STI & Gynaes Infections

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What should you ask about in sexual history?

After history wwould you examine?
What couldcause vaginal discharge?
Complete table.
Disease

Symptoms &
complications

Diagnosis

Treatment

Chlamydia
Thrush (vaginal
candidiasis)
Gonorrhea
HIV
Genital warts
Herpes
Syphilis
5. What is Reiters sx?
6. What is Fitz-Hugh Curtis sx?
7. Tabes Dorsalis morphology in syphilis?
https://meducation.net/resources/31844-STI-s-and-Gynae-infections
Perinatal Complications
1. APH
Definition

Causes

Management
of acute case

History taking
& PE

Investigations

2. Placenta previa & placenta abruption

Placenta previa

Placenta abruption

Definition
Pathophysiology
Types
Risk factors
Clinical features
Complications
Investigations
Management
3. Main difference between placenta abruption and placenta previa
Placenta previa
Pain
Uterus

Placenta abruption

Fetal position
FH
Patients conditions
Lie/presentation of fetus
CTG
a/w pre-eclampsia
DIC
Precipitating factors
Hemodynamic signs
4. Other causes of APH
5. Clinical features of APH
6. Sequelae of pre-eclampsia
7. Tears during labour
8. Indications for C-section
9. Rhesus isoimmunization for placental abruptio
10.PPH (definition, causes, management)
https://meducation.net/resources/30386-Perinatal-Complications
Abdominal pain in pregnant woman
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Obstetric causes ofabdominal pain

Gynaecological causes of abdominal pain
Other causes of abdominal pain
What to ask in history?
PE in abdominal examination
Investigations
Management of obstetric & gynaecological causes

https://meducation.net/resources/30556-Abdominal-Pain-in-Pregnancy
Diabetes Mellitus in pregnancy
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Classification of diabetes in pregnancy

Physiology of insulin in pregnancy
Modified Penderson Theory
Pathophysiology of GDM in first trimester
Screening for GDM
Effects of diabetes to fetus, mother & pregnancy
Pre-pregnancy counseling

https://meducation.net/resources/29872-Diabetes-Mellitus-in-Pregnancy
PPROM
1. Definition of PROM & PPROM
2. Etiology

3. Complications
4. Clinical approach (history & PE)
5. Risk factors
6. Management
7. Inpatient management
8. RCOG guidelines
9. Time to delivery
10.Mode of delivery
Preterm labour
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Definition and incidence

Diagnosis of labour
Etiology
Clinical features
Complications
Clinical approach (history & PE)
Investigations
Management (inpatient & postnatal)
Tocolytic agents in preterm labour

Heart diseases in pregnancy

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Main causes of heart diseases in pregnancy

Normal physiology of heart disease
Maternal risk
Total contraindications for pregnancy
Complications
Clinical approach (history & PE)
NYHA of heart disease
Management of patient (pre-conception, antenatal, admission, mode of
delivery, intrapartum, postpartum)
9. Management of heart failure
Breech presentation
1. Presentation, lie, incidence for breech presentation
2. Other malpresentations
3. Classifications with incidence of cord prolapse
4. Predisposing factors
5. Diagnosis
6. Antenatal management
7. ECV
8. Risk factors, indications and contraindications for ECV
9. Preparation for ECV
10.Indications that are unfavourable for vaginal breech birth
11.Intrapartum management
12.Maneuvers for breech management
13.Complications for breech presentation

Abnormal lie
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Definition of lie
Types of abnormal lie and details
Causes of abnormal lie
Signs of abnormal lie
Antenatal management
Intrapartum management
Flow chart of mxof abnormal lie

Multiple gestations
1. Classification of multiple pregnancy
2. Dizygotic twins
3. Monozygotic twins
4. Classify monozygotic twins based on split of cells
5. Risk factors of multiple gestation
6. Complications of multiple gestation
7. Clinical approach (history & PE)
8. Diagnosis
9. Management (pre-pregnancy, antenatal, intrapartum, post-partum)
10.Indication of admission
11.Time & mode of delivery
12.Indication of c-sec
13.Twin-to-twin transfusion sx
Polyhydramnios
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Definition
Causes
Complications
Clinical approach
Management
Treatment
Time of delivery & mode of delivery

Oligohydramnios
1. Definition
2. Causes & diagnosis
3. Complications
4. Clinical features
5. Management
6. Formation of amniotic fluid
7. Absorption of amniotic fluid
8. Volume of amniotic fluid
9. Contents & function of amniotic fluid
10.Definition of AFI & value
11.Assessing lung volume (in pulmonary hypoplasia)
12.Amniocentesis (definition, indication, complications, timing)

Anaemia in pregnancy
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Definition
Causes
Complication
Clinical approach
Management (assess cause, investigation, severity)
Management (antenatal, intrapartum, postpartum)
Indication of hospital admission
Medication for anaemia in pregnancy (type, name, advantage, disadvantage)
Routine hematinics for anaemia in pregnancy

Post-EDD
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Definition
History taking for patients with post-EDD
Physical examination
Investigations
Delivery

Induction of labour
1. Definition of IOL
2. Indication of IOL
3. Contraindication for IOL
4. Methods of IOL and details
5. Counseling for patients
6. Membrane sweeping
7. Modified bishops score
8. Vaginal PGE2
9. Amniotomy
10.Failed induction
11.Misoprostol
Rhesus iso-immunization
1. Pathophysiology
2. Effects for fetus & neonates
3. Management
- for rhesus negative but no anti-D
- in rhesus negatibe with anti-D
C-section
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Definition
Classification
Indication for elective & emergency c-sec with details
Complications
Management (pre-op, post-op)
Suture involved in c-sec

Trial of scar
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Definition
Indication
Management
Symptoms and signs for impending scar rupture
Management of scar rupture

Intrauterine death
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Definition
Clinical approach (history, PE, investigations)
Etiology
Complications
Management

Instrumental delivery
1. Definition
2. Indication
3. Rules (FORCEPS)
4. Types of forceps
5. Complications of forceps
6. Procedure for forceps delivery
7. Types of Ventouse
8. Advantages for ventouse
9. Special indication for ventouse
10.Prerequisities for ventouse
11.Contraindications for ventouse
12.Complication for ventouse
13.Procedure for ventouse
14.Failed vacuum delivery
15.Head level estimation & cavity level
CPD & trial of labour
1. Pelvic anatomy
2. Pelvic cavity anatomy
3. Pelvic outlet
4. Type of inlet
5. Fetal skull
6. Moulding of fetal skull, caput succedaneum
7. Cephalohematoma
8. Mechanism of labour (ED FIERE)
9. Causes of CPD
10.Diagnosis of CPD
11.Management of CPD
12.Indications for elective c-sec

Dysfunctional labor
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Definition
Causes
Types
Treatment
Oxytocin augmentation of labour
Contraindications for oxytocin augmentation & alternative
Commencing oxytocin augmentation
Complications

Cord prolapse
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Definition
Pathophysiology
Risk factors
Management

Meconium stained-liquor
1. Causes of MSL
2. Classification of MSL
3. Management of MSL
Uterine inversion
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Definition
Prevention
Types
Risk factors
Diagnosis
Management
Replacement of inverted uterus

Manual removal of placenta

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Cause
Indication
Cause
Management
Procedure
Post-procedure care

Post-partum hemorrhage
1. Definition & type
2. Cause
3. Management