Undergraduate Manual of Clinical Cases in Obstetrics & Gynaecology
- 3rd Edition - November 28, 2024
- Imprint: Elsevier India
- Authors: N.HEPHZIBAH KIRUBAMANI, Nalini A.P Alexander, R Premalatha
- Language: English
- Paperback ISBN:9 7 8 - 8 1 - 3 1 2 - 7 0 0 4 - 2
- eBook ISBN:9 7 8 - 8 1 - 3 1 2 - 7 0 0 7 - 3
This book provides comprehensive knowledge about various clinical cases in Obstetrics and Gynaecology that students come across during their postings. It gives concepts about… Read more
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Request a sales quoteThis book provides comprehensive knowledge about various clinical cases in Obstetrics and Gynaecology that students come across during their postings. It gives concepts about history taking, clinical examination, investigations, differential diagnosis and management. This book will help the students to broaden their minds for a systematic analysis of clinical cases in obstetrics and gynaecology. This book is a well-illustrated, well-structured approach to clinical cases that will help the students to understand the subject easily and retain and reproduce it during the examination
- Clear, concise and simple presentation.
- Student-friendly, it is a ready reckoner during obstetrics and gynaecology ward postings.
- At the end of each chapter, key points, frequently asked questions, self-directed learning with relevant clinical scenarios and multiple choice questions for easy understanding are given.
- Learning is made easy with clinical photographs and videos.
- This book includes chapters on ethics, communication, informed consent, discharge summary and referral letter, as per the competency-based curriculum.
- It also includes lecture presentations on important topics such as abnormal uterine bleeding and anaemia in pregnancy along with procedural videos on topics like antenatal examination and Pap smear to supplement learning
- Content mapping is done as per the new competency-based curriculum.
- MCQs are added, in an integrated and case-based manner to make the new edition NMC NExT ready.
- A preview to OSCE is introduced to improve the student’s clinical knowledge.
- This edition has been revised and updated as per the latest guidelines and recent advances.
- Undergraduate Manual of Clinical Cases in Obstetrics & Gynaecology
- Cover image
- Title page
- Table of Contents
- Copyright
- Dedication
- Foreword to the 3rd edition
- Foreword to 1st edition
- Foreword to 2nd edition
- Preface to third edition
- Preface to 1st edition
- Preface to 2nd edition
- Abbreviations
- List of videos
- Competency map
- List of Illustrations
- List of Tables
- Part 1. Medical Ethics and Effective Clinical Communication
- Medical ethics
- Principles of medical ethics
- Multiple choice question
- Answer:
- Guidelines for effective clinical communication
- Steps for effective clinical communication
- Medical certificate
- PC and PNDT Act
- Multiple choice question
- Answer:
- POCSO Act
- Multiple choice questions
- Answers:
- Guidelines for informed consent
- Informed consent
- Multiple choice question
- Answer:
- Template for discharge summary
- Discharge summary
- Template for referral note
- Referral note
- Part 2. Obstetric Cases
- CASE 1. Obstetric history taking and examination
- Introduction
- Guidelines for obstetric history taking
- Discussion on patient details and its importance
- History
- History of present illness
- Present obstetric history
- Menstrual history
- Marital history
- Past obstetric history
- Past medical history
- Past surgical history
- Family history
- Personal history
- Physical examination
- General examination
- Obstetric examination
- Inspection
- Palpation
- Auscultation
- Percussion
- Per vaginal examination
- Summary
- Diagnosis
- Investigations
- Key points
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 2. Normal pregnancy
- Patient’s details
- Present complaints
- History
- History of present illness
- Present obstetric history, menstrual history, marital history, past obstetric history, past medical and surgical history, family history, personal history
- Examination
- General examination and obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Mechanism of labour
- Causes for first-trimester bleeding
