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Prefaces

Dedications

vii

Part I The Patient Presents with

(88)

1. Abnormal Bleeding

(8)

Absent periods

(3)

Heavy periods

(1)

Intermenstrual and postcoital bleeding

(1)

Painful periods

(1)

Postmenopausal bleeding

(3)

2. Pelvic Pain and Dyspareunia

(6)

Differential diagnosis

(1)

History to focus on the differential diagnosis of pelvic pain and dyspareunia

(2)

Examination of patients with pelvic pain and dyspareunia

(1)

Investigations of patients who have pelvic pain and dyspareunia

(3)

3. Vaginal Discharge

(4)

Differential diagnosis

(1)

History to focus on the differential diagnosis of vaginal discharge

(1)

Examination of patients with vaginal discharge

(1)

Investigation of patients with vaginal discharge

(3)

4. Vulval Symptoms

(4)

History

(1)

Examination

(1)

Investigation pruritus vulvae

(3)

5. Urinary Incontinence

(4)

History

(1)

Examination

(1)

Investigations

(3)

6. Prolapse

(4)

Differential diagnosis

(1)

History to focus on the differential diagnosis of prolapse

(1)

Examination for prolapse

(1)

Investigation of prolapse

(2)

7. Bleeding and/or Pain in Early Pregnancy

(6)

History for bleeding/pain in early pregnancy

(1)

Examining women with pain and/or bleeding in early pregnancy

(1)

Investigation of bleeding and/or pain in early pregnancy

(1)

Recurrent miscarriage

(1)

Trophoblastic disease

(2)

8. Subfertility

(6)

Taking the history

(2)

Examination

(1)

Investigation of subfertility

(4)

9. The Menopause

(4)

Presentation and differential diagnosis

(1)

Bleeding disturbances

(1)

Vasomotor symptoms

(1)

Psychological symptoms

(1)

Intermediate menopause symptoms

(1)

Long-term symptoms of the menopause

(3)

10. Bleeding in the Second and Third Trimesters of Pregnancy

(4)

Differential diagnosis of bleeding

(1)

History to focus on the differential diagnosis of bleeding

(1)

Examination of patients who have bleeding in the second and third trimesters

(1)

Investigation of patients who have bleeding in the second and third trimesters

(1)

Management of patients who have bleeding in the second and third trimesters

(2)

11. Large- or Small-For-Dates

(4)

Differential diagnosis

(1)

History to focus on the differential diagnosis of a LFD or SFD abdomen

(1)

Examination of the patient with a LFD or SFD uterus

(1)

Investigation of the patient with a LFD or SFD uterus

(3)

12. Abdominal Pain in the Second and Third Trimesters of Pregnancy

(4)

Differential diagnosis of abdominal pain in pregnancy

(1)

History to focus on the differential diagnosis of abdominal pain in pregnancy

(1)

Examination of the patient who has abdominal pain in pregnancy

(1)

Investigation of the patient who has abdominal pain

(1)

Management of the patient with abdominal pain

(1)

13. Hypertension in Pregnancy

(4)

Differential diagnosis of hypertension in pregnancy

(1)

History

(1)

Examination of women with hypertension in pregnancy

(1)

Investigation of women with hypertension in pregnancy

(3)

14. Stillbirth

(4)

History

(1)

Examination

(1)

Investigations

(1)

Management of stillbirth

(1)

Follow-up

(2)

15. Failure to Progress in Labour

(4)

History to focus on the differential diagnosis

(1)

Examination

(1)

Investigation

(1)

Management

(2)

16. Abnormal Cardiotocograph in Labour

(6)

Features of the CTG

(1)

Physiology

(1)

Monitoring uterine contractions

(1)

History of the patient who presents with an abnormal CTG in labour

(1)

Examination of the patient who presents with an abnormal CTG in labour

(1)

Investigating the abnormal CTG

(3)

17. Bleeding after Delivery

(4)

Postpartum haemorrhage

(1)

History to focus on the differential diagnosis

(1)

Examination

(1)

Investigations

(3)

18. Maternal Collapse

(6)

Haemorrhage

(1)

Amniotic fluid embolism

(1)

Acute myocardial infarction

(1)

Eclampsia

(1)

Diabetic emergency

(2)

Drug toxicity

(1)

Puerperal sepsis

(1)

Thromboembolism

(3)

Part II Diseases and Disorders

(164)

19. Abnormal Uterine Bleeding

(12)

Amenorrhoea

(3)

