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Clinical Methods in Obstetrics & Gynecology Manju Puri

SECTION 1: OBSTETRICS
CHAPTER 1:Approach to a Pregnant Woman Attending Antenatal Clinic
- INTRODUCTION
- AIMS OF ANTENATAL CARE
- VARIOUS TERMS USED INOBSTETRIC PRACTICE
- HISTORY TAKING
- CLINICAL EXAMINATION
- INVESTIGATIONS
  - Special Investigations
- CONCLUSION
CHAPTER 2:Approach to a Pregnant Woman Presenting with Bleeding Per Vaginam
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 3:Approach to a Pregnant Woman Presenting withAbdominal Pain
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 4:Approach to a Pregnant Woman Presenting with Discharge Per Vaginam
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
  - Genital Examination
  - Per Speculum Examination
- INVESTIGATIONS
- CONCLUSION
CHAPTER 5:Approach to a Pregnant Woman Presentingwith Vomiting
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 6:Approach to a Pregnant Woman Presenting with Diarrhea
- INTRODUCTION
- CAUSES OF DIARRHEA
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 7:Approach to a Pregnant Woman Presenting with Fever
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS (TABLE 7.1)
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 8:Approach to a Pregnant Woman Presenting with Headache
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
  - General Physical Examination
- INVESTIGATIONS
- CONCLUSION
CHAPTER 9:Approach to a Pregnant or Puerperal Woman Presenting with Convulsions
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 10:Approach to a Pregnant Woman Presenting with Heart Disease
- INTRODUCTION
- DIAGNOSIS
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 11:Approach to a Pregnant Woman Presenting with Pruritus
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
  - Basic Investigations
  - Specific Investigations
- CONCLUSION
CHAPTER 12:Approach to a Pregnant Woman Presenting with Breathlessness
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 13:Approach to a Pregnant Woman Presenting with Pallor
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 14:Approach to a Pregnant Woman Presenting with Jaundice
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 15:Approach to a Pregnant Woman Presenting with Swelling Feet
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
  - General Physical Examination
  - Systemic Examination
- INVESTIGATIONS
- CONCLUSION
CHAPTER 16:Approach to a Pregnant Woman Presenting with Hypertension
- INTRODUCTION
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 17:Approach to a Pregnant Woman with Fundal Height Not Corresponding to Period of Gestation
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 18:Approach to a Pregnant Woman ‘Not Sure of Dates’
- INTRODUCTION
- HISTORY
  - Review of Records
- EXAMINATION
  - Abdominal Examination
  - Per Vaginam Examination
- INVESTIGATIONS
  - Urine Pregnancy Test
  - Ultrasonography
- CONCLUSION
CHAPTER 19:Approach to a Pregnant Woman Presenting with Bad Obstetric History
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
  - Antenatal Period
  - Intrapartum Period
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 20:Approach to a Pregnant Woman with a Congenitally Malformed Fetus
- INTRODUCTION
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 21:Approach to a Primigravida with Free Head at Term
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
  - Ultrasonography
- CONCLUSION
CHAPTER 22:Approach to a Pregnant Woman with Trauma
- INTRODUCTION
- PHYSIOLOGICAL CHANGESDURING PREGNANCY AFFECTINGTRAUMA MANAGEMENT
  - Maternal Changes
- FETAL PHYSIOLOGY
- GENERAL APPROACH TO APREGNANT TRAUMA PATIENT
  - Prehospital Care
  - Emergency Department Care
    - Primary Survey
    - Secondary Survey
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 23:Approach to a Pregnant Woman Brought in an Unconscious State
