Case Discussions in Obstetrics & Gynecology Swaraj Batra, YM Mala, Madhavi M Gupta
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1Case Discussions in OBSTETRICS AND GYNECOLOGY
2Case Discussions in OBSTETRICS AND GYNECOLOGY3
Editors YM Mala MD DNB Professor Madhavi M Gupta MS Associate Professor Swaraj Batra MBBS MD FICOG Director-Professor and Head Department of Obstetrics and Gynecology Maulana Azad Medical College and Lok Nayak Hospital, New Delhi, India
4Published by
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Jaypee Brothers Medical Publishers (P) Ltd
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Case Discussions in Obstetrics and Gynecology
© 2011, Jaypee Brothers Medical Publishers
All rights reserved. No part of this publication should be reproduced, stored in a retrieval system, or transmitted in any form or by any means: electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the editors and the publisher.
First Edition: 2011
9789350251294
Typeset at JPBMP typesetting unit
Printed at
5Dedicated to
all our patients who have taught us the art of case discussion and will continue to do so6
7Contributors
8
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10
11Foreword
Obstetrics and gynecology is a very challenging specialty which requires combination of both good clinical as well as surgical skills.
This book, entitled Case Discussions in Obstetrics and Gynecology is a complete book covering all the common problems in a comprehensive manner easily understood by the students.
The case discussions in question and answer pattern will be helpful to students in viva as well as theory examinations. Each discussion is followed by the ideal management and recent advances in that area along with adequate references.
The authors' endeavor to review the various cases in an elaborate manner is commendable. I recommend this book since it will be helpful to students for learning a particular topic as well as for the final revision before the examination. I wish this book and its readers all the success.
AK Agarwal
Dean
Maulana Azad Medical College
New Delhi12
13Preface
Case discussions are an integral part of teaching in medicine. Since time immemorial, all practitioners of medicine have been learning on patients. Medicine has been evolving at a fast pace with many advances in science and technology and new discoveries every other day. With advent of modern methods of teaching, there have been drastic changes in all aspects. But case discussions continue to hold the same importance may be, more because with the availability of a multitude of investigations and diagnostic aids we might be missing on to something when we rely more on these. Trainees and young practitioners need to realize the significance of a good history and a thorough clinical examination before ordering only the most required investigations to arrive at the right diagnosis.
Also, case discussions are part of all examinations and this book tries to present the near ideal case discussion of the commonly encountered problems in obstetrics and gynecology on a daily basis.
Case Discussions in Obstetrics and Gynecology is an ideal combination of evidence-based knowledge and years of clinical experience of faculty in patient management and conducting both undergraduate and postgraduate exams. It includes recent advances in this field which might not be included in the textbooks.
The approach in this book is problem based and tells how a list of differential diagnosis can be eliminated step-wise before clinching the diagnosis. In standard textbooks the approach is retrospective that is, what symptoms and signs can be found or expected in a particular pathology. The book is in the form of question and answers to make it more problem based and telling the art of postgraduate and undergraduate exams and reaching a clinical diagnosis.
This book, prepared and produced by the Department of Obstetrics and Gynecology at the Maulana Azad Medical College and Associated Lok Nayak Hospital, New Delhi contains the long teaching experience of the faculty. They are teachers who have been training postgraduate students for a number of years and are very well aware where even a well read, hard working student is likely to falter in the exam.
Learning to diagnose a patient via a systematic approach is the key and basis of proper management. Many of the students after clearing the exam will go out in the society and practice what they have learnt during the course of their postgraduate training. Having a scientific basis made easier will help them to diagnose and treat patients correctly to their fullest capability.
We invite you to join us on a roadmap to preserve and pass on the art of case discussions to the coming generations for the larger good of our patients.
YM Mala
Madhavi M Gupta
Swaraj Batra