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With the second edition of First Aid Q&A for the USMLE Step 1, we continue. A third-year medical r Obstetrics and Gynecology. Pages·· In this part of the article, you will be able to access caite.info file of First Aid for the Obstetrics and Gynecology Clerkship 3rd Edition PDF by using our direct links. Book description: The obstetrics and gynecology clerkship survival guide from the publishers of First Aid for the USMLE Step 1. This powerful review for the.
Datril has shown no evidence of terato- recommended for aches genicity. Terminal hairs are the coarse. PROM is the most common diagnosis associated with preterm delivery. Lung 2. If a resident is always hunting around for some tape to do a dressing change every time you round on a particular patient, get some tape ahead of time. These infections may be asymptomatic: Table summarizes maternal physiologic changes during pregnancy.
If an older patient with recurrent Bartholin s abscess or cysts, consider adenocarcinoma and take a biopsy. Reproductive Anatomy Bartholin gland blockage Causes a cyst or abscess. Most often: The vulva consists of all structures visible externally from the pubis to perineum. It includes: The labia majora, labia minora, mons pubis, clitoris, vestibule of the vagina, vestibular bulb, and the greater vestibular glands see Figure The vestibule itself contains the urethal opening, vaginal opening, bilateral Bartholin gland ducts, and bilateral Skene s paraurethral glands.
Homologue of the male penis. Composed of a glans, a corpora, and two crura. Rarely exceeds 2 cm in length, and normal diameter is 1. Bartholin glands: Located at 4 o clock and 8 o clock of the vaginal orifice and are typically nonpalpable.
They function in secreting mucous to provide vaginal lubrication and are homologous to the bulbourethral glands in males.
Skene s glands: Ducts of these glands open on either side of the urethral orifice. Blood Supply From branches of the external and internal pudendal arteries, which are subdivisions of the hypogastric artery internal iliac. Lymph Medial group of superficial inguinal nodes. External female genitalia. Williams Obstetrics, 23rd ed. New York: McGraw-Hill, Nerve Supply Pudendal branches: Anterior parts of vulva: Ilioinguinal nerves and the genital branch of the genitofemoral nerves.
Posterior parts: Perineal nerves and posterior cutaneous nerves of the thigh. Exteriorly, the vaginal orifice is located anterior to the perineum and posterior the urethra. A pudendal block can provide pain relief at the time of a vaginal delivery. Vaginal branch of the uterine artery is the primary supply to the vagina.
Middle rectal and inferior vaginal branches of the hypogastric artery internal iliac artery are secondary blood supplies. Anastomoses with cervical arteries.
Nerve Supply Hypogastric plexus: Sympathetic innervation. Pelvic nerve: Parasympathetic innervation. It is the specialized narrow inferior portion of the uterus that is at the apex of the vagina. Components The cervix can be further subdivided into: Portio vaginalis: Portion of the cervix projecting into the vagina. External os: Lowermost opening of the cervix into the vagina.
Portion of the cervix exterior to the external os. Endocervical canal: Passageway between the external os and the uterine cavity. Internal os: Uppermost opening of the cervix into the uterine cavity. The colposcopic biopsy shows cervical intraepithelial neoplasia II. She undergoes a loop electroexcision procedure. What portion of the cervix must be completely excised to ensure proper treatment?
The transformation zone should be completely excised because that is where the majority of cervical cancers arise.
Reproductive Anatomy Colposcopy: Magnified view of the cervix, vagina, and vulva. Both columnar and stratified nonkeratinized squamous epithelia cover the cervix. The stratified nonkeratinized squamous epithelium covers the ectocervix. The columnar epithelium lines the endocervical canal. The squamocolumnar junction is where the two types of epithelium meet. The transformation zone is the area of metaplasia where columnar epithelium changes to squamous epithelium. Blood Supply Cervical and vaginal branch of the uterine artery, which arises from the internal iliac artery.
Nerve Supply Hypogastric plexus.
In pregnancy, the uterus enlarges with the growth of the fetus and progressively becomes an abdominal as well as a pelvic organ. Components Fundus: Uppermost region of uterus.
Body of the uterus. Part of uterus that connects to the fallopian tubes bilaterally. Inferior part of the uterus that protrudes into the vagina. Histology Myometrium: The smooth muscle layer of uterus. It is subdivided into three layers: Outer longitudinal 2. Middle oblique 3. Inner longitudinal Endometrium: The mucosal layer of the uterus, made up of columnar epithelium. Blood Supply Uterine arteries: Arise from hypogastric artery internal iliac artery.
