Saturday, December 25, 2010

operative (instrumental) vaginal delivery

another way to remember prerequisites is via mnemonicF-O-R-C-E-P-Sfind it yourselves :Dadvantages of vacuum compared to forceps*cervix at least 9cm (forceps must 10cm)*less trauma to mother*can be used in any position (forcep must direct OA or direct OP)INFORMED CONS...
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Thursday, December 23, 2010

O&G Short case: UV prolapse

Please examine this elderly lady who complained of something coming out from her vagina. Introduce, establish rapport, ask permission, position the patient (super duper mark in this) If the question asked to examine the perineum, go straight to the perineum by asking the patient to lie down in dorsal position and lift up her cloth while we cover her anterior abdomen with a blanket. Otherwise, do a general examination, or else you would miss the causes, differentials and the complications of prolapse (ie, chronic cough, cachexia to suggest malignancy) Inspect the perineum. Observe for atrophic changes in the labia majora, and any scars suggestive of trauma. Another sign of atrophic changes is that the labia minora is no longer concealed as we can see in non menopausal women. The pubic hair...
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Wednesday, December 15, 2010

CTG : changing in baseline to bradycardia - what to do?

CTG shown changing in baseline from 140bpm to 110bpm (bradycardia).What are your actio...
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Monday, December 13, 2010

which one would you anticipate shoulder dystocia?

EFW 3.6 kgor EFW 4.2 kganswer : click read more be...
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Thursday, December 9, 2010

how to ensure compliance for COCP?

ask the patient whether they comply to take hematinics and other pills regularly everyday during antenatal period.If yes, they may be compliance to COCP.If no, may be you should suggest for another method.source : wardround yellow t...
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when to discharge patient with pre-eclampsia?

no symptoms and signs of impending eclampsiareflex - if hyperreflexia, keep in ward!normal PE chartnormal vital signsno protenurianormal uric acid leveldont forget to re-admit for induction of labor at 38/52 weekssource : wardround yellow t...
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Saturday, December 4, 2010

how to count fetal heart rate using pinard stethoscope?

in exam, you will definitely have to use pinard stethoscope to listen to fetal heartno daptone for you (as far as i know)you are not just have to listen, but you also have to count the fetal heart rateread more be...
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