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
Gynaecology
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
Obstetrics
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