By Cecilia Bottomley
A 24-year-old lady is referred from the emergency division with surprising onset of left iliac fossa discomfort and also you are the medic on duty...
100 situations in Obstetrics and Gynaecology offers a hundred in general obvious obstetric and gynaecological situations. The patient's heritage, exam and preliminary investigations are provided in addition to questions about the prognosis and administration of every case. the reply encompasses a targeted dialogue on every one subject, delivering an important revision relief in addition to a pragmatic advisor for junior clinicians.
Making scientific judgements is without doubt one of the so much hard and hard components of educating to develop into a physician. those instances will train medics and clinical scholars to acknowledge very important obstetric and gynaecological stipulations and support them increase their diagnostic and administration abilities.
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Extra info for 100 Cases in Obstetrics and Gynaecology (A Hodder Arnold Publication)
It is a cause of menorrhagia and dysmenorrhoea in older women. • Hysterectomy may be avoided by use of analgesia or hormonal suppression. 30 General gynaecology CASE 13: POSTCOITAL BLEEDING History An 18-year-old woman is referred with postcoital bleeding. It has occurred on approximately seven occasions over the preceding 6 weeks. Generally it has been a small amount of bright red blood noticed a few hours after intercourse and lasting up to 2 days. There is no associated pain. Her last menstrual period started 3 weeks ago and she bleeds for 4 days every 28 days.
Case 22 Postmenopausal bleeding, p 55. Plate 5 Fig. 1 Laparoscopy findings. Case 23 Pelvic pain, p 58. Plate 6 Fig. 2 Laparoscopy findings. Case 23, Pelvic pain, p 59. Plate 7 Fig. 2 Laparoscopy findings. Case 41 Bleeding and pain in early pregnancy, p 99. General gynaecology CASE 14: RECURRENT MISCARRIAGE History A 34-year-old woman is referred from the emergency room with vaginal bleeding at 6 weeks and 5 days’ gestation. Bleeding started 2 days ago and was initially spotting but has now increased so that she needs to change a sanitary towel regularly.
Hysterectomy is considered a ‘last resort’ for DUB, due to the associated morbidity. KEY POINTS • A woman’s perception of bleeding is not always proportionate to the actual volume lost, so haemoglobin should be checked in any woman suspected of menorrhagia. • DUB is a diagnosis of exclusion. • A hierarchy of first-, second- and third-line treatment should be used in management. 22 General gynaecology CASE 10: ABSENT PERIODS History A 24-year-old woman presents with the absence of periods for 9 months.