- AMTSL—active management of third stage of labour, WHO 2012
- Signs of placental separation
- Episiotomy
- Lacerated perineum
- OASIS—obstetric anal sphincter injuries
- True and false labour pains
- Partograph
- Preconception counselling
- Key points
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 3. A case of anaemia complicating pregnancy
- Patient’s details
- Present complaints
- History
- History of present illness
- Present obstetric history
- Menstrual history
- Marital history
- Past obstetric history
- Past medical history
- Past surgical history
- Family history
- Personal history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Megaloblastic anaemia
- Haemolytic anaemia
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 4. A case of hypertension in pregnancy
- Patient’s details
- Present complaints
- History
- Present obstetric history, menstrual history
- Marital history
- Past obstetric history
- Past medical history
- Past surgical history
- Family history
- Personal history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Basic pathology of pre-eclampsia
- Pre-eclampsia syndrome
- High-risk factors for developing pre-eclampsia
- Predictors of pre-eclampsia
- Prevention of pre-eclampsia
- Antihypertensive drugs used in pregnancy
- Management
- General management of pre-eclampsia
- Indications for caesarean section
- Management of eclampsia
- Complications of pre-eclampsia
- Hellp syndrome
- Abruptio placenta
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 5. A case of prolonged (post-term) pregnancy
- Patient’s details
- Present complaints
- History
- Present obsteric history, menstrual history, marital history, past medical and surgical history, personal history
- Past obstetric history
- Family history
- Examination
- General examination
- Obstetric examination
- Per vaginal examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Management
- Management of prolonged pregnancy
- Foetal surveillance beyond edd
- Doppler velocimetry
- Management of prolonged pregnancy (Flowchart 5.1)
- Complications of prolonged pregnancy
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 6. A case of pregnancy following caesarean section
- Patient’s details
- Present complaints
- History
- Present obsteric history, menstrual history, marital history, past medical surgical history, family history, personal history
- Past obstetric history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Definition of caesarean section
- Types of caesarean section
- Scar dehiscence (incomplete scar rupture)
- Symptoms and signs of uterine rupture
- Management of uterine rupture
- Scar integrity
- Trial of labour after caesarean (TOLAC)/vaginal birth after caesarean (VBAC)
- Advantages of LSCS over classical caesarean section
- Indications for classical caesarean section in modern obstetrics
- Indications for caesarean hysterectomy
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 7. A case of heart disease complicating pregnancy
- Patient’s details
- Present complaints
- History
- Present obstetric history
- Menstrual history
- Marital history
- Past obstetric history
- Past surgical history
- Past medical history
- Family history
- Examination
- General examination
- Cardiovascular system
- Respiratory system
- Abdominal examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Cardiovascular changes during pregnancy
- Symptoms and signs due to physiological changes in pregnancy that mimic heart disease (Table 7.1)
- Conditions which can precipitate cardiac failure
- NYHA classification (Table 7.2)
- The criteria to diagnose heart disease in pregnancy
- Effect of pregnancy on heart disease and effect of heart disease on pregnancy (Table 7.3)
- Antenatal care
- Timing of hospitalisation
- Conduct of labour in a heart disease complicating pregnancy
- Infective endocarditis prophylaxis
- Complications during antenatal period, labour and in puerperium
- WHO risk classification of cardiovascular disease in pregnancy
- Indications where pregnancy should be avoided
- Indications for cardiac surgery during pregnancy
- Place of caesarean section in heart disease complicating pregnancy
- Contraception in heart disease complicating pregnancy
- Rule of five
- Anticoagulation guidelines
- Peripartum cardiomyopathy
