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Middle scientific situations publications you to consider the sufferer as a complete, instead of as a chain of unconnected indicators. With its sensible strategy strongly associated with underlying idea, the sequence integrates your wisdom with the realities of handling medical difficulties, and offers a foundation for constructing problem-solving talents.
The center parts of undergraduate research are lined in a logical series of studying actions: every one case is via a close resolution, besides a couple of OSCE-style inquiries to assist you training for the examination. similar OSCE counselling type questions and solutions additionally function on the finish of every section.
Key techniques and significant details are highlighted, and the reader-friendly format displays precisely the form of query you are going to come across, making the fitting revision relief for all sorts of case-based examination.
This booklet should be an invaluable revision reduction for undergraduates getting ready for the OSCE in Obstetrics & Gynaecology. The medical instances are written in OSCE structure and supply a useful chance for the reader to hyperlink easy realizing of the topic to the medical atmosphere. The scientific situations coated will mirror the middle curriculum in Obs & Gynae and should mimic the type of instances scholars may wish to come across in the course of their medical education. 60 medical circumstances might be coated with color photos and line diagrams used to demonstrate the circumstances
Read or Download Core Clinical Cases in Obstetrics and Gynaecology, 2nd edition: a problem-solving approach PDF
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Additional info for Core Clinical Cases in Obstetrics and Gynaecology, 2nd edition: a problem-solving approach
Furthermore, decisions about the type and frequency of antenatal care, as well as decisions about delivery, particularly post-term delivery, are also dependent on pregnancy dating. Q2: What issues in the given history support the diagnosis? A2 The irregular infrequent periods support the dating uncertainty. g. by the obstetric ‘wheel’). This is reserved for a regular 28-day cycle, assuming that ovulation occurs 14 days before the next menstrual period. g. adding 7 days if the cycle length is 35 days).
A1 ● Labour. ● Braxton Hicks contractions. ● False labour. Q2: What issues in the given history support the diagnosis? A2 Regular uterine contractions at term usually indicate the start of spontaneous labour. A Q3: What additional features in the history would you seek to support a particular diagnosis? A3 Increasing regularity and duration of contractions would support a diagnosis of the onset of spontaneous labour. A ‘show’ (mucus plug from the cervix) and/or rupture of the membranes may accompany the onset of labour.
Q1: What is the likely differential diagnosis? A1 ● Obstetric causes: pre-term labour; chorioamnionitis; concealed abruptio placentae; ﬁbroid degeneration (usually at mid-trimester). ● Non-obstetric causes: urinary tract infection, pyelonephritis (can precipitate pre-term labour); irritable bowel syndrome, constipation; ovarian cyst (haemorrhage, torsion). Q2: What issues in the given history support the diagnosis? A2 The history seems to suggest pre-term labour (uterine contractions) – a diagnosis that will have to be conﬁrmed.