Obstetrics and Gynaecology: Clinical Cases Uncovered / Edition 1

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Featuring a range of commonly encountered and important conditions in women's health, Obstetrics & Gynaecology: Clinical Cases Uncovered allows the reader to understand normal reproductive physiology and anatomy in the context of clinical practice. It highlights aspects of good practice which in real life are considered beyond the presenting symptom. This unique case-based approach allows the reader to progress through each stage, gaining an understanding of the rationale for investigation and management and to consider other important aspects for holistic care. Obstetrics & Gynaecology: Clinical Cases Uncovered is ideal for medical students and junior doctors, obstetrics and gynaecology trainees, midwives and nurse practitioners.

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Editorial Reviews

From the Publisher
"I have purchased three of your books: Paediatics, Obstetrics & Gynaecology, and Haematology. I have found the story-telling style and the level of detail contained in the cases to be balanced nicely so that it retains a realism that other case books lack and that reader remains engaged in the outcome of the investigations and the end-point of the case. All in all, these series make for interesting and entertaining reads which ultimately renders them an excellent learning tool.” - Medical Student,Trinity College Dublin

"I think that junior doctors and surgical care practitioners will find this to be a useful reference source. Junior doctors will particularly appreciate the book for revision purposes. Perioperative educationalists will gain some benefit from reading as will any practitioner working in obstetrics and gynaecology that wishes to understand more about the specialty than what is presented in front of them on a daily basis." - Journal of Perioperative Practice, 1 February 2011

"This volume provides concise coverage of a range of relevant clinical scenarios, with logical explanations along the way. It does not seek to replace topic or system-based texts, but represents good value for money as a learning adjunct, particularly for newcomers to the specialty." - The Obstetrician & Gynaecologist, 2010

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Product Details

  • ISBN-13: 9781405186711
  • Publisher: Wiley
  • Publication date: 9/1/2009
  • Series: Clinical Cases Series, #31
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 216
  • Product dimensions: 7.30 (w) x 9.70 (h) x 0.50 (d)

Meet the Author

Dr Maggie Cruikshank, Consultant Gynaecologist and Senior Lecturer at Aberdeen Medical School and Aberdeen Maternity Hospital.

Dr Asha Shetty, Consultant Obstetrician and Honorary Lecturer at Aberdeen Medical School and Aberdeen Maternity Hospital

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Table of Contents

Preface vii

Acknowledgements viii

How to use this book ix

List of abbreviations x

Part 1 Basics 1

Basic science: gynaecology 1

Basic science: obstetrics 6

Approach to the patient 13

Part 2 Cases 27


Case 1 A 24-year-old woman with vaginal bleeding in early pregnancy 27

Case 2 A 25-year-old woman presenting as an emergency with low abdominal pain 33

Case 3 A 23-year-old woman admitted as an emergency with acute vulval pain 38

Case 4 A 45-year-old woman with heavy periods 42

Case 5 A 52-year-old woman who has not been able to control her temper recently 47

Case 6 A 58-year-old woman with postmenopausal bleeding 52

Case 7 A couple who cannot conceive 57

Case 8 A 16-year-old seeking emergency contraception: contraceptive choices through reproductive life 62

Case 9 A 22-year-old woman presents with vaginal discharge 72

Case 10 A 29-year-old woman with an abnormal smear test 79

Case 11 A retired schoolteacher presents with a feeling of 'something coming down', 83

Case 12 A 57-year-old woman with abdominal swelling and vague abdominal pain 87

Case 13 A 68-year-old woman presents with long-standing vulval itch 92


Case 14 A 30-year-old woman with a postdated pregnancy 97

Case 15 A 37-year-old woman with heavy bleeding per vaginum following a forceps delivery 103

Case 16 A 16-year-old woman with high blood pressure at 32 weeks' gestation 109

Case 17 A 34-year-old woman with painless vaginal bleeding at 33 weeks' gestation 116

Case 18 A 39-year-old woman with painful vaginal bleeding at 37 weeks' gestation 121

Case 19 A 29-year-old woman with leaking fluid per vaginum at 31 weeks' gestation 126

Case 20 A 35-year-old woman booking for antenatal care 132

Case 21 A 24-year-old insulin-dependent diabetic woman planning a pregnancy 138

Case 22 A 32-year-old woman with a fetus in the breech position at 37 weeks' gestation 144

Case 23 A 26-year-old woman with a history of one previous caesarean section booking at the antenatal clinic 148

Case 24 A 29-year-old woman woman with vomiting in early pregnancy 153

Case 25 A 38-year-old woman with a twin pregnancy 159

Case 26 A 26-year-old woman diagnosed HIV positive on routine antenatal screening 165

Part 3 Self-assessment 172

MCQs 172

EMQs 177

SAQs 183

Answers 186

Index of cases by diagnosis 193

Index 195

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