Read e-book online 100 Cases in Obstetrics and Gynaecology (A Hodder Arnold PDF

By Cecilia Bottomley

ISBN-10: 0340947446

ISBN-13: 9780340947449

A 24-year-old girl is referred from the emergency division with surprising onset of left iliac fossa ache and also you are the medic on duty...

100 circumstances in Obstetrics and Gynaecology offers a hundred regularly obvious obstetric and gynaecological eventualities. The patient's background, exam and preliminary investigations are awarded in addition to questions about the prognosis and administration of every case. the reply incorporates a targeted dialogue on every one subject, offering a vital revision relief in addition to a realistic consultant for junior clinicians.

Making scientific judgements is likely one of the such a lot tough and tough components of teaching to turn into a physician. those situations will educate medics and scientific scholars to acknowledge vital obstetric and gynaecological stipulations and aid them advance their diagnostic and administration talents.

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Extra resources for 100 Cases in Obstetrics and Gynaecology (A Hodder Arnold Publication)

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The LLETZ sample needs to be examined histologically both to confirm removal of all the abnormal tissue, and to ensure that there is not a focus of carcinoma within the sample. Follow-up smear should be performed in 6 months, and thereafter yearly smears for 10 years. Advice after LLETZ procedure • The patient may have light bleeding for several days. • If heavy bleeding occurs she should return as secondary infection may occur and need treatment. • She should avoid sexual intercourse and tampon use for 4 weeks, to allow healing of the cervix.

She has had four normal deliveries and had a laparoscopic sterilization after her last child. Her smear tests have always been normal, the most recent being 4 months ago. She has never had any previous irregular bleeding or any other gynaecological problems. Examination The abdomen is soft and non-tender with no palpable masses. Speculum examination shows a normal cervix. On bimanual palpation the uterus is bulky (approximately 8 week size), mobile and anteverted. There are no adnexal masses. 5–11 ϫ 109/L 150–440 ϫ 109/L Findings at hysteroscopy are shown in Fig.

How should this patient be managed? 33 100 Cases in Obstetrics and Gynaecology ANSWER 14 Raised anticardiolipin antibodies and lupus anticoagulant are suggestive of antiphospholipid syndrome. Diagnosis of antiphospholipid syndrome • The presence of one of the clinical features: • three or more consecutive miscarriages • mid-trimester fetal loss • severe early-onset pre-eclampsia, intrauterine growth restriction or abruption • arterial or venous thrombosis • And haematological features: • anticardiolipin antibody or lupus anticoagulant detected on two occasions at least 6 weeks apart Thus in this case the diagnosis must be confirmed by a second positive anticardiolipin test after at least 6 weeks.

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100 Cases in Obstetrics and Gynaecology (A Hodder Arnold Publication) by Cecilia Bottomley

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