By Judith Goh MBBS FRACOG, Michael Flynn MBBS MRACOG
The ideal exam consultant for clinical graduates project postgraduate research in obstetrics and gynaecology
Examination Obstetrics & Gynaecology, third Edition is a swift reference acceptable for day-by-day use in a hectic medical institution ward, medical institution or scientific surgical procedure.
This sensible examination advisor is designed for clinical graduates who've undertaken normal medical institution education and need to start postgraduate experiences in obstetrics and gynaecology, together with expert trainees and normal Practitioners.
Examination Obstetrics & Gynaecology, third Edition can be an invaluable textual content for scientific undergraduates, midwives and midwifery students.
This most up-to-date version is absolutely revised and up to date and offers a precis of vital and crucial details key to women’s overall healthiness.
The textual content builds upon assets constructed in the course of the authors’ professional education for Royal Australian and New Zealand university of Obstetricians and Gynaecologists (RANZCOG) skills, then subtle via sensible medical experience.
Examination Obstetrics & Gynaecology, third Edition is organised in a handy be aware and list layout. It utilises a step by step consultant to prognosis, investigations and urged remedies applicable for fundamental session ahead of professional referral.
• refreshed pedagogy and design
• material divided into introductory counsel and studying results, the place possible
• useful case stories on the finish of every part
• chapters revised via sub-specialists
Read Online or Download Examination Obstetrics & Gynaecology, 3e PDF
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Extra resources for Examination Obstetrics & Gynaecology, 3e
Heterotrophic pregnancy (coexisting intrauterine and ectopic pregnancies) occurs in 1 in 30,000 spontaneous conceptions and in at least 1% of technically assisted conceptions. Site. 97% of ectopic pregnancies occur in the fallopian tubes; the remainder are abdominal, ovarian or cervical. Tubal ectopic pregnancy Aetiology and risk factors • pelvic inflammatory disease: associated with a seven-fold increased incidence of ectopic pregnancy • tubal surgery • past history of ectopic pregnancy: a 10%–15% chance of recurrence, rising to 50% if the contralateral tube is abnormal • contraception associated with a risk of ectopic pregnancy • progesterone-only pill • postcoital pill • intrauterine contraceptive device (users who fall pregnant have a higher risk of ectopic pregnancy than oral contraceptive users) • assisted reproductive techniques: 5% of pregnancy cycles • endometriosis • abnormal embryo Presentation • amenorrhoea • small amount of vaginal bleeding, often after the onset of pain • lower abdominal pain, shoulder-tip pain • cervical motion tenderness, adnexal tenderness/mass Investigations Quantitative serum human chorionic gonadotrophin (hCG) From 10 days postfertilisation, the hCG level doubles every 48 hours.
Discuss risks. • The ideal patient for the intrauterine contraceptive monogamous woman with regular, normal periods. device is a multiparous, Before insertion • Explain procedure and risks, and acquire consent. • Conduct a general physical examination. • Perform a vaginal/pelvic examination. • Obtain bacteriological, Chlamydia swabs, and cervical cytology if indicated. Insertion • Preferably insert at menses or up to day 10 of the cycle. • For postcoital contraception, it may be effective up to 5 days postcoitus.
It is necessary to predict the time of ovulation (generally by observing changes in body temperature) and to allow for the time that the sperm can survive with fertilising potential in the female genital tract. Intercourse is prohibited until 72 hours after the rise in basal body temperature. The Pearl index is 25/100 woman-years; with coitus interruptus, it is 18/100. Barrier methods Diaphragm The diaphragm lies diagonally across the cervix, vaginal vault and anterior vaginal wall (extends from posterior vaginal fornix to behind pubic bone).