Ovarian arteries: Arise from the aorta, and anastamose with uterine vasculature. The ureter travels under the uterine artery. Think water under the bridge. The tubes are occluded at the isthmus for permanent sterilization via laparoscopy. The most distal part the uterine tube. Helps to sweep the egg that is released from the ovary into the tube.
Widest section. Narrowest part. Intramural part: Pierces uterine wall and connects to the endometrial cavity. No peritoneum around ovaries leads to fast dissemination of ovarian cancer in the abdomen. Nerve Supply Pelvic plexus autonomic and ovarian plexus. They are attached to the broad ligament by the mesovarium and are not covered by peritoneum.
Each ovary functions in ova development and hormone production. Blood Supply Both ovarian arteries arise from the aorta at the level of L1. Veins drain into the inferior vena cava on the right side and the renal vein on the left.
Nerve Supply Derived from the aortic plexus. Histology Reproductive Anatomy The ovaries are covered by tunica albuginea, a fibrous capsule. The tunica albuginea is covered by germinal epithelium. Pain worsens upon walking and with rest. Patient denies loss of fluid, vaginal bleeding, fever, trauma, sick contacts, and travel.
Her last coitus was 3 weeks ago. Fetal movement is present. Non-stress test NST is reassuring and no contractions are recorded. Her cervix is closed on vaginal exam. Urinalysis UA is negative. What is this patient s diagnosis? Round ligament pain. Round ligament pain is a diagnosis of exclusion. The key is worsening pain with movement and improvement with rest.
It can be treated with acetaminophen and rest. Some ligaments of the pelvis act only as support structures, but others also carry the blood supply for essential organs. Broad ligament: Peritoneal fold extends from the lateral pelvic wall to the uterus and adnexa. Contains the fallopian uterine tube, round ligament, uterine and ovarian blood vessels, lymph, ureterovaginal nerves, and ureter see Figure Supporting structures of the pelvic viscera. Digging Up the Bones: Obstetrics and Gynecology.
Infundibulopelvic IP ligament aka suspensory ligament of the ovary: Contains the ovarian artery and vein and connects the ovary to the pelvic wall. Round ligament: The remains of the gubernaculum; extends from the corpus of the uterus down and laterally through the inguinal canal and terminates in the labia majora. Cardinal ligament Mackenrodt ligament: Extends from the cervix near the level of the internal cervical os and lateral vagina to the pelvic side wall; most important support structure of the uterus.
It contains the uterine artery and vein. Uterosacral ligaments: Each ligament extends from an attachment posterolaterally to the supravaginal portion of the cervix and inserts into the fascia over the sacrum. Provides some support to the uterus. Most of the support is provided by the pelvic and urogenital diaphragms. Pelvic diaphragm forms a broad sling in the pelvis to support the internal organs.
It is composed of the levator ani complex iliococcygeus, puborectalis, pubococcygeus muscles and the coccygeus muscles. Urogenital diaphragm is external to the pelvic diaphragm and is composed of the deep transverse perineal muscles, the constrictor of the urethra, and the internal and external fascial coverings.
It helps maintain urinary continence. Perineal body is the central tendon of the perineum, which provides much of the support. The median raphe of the levator ani, between the anus and vagina. Bulbocavernosus, superficial transverse perineal, and external anal sphincter muscles converge at the central tendon. Most hysterectomies start by ligation and transection of the round ligament.
Pelvic organ prolapse is caused by a defect in the plevic diaphragm. The perineal body is cut when episiotomy performed. Fallopian Tube Catheterization - Recanalization Introduction Fallopian tube catheterization, also known as recanalization, is a procedure to help clear a blockage in the Fallopian tubes.
A blockage in. Sometimes, endometrial tissue grows elsewhere in the body. When this happens. Hysterectomy removal of the uterus is a way of treating problems that affect the uterus.
Many conditions can be cured with hysterectomy. Because it is major surgery, your doctor may suggest trying other. Uterine fibroids Leiomyoma What are uterine fibroids? Uterine fibroids are fairly common benign not cancer growths in the uterus. Many women who have fibroids. The uterus is the organ which shelters and nourishes a baby during. They are the most common type of growth found in a woman s. Cancer of the cervix occurs when those cells change,.
Hysterectomy The time to take care of yourself The time to take care of yourself Women spend a lot of time taking care of others spouses, children, parents. We often overlook our own needs. But when our. It can occur at any age and has. The egg ovum cell is the female sex cell.
Female Reproductive. COM What is a hysterectomy? Hysterectomy Hysterectomy is.
Hydrothermal Endometrial Ablation Introduction A hydrothermal endometrial ablation also known as HTA is a procedure that allows doctors to destroy the inner lining of the uterus. It is one way to treat.