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 8. A case of malpresentation
- Patient’s details
- Present complaints
- Present obsteric history
- Menstrual history
- Marital history
- Past obstetric history
- Family history, personal history
- Past medical and surgical history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Malposition—occipito osterior position
- Malpresentations
- Breech presentation
- Zatuchni–andros scoring system (Table 8.2)
- Transverse lie
- Face presentation
- Brow presentation
- Cord presentation and cord prolapse
- Abnormal labour
- Abnormal labour patterns
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Breech presentation
- Transverse lie
- Face presentation
- Brow presentation
- Compound presentation
- Cord presentation, cord prolapse
- Abnormal labour
- Answers:
- CASE 9. A case of multiple pregnancy
- Patient’s details
- Present complaints
- History
- Present obsteric history
- Menstrual history, marital history, past obstetric history, past medical and surgical history, personal history
- Family history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Determination of chorionicity
- Antenatal management of multiple pregnancy
- Determination of zygosity (Table 9.1)
- Unique complications of monochorionic twins
- Intrapartum management of twin pregnancy
- Management
- Management of twin gestation (Flowchart 9.1)
- Causes for postpartum haemorrhage (PPH) in multiple gestation
- Case discussion in postpartum haemorrhage
- Management of postpartum haemorrhage (Flowchart 9.2)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 10. A case of Rh-negative pregnancy
- Patient’s details
- Present complaints
- History
- Present obstetric history
- Menstrual history, marital history
- Past obstetric history
- Past medical and surgical history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Rh alloimmunisation
- Rh alloimmunisation depends on
- Haemolytic disease of foetus and newborn
- Hydrops foetalis (Fig. 10.1)
- Anti-D administration
- Doppler of middle cerebral artery
- Liley’s curve
- Antenatal and intrapartum care in Rh-negative woman
- Mirror syndrome or triple oedema syndrome or ballantyne syndrome
- Management
- Management of Rh-negative pregnancy (Flowchart 10.2)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 11. A case of cephalopelvic disproportion
- Patient’s details
- Present complaints
- Present obstetric history, menstrual history
- Marital history
- Past obstetric history
- Medical history
- Surgical history (pertaining to CPD)
- Family history
- Personal history
- General examination
- Obstetric examination
- Clinical methods of diagnosis of CPD
- Summary
- Diagnosis
- Investigations
- Case discussion
- Reasons for mobile head at term in primigravida
- Causes for contracted pelvis
- Methods to assess CPD
- Trial labour
- Complications of CPD
- Trial forceps
- Failed forceps
- Role of elective LSCS in CPD
- Management
- Management of CPD (Flowchart 11.1)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 12. A case of diabetes complicating pregnancy
- Patient’s details
- Present complaints
- History
- Present obsteric history, menstrual history and marital history
- Past obstetric history
- Past medical history
- Family history
- Personal history
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Classification of diabetes in pregnancy
- GDM
- Management of gestational diabetes
- Management of GDM (Flowchart 12.1)
- Pregestational or overt diabetes
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 13. A case of recurrent pregnancy loss
- Patient’s details
- Present complaints
- History
- Present obstetric history
- Menstrual history and marital history
- Past obsteric history
- Past medical history
- Past surgical history
- Family history
- Personal history
- General examination and obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Definition
- Causes of RPL
- Antiphospholipid antibody syndrome
- Incompetent os
- Antenatal foetal surveillance in RPL
- Basic principles in the management of RPL
- BOH (bad obstetric history)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 14. A case of foetal growth restriction
- Patient’s details
- Present complaints
- History
- Menstrual history and marital history
- Present obstetric history
- Past obstetric history
