative therapy proved an immediate failure, and 14 patients had delayed failure. Thirty-nine patients were successfully treated conservatively, and six were lost to follow-up. We examined the length of hospital stay in the surgically treated group and the conservatively treated group. Immediate operation and delayed operation were examined in terms of mortality, morbidity, and hospital stay. Conservative therapy consisting of broad spectrum antibiotics combined with conservative operation when applicable is an effective method of treating unruptured tubo-ovarian abscess.

Abscess↗

PubMed1980

The University of Florida College of Medicine's alumni during the school's first twenty years.

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Florida↗

PubMed1980

A comparison of medical student performance on the obstetrics and gynecology National Board Part II examination and a comparable examination given during the clerkship.

An obstetrics and gynecology clerkship examination obtained from the National Board of Medical Examiners was administered to 96 medical students at the end of their clerkship rotation. They also took part II of the National Board examination 18 to 30 months later. There was a significant correlation between their ob-gyn scores on the two tests (r=0.56; p less than 0.01). In addition, all of the "high" performers (greater than 700) on the part II exam were predicted by their excellent scores on the clerkship exam. Only 25% of the "low" performers (less than 400) on the part II exam were also "low" performers on the clerkship exam; however, none had been superior performers. A clerkship exam score of 600 cleraly separated the two groups without overlap. This clerkship exam is useful in medical student education.

Certification↗

PubMed1977

Cold pressor test in women: effect on vaginal blood flow.

Vaginal blood flow changes in women were evaluated qualitatively by heat-flow discs mounted on cooled vaginal probe. Statistically significant increases in vaginal blood flow, systolic blood pressure, and pulse rate were found in seven normal subjects during a 4 minute immersion of one hand in ice water.

Adult↗

PubMed1977

Oral contraception.

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Contraceptives, Oral↗