Media Contact: Gerri Gomez Howard Cell: Ovarian cancer is a cancer that forms in tissues. Thinking of changing your birth control method after pregnancy? The intrauterine system as a birth control option for busy moms. Why should I think about birth control after having given birth to such. Glossary amenorrhea - absence or cessation of menstrual periods.
A amenorrhea, secondary - due to some physical. Naturally, you may have questions about. The sheet has information about the different types. Female Reproductive System Laboratory Exercise 60 Background The organs of the female reproductive system are specialized to produce and maintain the female sex cells, to transport these cells to the site.
Total Vaginal Hysterectomy with an Anterior and Posterior Repair What is a total vaginal hysterectomy with an anterior and posterior repair? Total vaginal hysterectomy is the removal of the uterus and. What is a total abdominal hysterectomy? Is the removal of the uterus and cervix through an abdominal incision either an up and down or bikini cut. Removal of the ovaries and tubes depends on the patient. Craig R. Sweet, M. Your doctor may recommend a hernia operation.
The decision whether or. Any further questions? Please contact the matron for Women s Health on answerphone Monday - Thursday 9am - 5pm. For more information: Royal College of Obstetrics and Gynaecology Recovering. What is a total vaginal hysterectomy? Is the removal of the uterus and cervix through the vagina. Why is this surgery used? To treat disease of. This information is an extract from the booklet Understanding womb endometrial cancer.
You may find the full booklet helpful. We can send you a free copy see page 9. Overview Contents Overview Removing. Women s Service Vaginal hysterectomy and vaginal repair Information for patients Vaginal hysterectomy and vaginal repair This leaflet is for women who have been advised to have a vaginal hysterectomy.
Under normal circumstances, a woman's uterus sheds a limited amount of blood during each menstrual period. Bleeding that occurs between. How your blood pressure is checked during pregnancy. What preeclampsia is, including risk factors, treatments, and.
Many are performed by the conventional. Incisional, Ventral Hernia Repair Introduction Hernias are common conditions that affect men and women of all ages. Your doctor may have recommended a hernia operation. The decision whether or not to have. Tissues make up the organs of the body. Sometimes, this. Urinary Tract Infections in Adults Urinary tract infections UTIs are responsible for more than seven million visits to physicians' offices per year and about 5 five percent of all visits to primary care.
What is an abdominal myomectomy? Surgical removal of fibroids through an abdominal incision-either up and down or bikini cut. The uterus and cervix are left in place.
When is this surgery used? The majority of these cysts are functional meaning they usually form during a normal menstrual cycle. What is endometriosis? Endometriosis pronounced en- doh mee tree oh sis is the name given to the condition where cells like the ones in the lining of the womb uterus are found elsewhere in the body.
Model used for illustrative purposes only. Welcome to Mirena Congratulations, you ve chosen birth control that may help simplify your life. You re now part of a special group of women the. Menstruation and the Menstrual Cycle Q: What is menstruation?
Menstruation is a woman s monthly bleeding, also called a period. When you menstruate, your body is shedding the lining of the uterus womb. Put the following structures in order from testis to urethra: Acute pelvic inflammatory disease: Cervical Cancer Screening and Management Guidelines: Changing Again, Huh?
Restoring Your Lifestyle. Injections, Implants, Rings, and Patches In addition to oral contraceptives birth control pills , there are several. Check off the "Requested" box for each privilege requested. Gynecology Abnormal Pelvic Anatomy and Physiology: Cystectomy and Ovarian Cysts Ovarian cysts are sacs filled with fluids or pockets located on or in an ovary.
In some cases, these cysts need to be removed surgically. Types of Cysts Ovarian cysts are quite. Approximately , inguinal or groin hernia repair operations are performed. Too often, the woman who receives this news worries that she already has, or will develop,. Treating your prolapse This leaflet explains what a prolapse is, and how it can be treated and managed. If you have any questions or concerns, please speak to a member of staff caring for you. What is. Scan for mobile link. Hysterosalpingography Hysterosalpingography uses a real-time form of x-ray called fluoroscopy to examine the uterus and fallopian tubes of a woman who is having difficulty becoming.
Before taking it, there are several things you need to know about. The discharge of blood and tissue from the lining of your uterus each.
Pregnancy - First Trimester - What to Expect Introduction The first trimester of pregnancy refers to weeks 1 through Pregnancy lasts about 40 weeks, counting from the first day of your last normal. Ovarian Cysts Introduction Ovarian cysts are a very common female condition.
An ovarian cyst is a fluid-filled sac on an ovary in the female reproductive system. Most women have ovarian cysts sometime.
