last group 22-4-2009

السلام عليكم

الامتحان كان يشبه اللي قبله مع بعض المحطات الجديدة التي لم تكن متوقعه

المحطة الاولى
D & C set

name each instruments

heger diltor :


Verusulum Forceps



Utrine Curette



sponge handling forceps



Utrine Sound


(Virginal Speculam( Sims


Catheters Female



طبعا اخر تنين

الفرع التاني :
- mention 3 complications for d&c
uterine perforation
cervical injury
uterine adhesions and related sequences - infertilty, menestrual abnormalities

الفرع الثالث
mention 5 uses for d & c
-diagnostic
obtain samples of the endometrium to evaluate abnormal uterine bleeding or abnormal cells found during routine screening for cervical cancer.

therapeutic D and C after
Miscarriage
Abortion
Treatment of molar pregnancy
Prolonged or excessive vaginal bleeding
Postpartum hemorrhage

وبهيك بقترح تضيفه على الموضوع اللي بالدوسية معلومات اوسع شوي عن اندكيشن و كونترا.. وكمبلكيشن


المحظة الثانية
PROM PT
- how can u be sure about Dx by P\E and invx

-What are the blood tests to do for mother after admission -she is 31 week GA
answer
CBC -WBCs
HB
CRP ESR
urine culture and analysis
blood culture
vaginal swap and culture

-what to do for baby
-what drugs u will give to mother

المحطة الثالثة
a case of 2ry amenorrhea of 1 year - G1P1
take Hx

المحظة الرابعة
43 y\o female
urinary incontinence
-mention 5 urinary symptoms that are related to the pt
frequency- urgency -dysuria- hesitency -drippling -enuresis -etc

mention 5 categories of symptoms that are related to urogynecological causes in this pt
1- prolapse
2-fistula
3- abdominal masses - distended bladder
4- muscle strength test
5- ask her to cough and see


the last and the best station

pt G2 P1
assisted delivery in her 1st
now she is in the delivery baby 3.9 kg

see the pic

 

what is th name of the test

Partogram

الصورة كانت فيها نقاط على 7سم dilatation لثلاث ساعات متتالية
فالسؤال شو المشكلة بالرسمه
بطلع اسمه
arrested active phase ??

شو المشكلة فيه اذا طول من شو بنخاف ؟
rupture of the uterus

اجب بصح ام لا بدون التعليل

you can give oxytocine?
no -- must be full dilataion to stimulate contraction

can you use forceps ?
no -must be 9-10 cm

can u wait another 2 hrs
no

can you do C\S
yes