- INTRODUCTION1,2
- DIFFERENTIAL DIAGNOSIS6–9
- MANAGEMENT1, 2, 10–12
- CONCLUSION
CHAPTER 24:Approach to a Pregnant Woman with Previous Cesarean Section
- INTRODUCTION
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 25:Approach to aPostnatal Woman
- INTRODUCTION
- HISTORY TAKING
  - History Regarding Delivery
  - Specific Complaints
- EXAMINATION OF A POSTNATAL WOMAN
- INVESTIGATIONS
- EXAMINATION OF BABY
- CONCLUSION
CHAPTER 26:Approach to a Woman with Specific Problems in Puerperium
- INTRODUCTION
- PUERPERAL PYREXIA
- BREAST PROBLEMS
- FOUL-SMELLING DISCHARGE PER VAGINAM
- SWELLING OF LEG
- CONCLUSION
CHAPTER 27:Approach to a Woman Presenting with Lower Abdominal Pain in Puerperium
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 28:Approach to a Woman Presenting with UrinaryComplaints in Puerperium
- INTRODUCTION
- POSTPARTUM URINARY RETENTION
- POSTPARTUM URINARY INCONTINENCE
- DIFFERENTIAL DIAGNOSIS
- HISTORY
  - History of Present Illness
  - Obstetrical History
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 29:Approach to a Woman Presenting with Postpartum Bowel Complaints
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
  - History of Presenting Complaint
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 30:Approach to a Woman with Abnormal Behavior in Puerperium
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- EVALUATION OF THE PATIENT
  - History
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
SECTION 2: GYNECOLOGY
CHAPTER 31:History Taking and Clinical Examination of a Woman Presenting with Gynecological Complaints
- INTRODUCTION
- HISTORY TAKING
- EXAMINATION
- CONCLUSION
CHAPTER 32:Approach to a Woman Presenting with Vaginal Discharge
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 33:Approach to a WomanPresenting with Abnormal Uterine Bleeding
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 34:Approach to a Woman Presenting with Postmenopausal Bleeding
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS (TABLE 34.1)
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 35:Approach to aWoman Presentingwith Infertility
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
  - Female Partner
  - Male Partner
    - Past History
    - Sexual History
- EXAMINATION
  - Examination of Female Partner
  - Examination of Male Partner
    - General Physical Examination
    - Examination of Genitalia
- INVESTIGATIONS
  - Male Partner
  - Female Partner
- CONCLUSION
CHAPTER 36:Approach to a Woman Presenting with Postcoital Bleeding
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 37:Approach to a Woman Presenting with Dysmenorrhea
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 38:Approach to a Woman Presenting with Dyspareunia
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
  - Per Abdomen Examination
  - Examination of Genitalia
- INVESTIGATIONS
- CONCLUSION
CHAPTER 39:Approach to a Woman Presenting with Lower Abdominal Pain
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 40:Approach to a Woman Presenting with Abdominal Lump
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 41:Approach to a Woman Presenting with Pelvic Organ Prolapse
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 42:Approach to a Woman Presenting with Urinary Incontinence
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 43:Approach to a Woman Presenting with Anal Incontinence
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 44:Approach to a Woman Presenting withVulval Lesion
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
  - Sexual History
- EXAMINATION
  - General Physical Examination
  - Local Examination
- INVESTIGATIONS
- CONCLUSION
CHAPTER 45:Approach to a Woman Presenting withPruritus Vulvae
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 46:Approach to a Woman Presenting with Amenorrhea