What is a hysteroscopy? This is a procedure where a doctor uses a thin tube with a tiny camera to look inside the uterus.
There are no incisions. Saline solution is used to expand the uterus in order to. Bercik, M. Uterine Fibroids More than half of all women have fibroids. They are a common, benign, uterine growth. Fibroids are not a disease. Much like the genetic blueprint that determines the color of your eyes. Why would you need a hysterectomy? Removal of the uterus is performed to prevent, alleviate, or treat pain, pressure, bleeding, or cancer.
Each reason is described in detail in the following pages. Semester 1 Orientation - This class is an introduction to sonography which includes a basic anatomy review, introduction to sonographic scanning techniques and physical principles.
This curriculum. No other field offers such a wide variety of medical and surgical management. Ask your doctor to tell you about all of the. Uterus or womb is pear shaped muscular organ, slightly smaller. How do I know if I need to have surgery? The success or failure of someone else's operation. Intraperitoneal IP chemotherapy is a way to put some of your chemotherapy into your abdomen also called the peritoneal cavity.
Gallbladder removal surgery is usually performed. We thank you for being part of or considering Magnolia s network of participating providers, hospitals, and other healthcare professionals. Incontinence What is incontinence? Broadly speaking, the medical term incontinence refers to any involuntary release of bodily fluids, but many people associate it strongly with the inability to control.
What is a total laparoscopic hysterectomy? Why is this. Log in Registration. Search for. Start display at page:. View more. Similar documents. Slide 2. Slide 3. Anatomy to Know. Female Genital Anatomy. Fallopian Tube Catheterization - Recanalization Fallopian Tube Catheterization - Recanalization Introduction Fallopian tube catheterization, also known as recanalization, is a procedure to help clear a blockage in the Fallopian tubes. A blockage in More information.
When this happens More information. About the Uterus. Hysterectomy may be done to treat conditions that affect the uterus. Some reasons a hysterectomy may be needed include: Because it is major surgery, your doctor may suggest trying other More information.
Test Fourth. The Official Guide to the. Uterine fibroids Leiomyoma Uterine fibroids Leiomyoma What are uterine fibroids? Many women who have fibroids More information. Summa Health System. The uterus is the organ which shelters and nourishes a baby during More information.
Uterine Fibroids. They are the most common type of growth found in a woman s More information. Cancer of the cervix occurs when those cells change, More information. Urinary Incontinence. Anatomy and Terminology Overview. The time to take care of yourself Hysterectomy The time to take care of yourself The time to take care of yourself Women spend a lot of time taking care of others spouses, children, parents. But when our More information.
The main surgical options for treating early stage cervical cancer are: It can occur at any age and has More information. Female Reproductive System. Female Reproductive More information. What is a hysterectomy? Why is hysterectomy done? Are there alternatives to hysterectomy? Hysterectomy Hysterectomy is More information. Hydrothermal Endometrial Ablation Hydrothermal Endometrial Ablation Introduction A hydrothermal endometrial ablation also known as HTA is a procedure that allows doctors to destroy the inner lining of the uterus.
It is one way to treat More information. Ovarian cancer is a cancer that forms in tissues More information. Why should I think about birth control after having given birth to such More information. A amenorrhea, secondary - due to some physical More information.
A Guide to Hysteroscopy. Naturally, you may have questions about More information. Module 8: Cervical Cancer. Cervical smear test. The cervix. Cervical cancer. The sheet has information about the different types More information. Female Reproductive System Laboratory Exercise 60 Female Reproductive System Laboratory Exercise 60 Background The organs of the female reproductive system are specialized to produce and maintain the female sex cells, to transport these cells to the site More information.
Total vaginal hysterectomy is the removal of the uterus and More information. Total Abdominal Hysterectomy What is a total abdominal hysterectomy?
More information. The decision whether or More information. Laparoscopic Hysterectomy Any further questions? Total Vaginal Hysterectomy What is a total vaginal hysterectomy? To treat disease of More information. Removing the womb hysterectomy Overview This information is an extract from the booklet Understanding womb endometrial cancer. Overview Contents Overview Removing More information. Vaginal hysterectomy and vaginal repair Women s Service Vaginal hysterectomy and vaginal repair Information for patients Vaginal hysterectomy and vaginal repair This leaflet is for women who have been advised to have a vaginal hysterectomy.
Bleeding that occurs between More information. What preeclampsia is, including risk factors, treatments, and More information. Vaginal Repair- with Mesh A. Condition and treatment C. Interpreter More information. Many are performed by the conventional More information. The decision whether or not to have More information. Sometimes, this More information.
General and Objectives Clinical Skills for.
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