- Past medical history
- Family history
- Personal history
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Small for gestational age (SGA)
- Foetal growth restriction (FGR)
- Urinary tract infection
- Classification of UTI in pregnancy
- Pathophysiology of UTI
- Common organisms causing UTI in pregnancy
- Effects of UTI on pregnancy
- Investigations
- Management of asymptomatic bacteriuria and cystitis
- Management of pyelonephritis
- Complications of acute pyelonephritis
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 15. Normal puerperium and postnatal care
- Patient’s details
- History
- Examination
- General examination
- Abdominal examination
- Examination of perineum
- Summary
- Case discussion
- Puerperium
- Lactation and breastfeeding
- Care of normal puerperium
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 16. Amniotic fluid disorders
- Patient’s details
- Present complaints
- History
- Present obstetric history
- Menstrual history, marital history, past medical history, surgical history, personal history
- Past obstetric history
- Family history
- Examination
- General examination
- Obstetric examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Amniotic SAC and amniotic fluid
- Normal amniotic fluid production
- Polyhydramnios
- Oligohydramnios
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers
- CASE 17. Viva voce examination in obstetrics (oral exam)
- Bony pelvis and foetal skull
- Pelvic brim
- Pelvic cavity
- Pelvic outlet
- Foetal skull
- Instruments
- Rubber catheter (Fig. 17.9)
- Foley catheter (Fig. 17.10)
- Sim’s speculum (Fig. 17.11)
- Ovum forceps (Fig. 17.12)
- Hegar dilators (Fig. 17.13)
- Sponge holding forceps (Fig. 17.14)
- Uterine curette (Fig. 17.15)
- Obstetric forceps
- MR syringe and Karman’s cannula (Fig. 17.18A)
- Suction cannula (Fig. 17.19)
- MTP Act and methods of MTP
- Ventouse (vacuum extractor) (Fig. 17.20)
- Episiotomy scissors (Fig. 17.23)
- Disposable cord clamp (Fig. 17.24)
- Hand doppler (Fig. 17.25)
- Pinard foetoscope (Fig. 17.26)
- Umbilical cord cutting scissors (Fig. 17.27)
- Disposable manual mucus sucker (Fig. 17.28)
- Bulb sucker (Fig. 17.29)
- Drugs
- Inj. Carboprost
- Inj. Oxytocin
- Inj. Methylergometrine
- Tab. Misoprostol
- Tab. Mifepristone (RU486)
- Dinoprostone gel—PGE2 gel
- Inj. Magnesium sulphate
- Methotrexate (MTX)
- Antenatal corticosteroid
- Cabergoline
- Bromocriptine
- LSCS procedure
- Puerperal sterilization (Fig. 17.40)
- Specimens
- Specimen of anencephalous foetus (Fig. 17.41)
- Specimen of hydrocephalus foetus (Fig. 17.42)
- Specimen of encephalocoele (Fig. 17.43)
- Foetal anomalies
- Conjoint twins—thoracopagus (Fig. 17.46)
- Specimen of hydatidiform mole (vesicular mole) (Fig. 17.47)
- Specimen of rupture uterus (Fig. 17.48)
- Specimen of couvelaire uterus without cervix (Fig. 17.49)
- Cardiotocography (CTG) machine (Fig. 17.50)
- NST and CTG
- USG pictures
- Gestational sac with yolk sac
- Foetal cardiac activity
- Crown–rump length
- USG findings of missed miscarriage (Fig. 17.59)
- USG for NT—nuchal translucency
- USG of vesicular mole
- Twin peak sign
- T sign
- Placenta praevia
- USG picture of incompetent os—cervical incompetence
- USG picture of ectopic gestation
- Partogram (Fig. 17.67)
- Who labour care guide
- CASE 18. OSCE in obstetrics
- Part 3. Gynaecological Cases
- CASE 1. Gynaecological history taking and examination
- Introduction
- Guidelines for gynaecological history and examination
- Patient’s details
- Importance of age (Table 1.1)
- Occupation
- Importance of socioeconomic class
- Importance of parity
- Present complaints
- Menstrual problems
- Pain abdomen
- Vaginal discharge
- Mass abdomen
- Mass descending per vaginum
- Problems related to coitus
- History
- Menstrual history
- Marital history
- Obstetric history
- Contraception history
- Past medical history
- Past surgical history
- Treatment history and screening test
- Family history
- Personal and social history
- Examination
- Physical examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Provisional diagnosis
- Multiple choice questions
- Answers:
- CASE 2. A case of vaginal discharge
- Patient’s details
- Present complaints
- History
- Menstrual/marital/obstetric history/contraceptive history/medical/surgical/family history/personal history
