Divided into three sections – Part 1 – Basics; Part 2 – Cases; and Part 3 – Self–assessment the presentation–based approach mimics real–life clinical practice.
Part 1 provides a quick reminder of the basic science, history and examination, and key diagnoses in the area.
Part 2 contains many of the clinical presentations students would be expected to see on the wards or crop up in exams, with stop and think questions and answers leading the reader through each case. The cases give full explanations of the correct management and why other options fall down. New information, such as test results, is revealed as events unfold and each case concludes with a handy case summary explaining the key points.
Part 3 allows students to test their learning with several question styles they are familiar with – MCQs, EMQs and SAQs.
With it s strong clinical focus and case–based style, Obstetrics & Gynaecology is ideal for students studying this core clinical curriculum topic in a problem–based learning environment, used to learning around a focal problem. The cases also provide invaluable material for students practising their clinical reasoning skills.
How to use this book.
List of abbreviations.
Part 1 Basics.
Basic science: gynaecology.
Basic science: obstetrics.
Approach to the patient.
Part 2 Cases.
Case 1 A 24–year–old woman with vaginal bleeding in early pregnancy.
Case 2 A 25–year–old woman presenting as an emergency with low abdominal pain.
Case 3 A 23–year–old woman admitted as an emergency with acute vulval pain.
Case 4 A 45–year–old woman with heavy periods.
Case 5 A 52–year–old woman who has not been able to control her temper recently.
Case 6 A 58–year–old woman with post–menopausal bleeding.
Case 7 A couple who can t conceive.
Case 8 A 16–year–old seeking emergency contraception: contraceptive choices through reproductive life.
Case 9 A 22–year–old woman presents with vaginal discharge.
Case 10 A 29–year–old woman with an abnormal smear test.
Case 11 A retired school teacher presents with a feeling of something coming down .
Case 12 A 57–year–old woman with abdominal swelling and vague abdominal pain.
Case 13 A 68–year–old woman presents with long–standing vulval itch Obstetrics.
Case 14 A 30–year–old woman with a postdated pregnancy.
Case 15 A 37–year–old woman with heavy bleeding per vaginum following a forceps delivery.
Case 16 A 16–year–old woman with high blood pressure.
Case 17 A 34–year–old woman with painless vaginal bleeding at 33 weeks gestation.
Case 18 A 39–year–old woman with painful vaginal bleeding at 37 weeks gestation.
Case 19 A 29–year–old woman with leaking fluid per vaginum at 31 weeks gestation.
Case 20 A 35–year–old woman booking for antenatal care.
Case 21 A 24–year–old insulin–dependent diabetic woman planning a pregnancy.
Case 22 A 32–year–old woman with a fetus in the breech position at 37 weeks gestation.
Case 23 A 26–year–old woman with a history of one previous caesarean section booking at the antenatal clinic.
Case 24 A 29–year–old woman with vomiting in early pregnancy.
Case 25 A 38–year–old with a twin pregnancy.
Case 26 A 26–year–old woman diagnosed HIV positive on routine antenatal screening.
Part 3 Self–assessment.
Index of cases by diagnosis.