Menorrhagia

(6)

Postmenopausal bleeding

100

(2)

Further reading

102

(1)

20. Fibroids

103

(4)

Symptoms of uterine fibroids

103

(1)

Complications

103

(1)

Clinical evaluation and investigations

104

(1)

Indications for treatment

104

(1)

Medical therapy

104

(1)

Surgical treatment

105

(1)

Advances in fibroid treatment

105

(1)

Further reading

106

(1)

21. Endometriosis

107

(6)

Aetiology

107

(1)

Sites of endometriosis

108

(1)

Symptoms

108

(1)

Infertility

108

(1)

Clinical evaluation

109

(1)

Differential diagnosis

110

(1)

Treatment

110

(2)

Further reading

112

(1)

22. Benign Ovarian Tumours

113

(4)

Incidence

113

(1)

Aetiology

113

(1)

Diagnosis

114

(1)

Examination

114

(1)

Investigations

115

(1)

Management of a benign ovarian tumour

115

(1)

Further reading

116

(1)

23. Gynaecological Malignancy

117

(10)

Ovarian malignancy

117

(1)

Uterine endometrial tumours

118

(2)

Uterine sarcoma

120

(1)

Cervix

120

(2)

Cervical carcinoma

122

(1)

Vulval tumours

123

(3)

Vaginal tumours

126

(1)

Further reading

126

(1)

24. Vulval Disease

127

(4)

Histology of the vulva

127

(1)

Vulval dystrophies

127

(1)

Neoplasia

127

(3)

Dermatological conditions

130

(1)

Further reading

130

(1)

25. Pelvic Inflammatory Disease

131

(4)

Definition

131

(1)

Incidence

131

(1)

Aetiology

131

(1)

Diagnosis

131

(1)

History

131

(1)

Examination

131

(1)

Investigations

132

(1)

Complications

132

(1)

Treatment

132

(1)

Prevention

133

(1)

Further reading

133

(2)

26. Urinary Incontinence

135

(6)

Incidence

135

(1)

Aetiology

135

(1)

Investigation policy

136

(1)

Complications

137

(1)

Treatment

137

(4)

27. Genital Prolapse

141

(6)

Definition

141

(1)

Incidence of genital prolapse

141

(1)

Pelvic anatomy

141

(1)

Aetiology of genital prolapse

141

(2)

Clinical features of genital prolapse

143

(1)

Management

144

(1)

Further reading

145

(2)

28. Subfertility

147

(4)

Anovulation

147

(1)

Uterine and pelvic problems

147

(1)

Tubal problems

147

(1)

Male infertility

148

(2)

Unexplained infertility

150

(1)

Ovarian hyperstimulation syndrome

150

(1)

Prognosis for the infertile couple

150

(1)

Further reading

150

(1)

29. Early Pregnancy Failure

151

(8)

Miscarriage

151

(1)

Recurrent miscarriage

152

(1)

Ectopic pregnancy

153

(2)

Trophoblastic disease

155

(2)

Further reading

157

(2)

30. The Menopause

159

(6)

Definitions

159

(1)

Pathophysiology

159

(1)

Clinical features of the menopause

159

(2)

Management

161

(2)

Further reading

163

(2)

31. Contraception, Sterilization and Unwanted Pregnancy

165

(6)

Introduction

165

(1)

Natural family planning methods

165

(1)

Barrier methods

165

(1)

Hormonal contraception

165

(2)

Intrauterine contraceptive devices (IUCD)

167

(1)

Female sterilization

168

(1)

Male sterilization

169

(1)

Termination of pregnancy

169

(1)

Further reading

170

(1)

32. Gynaecological Endocrinology

171

(6)

Amenorrhoea - primary and secondary

171

(1)

Hirsutism and virilism

171

(5)

Further reading

176

(1)

33. Prenatal Diagnosis

177

(4)

Who has prenatal diagnosis?

