By Gupta, Janesh Kumar; Mires, Gary; Khan, Khalid Saeed

You've learn your textbook and your path notes. Now you want to observe your wisdom to actual existence scientific situations.

The problem-solving strategy of Core scientific Cases courses you to consider the sufferer as a complete, instead of as a chain of unconnected signs. With its emphasis on daily perform strongly associated with underlying conception, the sequence integrates your wisdom with the realities of coping with medical difficulties, and offers a foundation for constructing sound analytical and assured decision-making skills.

The middle parts of undergraduate examine are coated in a logical series of studying actions; a similar questions are requested of every medical case, by means of specific explanatory solutions. OSCE counselling situations, with comparable questions and solutions, additionally characteristic in every one section.

Key thoughts and significant info are highlighted, and the reader-friendly structure displays precisely the form of query you are going to come across, making those volumes the precise revision reduction for every type of case-based examination.

The Obstetrics and Gynaecology quantity, totally revised and up to date during this 3rd variation, specializes in the subsequent topics:

* Early being pregnant difficulties * being pregnant courting and fetal progress * overdue being pregnant difficulties * Labour * clinical issues of being pregnant * Puerperium * irregular uterine bleeding * Amenorrhoea and menopause * Incontinence and prolapse * Neoplasia * Discharge and discomfort* Infertility * Fertility control

Volumes within the Core scientific Cases sequence stay totally necessary within the run as much as scientific, written or OSCE examinations, and excellent path partners for all undergraduate scientific scholars at numerous phases of their scientific training.

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Additional resources for Core clinical cases in obstetrics and gynaecology

Example text

1). Placental abruption. g. erosion, polyp, cancer). 1 Grades of placenta praevia. Answers 35 A2: What issues in the given history support the diagnosis? The history of painless small bleeds supports the diagnosis of placenta praevia. A3: What additional features in the history would you seek to support a particular diagnosis? The patient’s smear history should be obtained. The reports of any previous USSs in this pregnancy should be checked in order to identify the location of the placenta. A4: What clinical examination would you perform and why?

Baby too big/pelvis too small or fetal head in malposition. A2: What issues in the given history support the diagnosis? Her height (no evidence of short stature) and the fact that the vertex is engaged do not support cephalopelvic disproportion. The lack of requirement for analgesia would support inadequate uterine contractions. Answers 53 A3: What additional features in the history would you seek to support a particular diagnosis? The frequency and duration of contractions should be recorded. g.

When it is performed (between 11 and 14 weeks). The USS confirms gestational age and a measurement of the nuchal thickness (NT: skin behind fetal neck) is taken. The blood measures two hormones, PAPP-A and free ßhCG and data on levels of these hormones and the NT combined with the mother’s age will give a measure of her personal risk of having a Down’s syndrome baby. The risk is classified as high (>1:250) or low (<1:250). General points applicable to ultrasound and biochemical screening: How long the results will take to be returned.

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