- Past medical history
- Examination
- General examination
- Local examination
- Bimanual pelvic examination
- Summary
- Diagnosis
- Investigations
- Routine and specific investigations
- Case discussion
- Reproductive tract infection (RTI)
- Pelvic inflammatory disease (PID)
- Genital tract tuberculosis
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 3. A case of abnormal uterine bleeding
- Patient’s details
- Present complaints
- History
- History of present illness
- Menstrual history
- Obstetric history
- Contraceptive history
- Past medical history
- Past surgical history
- Family history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Figo AUB system 1
- AUB
- Normal mechanism to control bleeding in menstruation
- Acute versus chronic AUB
- Causes of AUB in pubertal/adolescent age group
- Causes of AUB in reproductive age group
- Causes of AUB in perimenopausal age group
- Figo classification system (Palm-COEIN) for causes of AUB in nongravid women of reproductive age
- Metropathia haemorrhagica (Schroeder disease)—anovulatory
- Ovulatory disorders (AUB 0)
- Types of endometrial pattern in AUB
- Causes of endometrial hyperplasia
- Endometrial biopsy
- Fractional curettage
- Endometrial aspiration biopsy
- Dilatation and curettage
- Indications for hysteroscopy
- Management of AUB
- General
- Management according to age group
- Medical management for AUB
- Surgical treatment
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 4. A case of pelvic organ prolapse
- Patient’s details
- Complaints and history of present illness
- History
- Menstrual history, marital history
- Obstetric history
- Contraceptive history
- Past medical and surgical history
- Family history, personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Differential diagnosis
- Investigations
- Case discussion
- Terminology and compartment-wise classification of pelvic organ prolapse
- Nulliparous prolapse
- Causes of pelvic organ prolapse
- Treatment of decubitus ulcer
- Pessary
- Management
- Preventive, conservative and surgical management
- Vault prolapse
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 5. A case of fibroid uterus
- Patient’s details
- Complaints and history of present illness
- History
- Menstrual history
- Marital history
- Obstetric history
- Contraceptive history
- Past history
- Family history
- Personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Differential diagnosis
- Investigations
- Case discussion
- Symptoms of fibroid and their causes
- Causes for infertility in fibroid
- Types of secondary changes and degenerations in fibroid
- Complications of fibroid
- Management of fibroid
- Surgical management of fibroid
- Myomectomy
- Hysterectomy in fibroids
- Newer modalities in the treatment of fibroid
- Complications in pregnancy with fibroid
- Management (Flowchart 5.1)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 6. A case of cancer of the cervix
- Patient’s details
- Complaints
- History
- History of present illness
- Menstrual history
- Marital history
- Obstetric history
- Contraceptive history
- Past history
- Past surgical history
- Family history
- Personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Differential diagnosis
- Investigations
- Case discussion
- Methods for screening cancer of the cervix
- Fogsi recommendations on screening for preinvasive lesions of cervix
- WHO recommendations on screening for preinvasive lesions of cervix
- Management
- Preinvasive lesions of cervix (Flowchart 6.1)
- Malignant lesions of cervix—cancer of the cervix
- Treatment of cancer of the cervix
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 7. A case of infertility
- Patient’s details
- Complaints
- History of present illness
- Marital history
- Coital history
- Andrological history—male partner
- Obstetric history
- Contraceptive history
- Personal history
- Family history
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Investigations
- Male partner
- Female partner
- Case discussion
- Definition of infertility
- Causes of infertility
- Causes of female infertility
- Male factor evaluation
- Management
- Male partner
- Artificial imsemination
- Female partner
- PCOS
- Endometriosis
- Myomectomy
- Tubal microsurgery
