Download Essentials of Obstetrics and Gynaecology, 2e by Barry O'Reilly MD MRCOG FRANZCOG, Cecilia Bottomley MA MB PDF

By Barry O'Reilly MD MRCOG FRANZCOG, Cecilia Bottomley MA MB BChir MRCOG, Janice Rymer MD FRCOG FRANZCOG ILTM

The ideal scientific spouse; totally revised and up-to-date for this new edition.

  • Concise
  • Evidence-based
  • Focussed at the center curriculum
  • Comprehensive assurance sign-posted via transparent, constant headings, from definition, aetiology, pathophysiology, background taking, basic recommendation, scientific positive factors, investigations, administration, remedy, diagnosis and evaluate to chance components and differential diagnoses.
  • Includes self-assessment, emergency methods and general values.
  • The excellent scientific spouse; totally revised and up to date for this new edition.

    • Concise
    • Evidence-based
    • Focussed at the middle curriculum
    • Comprehensive assurance sign-posted through transparent, constant headings, from definition, aetiology, pathophysiology, heritage taking, normal recommendation, scientific gains, investigations, administration, therapy, analysis and review to probability components and differential diagnoses.
    • Includes self-assessment, emergency strategies and basic values.

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Extra resources for Essentials of Obstetrics and Gynaecology, 2e

Example text

It shows polyps and fibroids more clearly than hysterosalpingogram as well as demonstrating tubal patency. • Laparoscopy and dye - Laparoscopy is performed, under general anaesthetic, and methylene blue dye is injected through the cervix into the uterus. If the tubes are patent, the dye can be visualized as it fills the tubes and spills from the fimbrial ends into the peritoneal cavity. Any tubal blockage identified can be assessed for suitability for tubal microsurgery. The procedure also has the advantage of ­demonstrating and allowing immediate treatment of any endometriosis.

Transvaginal ultrasound scan usually confirms the typical features of polycystic ovaries, but the diagnosis of PCOS is not dependent on this. Management Essentials of Obstetrics and Gynaecology Women with PCOS need a careful explanation of the diagnosis and its implications. Further management should be determined by the symptoms and in women with no symptoms reassurance alone is needed. The COCP is the most effective method used to regulate periods. Oligomenorrhoeic or amenorrhoeic women with PCOS may be at risk of endometrial hyperplasia or malignancy from persistent oestrogen ­stimulation.

Fibroids may be palpable as an abdominal mass. Tenderness, ­uterine size and any adnexal masses should be assessed bimanually. Menstrual disorders 5 Investigations Full blood count should be performed and, if anaemic, a blood film and serum ferritin and B12 should be checked. Thyroid function should only be tested if there are clinical signs of hypothyroidism. g. easy bruising). Transvaginal pelvic ultrasound should be arranged for fibroids and endometrial thickness (ideally on day 5). Endometrial biopsy or hysteroscopy is indicated only for irregular bleeding or that which is not helped by first- and second-line treatment.

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