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Summary University of Leeds 4th Year Gynaecology and Obstetrics Revision Notes (GOSH) $13.54   Add to cart

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Summary University of Leeds 4th Year Gynaecology and Obstetrics Revision Notes (GOSH)

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126 Pages Topics Covered: Obstetrics Core Conditions 5 General Definitions 5 Antenatal Care 6 Routine Antenatal Care 6 Antenatal Problems 13 High Risk Pregnancies 20 Pregnancy Loss 31 Intrapartum Care 33 Normal Labour 33 Induction of Labour 39 Abnormal Labour 42 Obstetric Complicat...

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  • June 13, 2023
  • 129
  • 2018/2019
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GYNAECOLOGY
OBSTETRICS &
SEXUAL HEATH




4TH YEAR MEDICINE
Indeera Shankla

, Table of Contents
Aims and Learning Objectives ................................................................................................................. 3
Knowledge ....................................................................................................................................................... 3
Skills ................................................................................................................................................................ 3
Attitudes .......................................................................................................................................................... 4
Pre-Requisite Knowledge.................................................................................................................................. 4
Obstetrics Core Conditions ..................................................................................................................... 5
General Definitions .......................................................................................................................................... 5
Antenatal Care ................................................................................................................................................. 6
Routine Antenatal Care ............................................................................................................................................. 6
Antenatal Problems ................................................................................................................................................ 13
High Risk Pregnancies ............................................................................................................................................. 20
Pregnancy Loss ........................................................................................................................................................ 31
Intrapartum Care ........................................................................................................................................... 33
Normal Labour ........................................................................................................................................................ 33
Induction of Labour ................................................................................................................................................. 39
Abnormal Labour .................................................................................................................................................... 42
Obstetric Complications .......................................................................................................................................... 47
Post-partum Care ........................................................................................................................................... 52
Gynaecology & Sexual Health Core Conditions ...................................................................................... 58
General Gynaecology ..................................................................................................................................... 58
Basic Science ........................................................................................................................................................... 58
Menstrual Cycle ...................................................................................................................................................... 59
Postmenopausal Bleeding ....................................................................................................................................... 64
Chronic Pelvic Pain .................................................................................................................................................. 66
Early Pregnancy Problems .............................................................................................................................. 70
Benign Tumours ...................................................................................................................................................... 73
Specialist Gynaecology ................................................................................................................................... 75
Sub-fertility ............................................................................................................................................................. 75
Urinary Incontinence .............................................................................................................................................. 77
Prolapse................................................................................................................................................................... 78
Cancer ..................................................................................................................................................................... 79
Contraception ......................................................................................................................................................... 84
Sexual Health Core Conditions .............................................................................................................. 97
General Topics ............................................................................................................................................... 97
Bacterial STIs................................................................................................................................................ 102
Chlamydia.............................................................................................................................................................. 102
Gonorrhoea ........................................................................................................................................................... 103
Trichomonas.......................................................................................................................................................... 104
Genital Infections and Dermatosis ................................................................................................................ 105
Thrush ................................................................................................................................................................. 105
Bacterial Vaginosis ................................................................................................................................................ 106
Genital Skin Conditions ......................................................................................................................................... 107
Viral STIs ...................................................................................................................................................... 109
Herpes ................................................................................................................................................................... 109
Genital Warts ........................................................................................................................................................ 109
Syphilis ........................................................................................................................................................ 110
HIV .............................................................................................................................................................. 111
Skills ................................................................................................................................................... 114
Obstetric History ................................................................................................................................................. 114

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, Obstetric Examination ......................................................................................................................................... 116
Gynaecological History ....................................................................................................................................... 117
Sexual History ...................................................................................................................................................... 119
Female Genital Examination .............................................................................................................................. 120
Male Genital Examination .................................................................................................................................. 122
Prescribing in Pregnancy & Breastfeeding ............................................................................................................ 123
OSCE .................................................................................................................................................. 124
OSCE Stations ............................................................................................................................................... 124
COCP............................................................................................................................................................ 125
Emergency Contraception............................................................................................................................. 126
Gynaecological History ................................................................................................................................. 127
Obstetrics Exam ........................................................................................................................................... 128




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, Aims and Learning Objectives
 Have gained an understanding of the mechanisms governing sexual health and women’s health and
reproduction.
 Be able to understand and discuss the clinical practice of Gynaecology, Obstetrics and Sexual Health.
 Have a holistic approach to women and the integral part their families and the community play in their health
 Have gained competence in assessing women through history and examination (both in obstetrics and
gynaecology)
 Have gained competence in assessing patients attending a sexual health clinic.
 Have an understanding of the particular issues and sensitivities that affect health care in the areas of sexual
health and reproduction.
 Be able to understand and discuss the clinical science basis of obstetrics and gynaecology.
 Be able to recognize the common syndromes of sexually transmitted infections (STI) and HIV likely to present in
non-specialist settings.
 Gain an understanding of the principles of managing sexually transmitted infections (STI) including the
importance of confidentiality and partner notification.
 Be able to take a clinical history and perform a physical examination in an obstetric or gynaecology patient.
 Be able to take an appropriate history from patients at risk of STI, including Sexual history and HIV risk history.
 Be able to discuss relevant differential diagnoses and develop management plans.
 Develop skills in communication and be aware of the sensitivities involved in practising clinical Gynaecology,
Obstetrics and Sexual Health.
 Be aware of the relevance of clinical governance in Gynaecology, Obstetrics and Sexual Health.
 Be aware of the current ethical issues in Gynaecology, Obstetrics and Sexual Health.
 Be able to understand the physical, emotional and social impact of sexually transmitted infections on the
individual and the general community.


Knowledge
 An understanding of normal changes in development and function of the female genital tract in relation to
women’s health
 To understand the normal and abnormal antenatal course
 To recognize the difference between the normal and abnormal processes of parturition
 To understand the role of aftercare of the mother and infant following parturition
 An understanding of the community services and facilities available to women,
 To develop a better understanding of the various methods which are available for the delivery of child, antenatal
and gynaecological health care
 An understanding of the medical, legal and ethical dilemmas of caring for pregnant women
 The nature and functioning of sexual health services provided to men and women
 An understanding of the principles and methods of contraception and family planning


Skills
 Development of an ability to relate to patients presenting for care in the sexual health and in obstetric and
gynaecological settings
 To develop the interpersonal and organisation skills required to take a competent history from such patients
 Development of the necessary examination skills
 An ability to evaluate a clinical problem after the history and examination, and thereby be able to deduce a
reasonable differential diagnosis
 An ability to describe the principles of further management including appropriate investigation, therapeutic
options, and the importance of communication / counselling

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