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Eureka: Obstetrics & Gynaecology

Eureka: Obstetrics & Gynaecology

Hannah Kither | Sarah Kitson | Louise Wan | Emma Crosbie

(2018)

Additional Information

Book Details

Abstract

Eureka – an innovative series for students that fully integrates core science, clinical medicine and surgery. With its engaging and authoritative text, featuring insightful clinical cases, graphic narratives, SBAs and a wealth of other learning tools, Eureka has everything students need to succeed in medicine and pass their exams.

Series features across titles:

  • Engaging clinical cases show how skilled clinician would work through a presentation, and put diseases and biomedical principles into patient context
  • Innovative graphic narratives bring clinical cases to life, show how to approach difficult scenarios and convey the experience of being a patient
  • Starter questions - stimulating answers to intriguing questions make learning fun
  • Boxes highlight tips, tricks and key learning points

 

Obstetrics & Gynaecology

  • First principles chapter clearly explains the key concepts, processes and structures of the female reproductive system
  • Clinical essentials chapters provide an overview of the symptoms and signs of obstetric and gynaecological disease, relevant history and examination techniques, investigations and management options
  • Disease-based chapters give concise descriptions of all major disorders, e.g. complications of pregnancy, gynaecological tumours and subfertility, each chapter introduced by engaging clinical cases that feature unique graphic narratives
  • Emergencies chapter covers the principles of immediate care in situations, such as ectopic pregnancy and eclampsia
  • Integrated care chapter discusses strategies for the management of chronic conditions across primary and other care settings
  • Self-Assessment – 80 multiple choice questions in clinical SBA format, in line with current exam format

Hannah Kither
Sarah Kitson
Louise Wan
Emma Crosbie
Manchester University School of Medicine, UK

Table of Contents

Section Title Page Action Price
Cover Cover
Half Title i
Title iii
Copyright iv
Contents viii
Series Editors’ Foreword v
About the Series Editors vi
About the Authors vi
Preface vii
Glossary xi
Acknowledgements xii
Chapter 1 First principles 1
Overview of the female reproductive system 1
Development of the female reproductive system 9
The ovaries 13
The fallopian tubes 18
The uterus 20
The cervix 23
The vagina 27
The vulva 29
The perineum 31
The female urinary tract 33
The menstrual cycle 36
Fertility and conception 39
Pregnancy 44
Labour and the puerperium 65
Menopause 72
Chapter 2 Clinical essentials: gynaecology 79
Introduction 79
Common symptoms and how to take a history 79
Common signs and how to examine a patient 90
Investigations 97
Management options 108
Chapter 3 Clinical essentials: obstetrics 119
Introduction 119
Common symptoms and how to take a history 120
Common signs and how to examine a patient 131
Investigations 138
Management options 142
Chapter 4 Normal pregnancy and delivery 147
Introduction 147
Case 1 Booking visit 148
Case 2 Prolonged pregnancy 149
Routine antenatal care 150
Normal delivery 159
Monitoring in labour 162
Analgesia and anaesthesia 165
Induction of labour 166
Postnatal care 167
Chapter 5 Complications in early pregnancy 171
Introduction 171
Case 3 Pain and bleeding in early pregnancy 172
Case 4 Spotting in early pregnancy 173
Miscarriage 175
Ectopic pregnancy 178
Hyperemesis gravidarum 180
Gestational trophoblastic disease 182
Chapter 6 High-risk pregnancy 185
Introduction 185
Case 5 Diabetes in pregnancy 186
Diabetes in pregnancy 187
Hypertension in pregnancy 190
Obstetric cholestasis 193
Polyhydramnios 195
Medical disorders in pregnancy 196
Haemolytic disease of the newborn 205
Multiple pregnancy 207
Antepartum haemorrhage 208
Small-for-gestational-age fetus 210
Stillbirth 212
Chapter 7 Complications in delivery and the postnatal period 215
Introduction 215
Case 6 Slow progress in labour 216
Case 7 Breech presentation 217
Premature labour 219
Malpresentation of the fetus 222
Failure to progress in labour 224
Fetal compromise in labour 226
Operative vaginal delivery 228
Caesarean section 229
Post-partum haemorrhage 231
Postnatal infection 233
Venous thromboembolism 236
Maternal and perinatal death 238
Postnatal mental health 239
Chapter 8 Reproductive endocrinology 241
Introduction 241
Case 8 Absent menarche 242
Disorders of puberty 245
Hirsutism 248
Polycystic ovary syndrome 249
Hypogonadism 251
Galactorrhoea 253
Premenstrual syndrome 255
Menopause 256
Chapter 9 Fertility and contraception 259
Introduction 259
Case 9 Unwanted pregnancy 260
Case 10 Failure to conceive 262
Contraception 265
Termination of pregnancy 270
Subfertility 271
Assisted conception 275
Chapter 10 Abnormal vaginal bleeding 281
Introduction 281
Case 11 Heavy, painful periods 282
Amenorrhoea 284
Oligomenorrhoea 288
Heavy menstrual bleeding 288
Dysmenorrhoea 291
Intermenstrual and postcoital bleeding 293
Postmenopausal bleeding 295
Chapter 11 Inflammatory and infective disorders 297
Introduction 297
Case 12 Painful periods 298
Case 13 Vaginal discharge 300
Endometriosis 301
Lower genital tract infections 304
Pelvic inflammatory disease 307
Vulval skin disorders 308
Chapter 12 Gynaecological tumours 311
Introduction 311
Case 14 Bloating and abdominal pain 312
Case 15 Postmenopausal bleeding 315
Fibroids 316
Benign ovarian cysts 318
Ovarian cancer 320
Endometrial cancer 323
Leiomyosarcoma 326
Cervical cancer 327
Vulval cancer 330
Vaginal cancer 332
Chapter 13 Urinary incontinence and genital prolapse 335
Introduction 335
Case 16 Weak bladder 336
Urinary incontinence 338
Genital prolapse 342
Chapter 14 Emergencies 347
Introduction 347
Case 17 Abdominal pain and unconsciousness 348
Case 18 Heavy vaginal bleeding and severe abdominal pain in pregnancy 349
Case 19 Headaches and visual disturbances in pregnancy 352
Case 20 Spontaneous rupture of membranes 354
Case 21 Collapse and tachycardia after delivery 356
Case 22 Failure to deliver 357
Case 23 Excessive bleeding after delivery 360
Case 24 Vaginal bulge and heavy bleeding after delivery 362
Case 25 Fever 2 days after delivery 364
Chapter 15 Integrated care 367
Introduction 367
Case 26 Late booking and abdominal bruising 368
Domestic abuse and child protection 370
Female genital mutilation 372
Forensic gynaecology 374
Cervical screening and management of cervical intraepithelial neoplasia 375
Management of gynaecological cancer 380
Contraception: special circumstances 383
Neonatal resuscitation 384
Risk management 386
Chapter 16 Self-assessment 389
SBA questions 389
SBA answers 399
Index 407
A 407
B 407
C 408
D 409
E 409
F 409
G 410
H 411
I 412
J 412
K 412
L 412
M 412
N 413
O 413
P 414
Q 415
R 415
S 415
T 416
U 416
V 416
W 417
Y 417
Z 417