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 47:Approach to a Woman Presenting with Hirsutism
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 48:Approach to a Girl Presenting with Precocious Puberty
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 49:Approach to a Girl Presenting with Delayed Puberty
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 50:Approach to a Woman Presenting with Breast Lump
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 51:Approach to a Woman Presenting with Nipple Discharge
- INTRODUCTION
- DIFFERENTIAL DIAGNOSIS
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 52:Approach to a Victim of Sexual Assault
- INTRODUCTION
- ASSESSMENT OF A RAPE VICTIM
- CONSENT
- HISTORY
- EXAMINATION
- INVESTIGATIONS
- CONCLUSION
CHAPTER 53:Minor Procedures in Gynecology
- INTRODUCTION
- ENDOMETRIAL BIOPSY
- HYSTEROSALPINGOGRAPHY
- HYSTEROSCOPY
- CULDOCENTESIS
- VAGINAL WET MOUNT
- FERN TEST
- POSTCOITAL TEST
- CONCLUSION
CHAPTER 54:Minor Procedures for Screening and Diagnosis of Cervical Cancer
- INTRODUCTION
- PROCEDURES FOR SCREENING OF CERVICAL CANCER
- PROCEDURES FOR DIAGNOSIS OF CERVICAL CANCER
- CERVICAL BIOPSY
- ENDOCERVICAL CURETTAGE
  - Indications for Endocervical Curettage
- CONE BIOPSY/CERVICAL CONIZATION
- CONCLUSION
CHAPTER 55:Obstetrical and Gynecological Instruments
- ABDOMINAL RETRACTORS
  - Doyen Retractor
    - Indications
    - Disadvantage
  - Morris Retractor
  - Deaver Retractor
    - Indications
  - Journey Retractor
  - Right-angled Retractor
- ALLIS FORCEPS
  - Indications
- ANEURYSM NEEDLE
- ANTERIOR VAGINAL WALL RETRACTOR
  - Indications
- ARTERY FORCEPS
- AYRE'S SPATULA
  - Indications
  - Technique of Use
- BLADDER CATHETERS
  - Foley Catheter
    - Indications
  - Female Metal Catheter
    - Indications
  - Plain Disposable Catheter
    - Indications
  - Landon Vaginal Retractor
    - Indications
  - Bladder Sound
    - Indications
  - Bonney's Myomectomy Clamp
  - Technique of Using the Instrument
- CERVICAL DILATORS
  - Hegar Dilators
  - Other Dilators
- CURETTES
  - Uterine Curette
  - Other Available Curettes
- EPISIOTOMY SCISSORS
  - Complications
- GREEN ARMYTAGE FORCEPS
  - Advantages
  - Indications
- KARMAN CANNULA
  - Indications
- LANE'S TISSUE FORCEPS
  - Indications
- LEECH WILKINSON CANNULA
  - Indications
  - Technique of Use
- MYOMA SCREW
  - Indications
  - Technique of Use
- NEEDLE HOLDER
- OVUM FORCEPS
  - Technique of Use
  - Indications
  - Complications
- PEDICLE CLAMPS
  - Maingot Clamp
  - Kocher's Clamp
    - Indications
  - Heaney Clamp
    - Indications
  - Technique of Application of Clamp
  - Shirodkar Cervical Clamp
    - Indications
    - Disadvantage
  - Shirodkar Hook
  - Shirodkar Needle
  - Sponge-holding Forceps
    - Indications
- TENACULUM
- UTERINE SOUND
  - Indications
  - Technique of Use
  - Contraindications
  - Complications
    - Perforation
- VAGINAL SPECULUMS
  - Sims Speculum
  - Cusco's Speculum
    - Advantages
    - Disadvantages
  - Vulsellum
    - Indications
  - Wertheim's Vaginal Clamp
  - Technique of Application of Clamp
CHAPTER 56:Forceps and Ventouse
- INTRODUCTION
- INDICATIONS
- CONTRAINDICATIONS
- VENTOUSE VS FORCEPS EXTRACTION
- FORCEPS DELIVERY
- VENTOUSE DELIVERY
- CONCLUSION
CHAPTER 57:Contraception
- INTRODUCTION
- PRESCRIBING A CONTRACEPTIVE: WHAT TO BEAR IN MIND?
- CONCLUSION
CHAPTER 58:Medical Termination of Pregnancy and Sterilization
- INTRODUCTION
- MEDICAL TERMINATION OF PREGNANCY
  - Prerequisites for MTP
  - Methods of MTP
- FIRST TRIMESTER MTP
- SECOND TRIMESTER MTP
  - Medical Methods
  - Surgical Methods
- STERILIZATION
- FEMALE STERILIZATION
- MALE STERILIZATION
- CONCLUSION
CHAPTER 59:Doctor-Patient Interaction
- COMMUNICATION
  - Non-verbal Communication
  - Verbal Communication

INDEX

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Index

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Chapter Notes