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Core Clinical Cases in Obstetrics and Gynaecology, 2nd by Khalid Saeed Khan, Janesh K Gupta, Gary Mires

By Khalid Saeed Khan, Janesh K Gupta, Gary Mires

Center scientific instances courses you to think about the sufferer as an entire, instead of as a chain of unconnected indicators. With its sensible procedure strongly associated with underlying conception, the sequence integrates your wisdom with the realities of handling scientific difficulties, and gives a foundation for constructing problem-solving talents.

The center components of undergraduate research are coated in a logical series of studying actions: each one case is through a close resolution, in addition to a few OSCE-style inquiries to assist you education for the examination. similar OSCE counselling variety questions and solutions additionally characteristic on the finish of every section.

Key strategies and demanding details are highlighted, and the reader-friendly format displays precisely the kind of query you'll come upon, making the fitting revision relief for every type of case-based examination.

This e-book may be an invaluable revision relief for undergraduates getting ready for the OSCE in Obstetrics & Gynaecology. The scientific circumstances are written in OSCE layout and supply a useful chance for the reader to hyperlink easy figuring out of the topic to the scientific environment. The scientific circumstances coated will replicate the center curriculum in Obs & Gynae and may mimic the type of instances scholars might desire to come across in the course of their scientific education. 60 scientific instances may be coated with color images and line diagrams used to demonstrate the circumstances

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Extra resources for Core Clinical Cases in Obstetrics and Gynaecology, 2nd edition: a problem-solving approach

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If pre-term birth occurs, there is a higher risk of recurrence of pre-term labour in subsequent pregnancies. 1 – I have experienced bleeding in pregnancy. How will I be managed? Q1: What information is required for counselling this patient about how she will be managed during the rest of her pregnancy? A1 ● This patient has minor placenta praevia (grades I and II), which is likely to be the cause of her antepartum haemorrhage. ● There is no need for long-term hospitalization, which would be necessary only for major placenta praevia (grades III and IV).

200 180 160 140 120 100 80 60 FHR (bpm) ● 100 75 50 25 0 Fig. 4 Abnormal cardiotography: early decelerations. Uterine activity Early deceleration 22 Obstetrics Baseline tachycardia and reduced variability 200 180 160 140 120 100 80 60 FHR (bpm) Lag time 100 75 50 25 Uterine activity Late deceleration 0 Fig. 5 Abnormal cardiotography: late decelerations/tachycardia/reduced variability. Cardiotocographs are usually classified as normal, suspicious or abnormal. The criteria for classification are as follows.

A4 Examination would include blood pressure measurement to exclude hypertension and pre-eclampsia, which are both associated with IUGR. A clinical assessment of liquor volume should be made because IUGR can be associated with reduced liquor volume. The fetal heart should be auscultated because fetal compromise is associated with IUGR. Q5: What investigations would be most helpful and why? A5 ● Urinalysis ✓ Proteinuria indicates pre-eclampsia if blood pressure is high. ● Cardiotocography ✓ To identify evidence of fetal compromise.

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