By Diana Hamilton-Fairley
Lecture Notes: Obstetrics and Gynaecology offers a concise creation to obstetrics and gynaecology for scientific scholars and junior medical professionals. Six sections learn the feminine improvement from the early years to outdated age. The textual content starts off with a bit on simple technology. Self-assessment questions are came upon during the textual content to augment wisdom and realizing.
Part 1 seems to be on the lady reproductive anatomy and body structure intimately. Part 2 covers the puberty and menstrual difficulties of younger girls, sub fertility, being pregnant prevention and introduces benign ailments, genital tract infections and sexual difficulties.
Part three examines the reproductive years. specified insurance of the mummy and foetus in being pregnant contains difficulties and illnesses in being pregnant, labour and the child baby improvement. Part four covers the mature girl, and comprises irregular vaginal blood loss, pelvic discomfort, breast ailment and screening for gynaecological melanoma.
Part five discusses the older lady and malignant gynaecological stipulations, the menopause and pelvic ground problems. Part 6 presents an audit of Obstetrics and Gynaecology, taking a look at facts in reproductive drugs and provides the solutions to self-assessment questions discovered through the textual content.
Lecture Notes: Obstetrics and Gynaecology is written in particular for clinical scholars, junior medical professionals, midwives and basic Practitioners.
Review costs on past variants
“Well edited, concise, and an invaluable resource of information.” 2d Opinion – Edinburgh pupil Gazette
“Thankfully those are not anything like my lecture notes. This publication is jam-packed with worthwhile info.” Surgo, Glasgow college scientific magazine
“A so easy publication to learn, invaluable in permitting scholars to understand the basics.” Northwing - Sheffield clinical journal
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Extra resources for Lecture notes on obstetrics and gynaecology
Certain aspects of the man’s way of life may need to be altered: • over-exertion; • excessive smoking; • excess alcohol consumption; • poorly controlled diabetes; • hypertension; • being overweight. If the scrotal temperature is raised, it is wise to wear boxer shorts to allow the testes to hang in a cooler atmosphere. The timing of intercourse may need discussion so that, around the time of ovulation, the couple have intercourse. A few days of abstinence before this may boost the sperm count if there is a deficiency; otherwise timing is irrelevant.
Weight. • Blood pressure. • Breasts for evidence of pregnancy or milk secretion. • Pelvic examination to: (a) exclude pregnancy (a woman may still conceive in the course of a period of amenorrhoea); (b) assess the size and position of the uterus to exclude a pelvic tumour. Investigations • Pregnancy test. • Computerized tomography (CT) scan or magnetic resonance imaging (MRI) of pituitary area. • Thyroid stimulating hormone. Puberty and menstrual problems of young women Chapter 3 • Plasma hormone levels of FSH.
Cases of Turner’s syndrome should receive longterm treatment with cyclical hormones, oestrogen and progestogen (hormone replacement therapy). There is a small risk of uterine carcinoma. In AIS, the gonads are testes that are often found inside the abdomen or inguinal canal. Since these testes have a 25% risk of becoming malignant (teratoma or dysgerminoma) they should be removed soon after puberty and an artificial vagina may be constructed or dilators used to permit sexual intercourse. Treatment with oestrogen should also be given to augment breast development and prevent osteoporosis.