Headache as Complication of Cancer
Clinical history suggesting a brain tumor headache Cancer patient with a new headache or a change in headache pattern Unrelenting crescendo headache Headache resistant to all medical interventions Pain location…
The Prevalence and Impact of Neurological Disease in Cancer
Number of patients Percentage of consults Chief complaint Back pain 385 18 Headache 192 9 Other pain 160 7 Altered mental status 521 24 Weakness 395 18 Sensory deficit…
Introduction to Sexual Medicine
Figure 1-1. Small sculpture of a sexual scene [Reprinted from: https://commons.wikimedia.org/wiki/Category:Ancient_Egyptian_erotic_art#/media/File:Egypt-sex.jpg with permission from Creative Commons]. Figure 1-2. Turin erotic papyrus (damaged) [Reprinted from: https://commons.wikimedia.org/wiki/File:Turin_Erotic_Papyrus.jpg ]. One of the first…
Sex and Natural Sexual Enhancement: Sexual Techniques, Aphrodisiac Foods, and Nutraceuticals
Figure 27-1. Schematic representation of the G-spot (G) in relation to perineal innervation at the level of the corporis cavernosum clitoridis (ccc). The cavernous nerves (CN) branch from the neurovascular…
The Human Sexual Response Cycle
1. Text—descriptive—words used alone 2. Diagrammatic—graphic – Flow charts – Descriptive – Analytic pathways 3. Mathematical—use of equations—catastrophe theory – Computational models 4. Physical—artificial models penis/vagina 5. Animal—variety of animals used (rat, rabbit, dog,…
Sex and Quality of Life
Figure 34-1. Quality of life elements. Lastly, the WHO defines sexual health as “a state of physical, emotional, mental and social well-being in relation to sexuality; […] not merely the…
Alternative Medicine Approaches in Sexual Medicine
Figure 35-1. Five-thousand year timeline slide [Courtesy of Acupuncture Media Works, LLC ©2011]. The patient interest in alternative medicines in the 1990s grew at a remarkable rate and continues to…
Evaluation of Genito-Pelvic Pain/Penetration Disorder
Severity of vaginismus (grades) I Spasm of the levator ani, that disappears with patient’s reassurance II Spasm of the levator ani, that persists during the gynecologic examination III Spasm of…
Future Directions in Sexual Medicine
Figure 36-1. The five-step “allow” algorithm for managing sexual dysfunction. This first step is crucial as it highlights the multifactorial nature of sexual dysfunction and provides the physician with the…
Facilitators and Barriers in Sexual History Taking
Figure 5-1. Screening and in-depth sexual health history . If the patient’s sexual history seems directly related to the main complaint, a complete history is indicated for a thorough sexual…