- Assisted reproductive technology (ART)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers
- CASE 8. A case of primary amenorrhoea
- Patient’s details
- Complaints
- History of present illness
- Family history
- General examination
- Examination for breast development
- Examination of axillary and pubic hair
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Definition of primary amenorrhoea
- Tanner staging of breast development
- Primary amenorrhoea—causes
- Eugonadotropic primary amenorrhoea (23.7%)
- Hypergonadotropic primary amenorrhoea (48.5%)
- Hypogonadotropic primary amenorrhoea (27.8%)
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 9. A case of secondary amenorrhoea
- Patient’s details
- Complaints
- History of present illness
- Menstrual history
- Obstetric history
- Past medical history
- Past surgical history
- Family history
- Personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Definition of secondary amenorrhoea
- Causes of secondary amenorrhoea
- Management
- PCOS
- Hyperprolactinaemia
- Treatment of secondary amenorrhoea due to other conditions
- Treatment of hirsutism
- Primary ovarian insufficiency
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 10. A case of ovarian tumour
- Patient’s details
- Complaints and history of present illness
- History
- Menstrual history
- Obstetric history
- Family history
- Past medical history
- Past surgical history
- Personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Differential diagnosis of mass abdomen
- Investigations
- O-RADS US 0
- O-RADS US 1
- O-RADS US 2
- O-RADS US 3
- O-RADS US 4
- O-RADS US 5
- Colour scoring (CS) indicator
- Interpretation
- Case discussion
- Benign ovarian enlargement
- Benign ovarian enlargement—other conditions
- Ovarian hyperstimulation syndrome (OHSS)
- Risk factors for ovarian malignancy
- Assessment of the risk of epithelial ovarian cancer
- Spread of ovarian cancer
- Complications of ovarian tumour
- Histological classification of ovarian tumours
- Malignant ovarian tumours
- Screening for malignant ovarian tumours
- Prevention of malignant ovarian tumours
- Management of malignant ovarian tumours
- Chemotherapeutic agents in ovarian malignancy
- Pregnancy and ovarian tumours
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 11. A case of postmenopausal bleeding per vaginum
- Patient’s details
- Complaints and history of present illness
- History
- Menstrual history
- Marital history
- Obstetric history
- Contraceptive history
- Past medical and surgical history
- Family history
- Personal history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Differential diagnosis
- Investigations
- Case discussion
- Menopause
- Endometrial hyperplasia
- Endometrial cancer
- Key points
- Evaluation of postmenopausal bleeding PV (Flowchart 11.1)
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 12. A case of urinary incontinence
- Patient’s details
- Complaints
- History of present illness
- History
- Menstrual history
- Marital history
- Obstetric history
- Past surgical history
- Past medical history
- Family history
- Examination
- General examination
- Abdominal examination
- Gynaecological examination
- Summary
- Diagnosis
- Investigations
- Case discussion
- Urinary incontinence
- Stress urinary incontinence
- Urge (urgency) urinary incontinence
- True urinary incontinence
- Key points
- Self-learning
- Frequently asked questions
- Multiple choice questions
- Answers:
- CASE 13. Viva voce examination in gynaecology
- Instruments
- Laparoscopy instruments
- Laparoscopic procedures
- Laparoscopic sterilisation (Fig. 13.23)
- Hysteroscope (Fig. 13.24)
- Gynaecological surgeries
- Vaginal hysterectomy with pelvic floor repair (PFR)
- Abdominal hysterctomy with bilateral salpingo-oophorectomy (BSO)
- Fothergill operation (manchester operation)
- Bladder catheterisation (Fig. 13.46)
- Dilatation and curettage (Fig. 13.47)
- Cervical punch biopsy (Fig. 13.48)
- Specimens
- Contraceptives
- Hysterosalpingogram
- Ultrasonogram
- CASE 14. OSCE in gynaecology
- Model for assessment for procedural skills: (It may vary for different institutions)
- Index
- Edition: 3
- Published: November 28, 2024
- Imprint: Elsevier India
- No. of pages: 720
- Language: English
- Paperback ISBN: 9788131270042
- eBook ISBN: 9788131270073