177

(1)

Techniques for prenatal diagnosis

177

(3)

Further reading

180

(1)

34. Multiple Pregnancy

181

(6)

Incidence of multiple pregnancy

181

(1)

Diagnosis of multiple pregnancy

181

(1)

Aetiology of multiple pregnancy

181

(1)

Complications of multiple pregnancy

182

(3)

Intrapartum management of a twin pregnancy

185

(1)

Higher-order multiple pregnancies

186

(1)

Further reading

186

(1)

35. Hypertension in Pregnancy

187

(4)

Non-proteinuric hypertension in pregnancy

187

(1)

Pre-eclampsia

188

(1)

Eclampsia

189

(1)

Further reading

190

(1)

36. Medical Disorders in Pregnancy

191

(12)

Anaemia

191

(1)

Asthma

191

(1)

Diabetes

191

(3)

Epilepsy

194

(1)

Human immunodeficiency virus

195

(1)

Liver disorders

196

(1)

Multiple sclerosis

197

(1)

Psychiatric disorders

197

(2)

Drug and alcohol dependence

199

(1)

Thromboembolism

199

(1)

Thyroid disorders

200

(2)

Further reading

202

(1)

37. Antepartum Haemorrhage

203

(6)

Definition

203

(1)

Incidence

203

(1)

Aetiology

203

(1)

Placenta praevia

203

(1)

Placental abruption

204

(2)

Vasa praevia

206

(1)

Circumvallate placenta

206

(1)

Unexplained antepartum haemorrhage

206

(1)

Further reading

207

(2)

38. Premature Labour

209

(6)

Incidence

209

(1)

Clinical evaluation and investigation of women in preterm labour

209

(2)

Treatment of women presenting in preterm labour

211

(1)

Management of future pregnancies

212

(1)

Further reading

213

(2)

39. Malpresentation and Malpositions of the Occiput

215

(10)

Malpresentation

215

(8)

Malposition

223

(1)

Further reading

224

(1)

40. Labour

225

(12)

Onset of labour

225

(1)

Progress in labour

225

(4)

Mechanisms of normal delivery: action of the uterus

229

(1)

Delivery of the fetus

229

(2)

Management of the first stage of labour

231

(1)

Management of the second stage of labour

232

(1)

Management of the third stage of labour

233

(1)

Induction of labour

233

(1)

Failure to progress in labour

234

(2)

Further reading

236

(1)

41. Operative Intervention in Obstetrics

237

(6)

Episiotomy

237

(1)

Perineal repair

237

(1)

Ventouse delivery

238

(1)

Forceps delivery

239

(1)

Caesarean section

240

(2)

Further reading

242

(1)

42. Complications of the Third Stage of Labour and the Pueperium

243

(6)

Postpartum haemorrhage

243

(1)

Primary PPH

243

(1)

Placenta accreta

244

(1)

Uterine inversion

245

(1)

Uterine rupture

245

(1)

Secondary PPH

245

(1)

Lactation

245

(1)

Postnatal infection

245

(1)

Postnatal mental illness

245

(3)

Thromboembolic disease

248

(1)

Further reading

248

(1)

43. Maternal Death

249

(4)

Confidential Enquiries into Maternal Deaths

249

(1)

Causes of maternal death

249

(3)

Further reading

252

(1)

Part III History and Examination

253

(38)

44. Taking a History

255

(8)

Patient details

255

(1)

Presenting complaint

255

(1)

History of presenting complaint

255

(1)

Past gynaecological history

256

(1)

Past obstetric history

256

(1)

Past medical history

256

(5)

Systems enquiry

261

(1)

Drug history

261

(1)

Family history

261

(1)

Social history

261

(1)

Allergies

261

(2)

45. Antenatal Booking and Ongoing Care

263

(8)

The history

263

(3)

Examination

266

(1)

Booking investigations

266

(2)

Planning antenatal care

268

(1)

Education at booking

268

(3)

46. Examination

271

(14)

General examination

271

(1)

Abdominal examination

271

(14)

47. Common Investigations

285

(6)

Imaging techniques

285

(2)

Laparoscopy

287

(1)

Hysteroscopy

287

(1)

Cervical cytology/colposcopy

288

(1)

Urodynamics

289

(2)

Part IV Self-assessment

291

(36)

Multiple-choice Questions (MCQs)

293

(10)

Short-answer Questions (SAQs)

303

(2)

Extended-matching Questions (EMQs)

305

(4)

Patient-management Problems (PMPs)

309

(2)

MCQ Answers

311

(10)

SAQ Answers

321

(4)

EMQ Answers

325

(2)

Glossary

327

(2)

Index

329

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Crash Course: Obstetrics & Gynaecology

9780723431510

0723431515

Summary

Table of Contents

Supplemental Materials

Rewards Program

Rent More, Save More! Use code: ECRENTAL

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5% off 1 book, 7% off 2 books, 10% off 3+ books

Crash Course: Obstetrics & Gynaecology

9780723431510

0723431515

Summary

Table of Contents

Supplemental Materials

Rewards Program

Digital License