https://medicstudentnotes.blogspot.com/2024/08/o-shortcase-for-professional-exam.html

https://medicstudentnotes.blogspot.com/2024/08/gynaecology-protocol-obstetrics.html

O&G Notes on Long Case For Professional Exam

*** modified Long Case

1. Anemia In Pregnancy

https://medicstudentnotes.blogspot.com/2024/08/anemia-in-pregnancy-clerking-template.html

1. Diabetes in Pregnancy

https://medicstudentnotes.blogspot.com/2024/08/diabetes-in-pregnancy-clerking-template.html

1. AUB

https://medicstudentnotes.blogspot.com/2024/08/abnormal-uterine-bleeding-in.html

https://medicstudentnotes.blogspot.com/2024/08/abnormal-uterine-bleeding-in.html

https://medicstudentnotes.blogspot.com/2024/08/diabetes-in-pregnancy-clerking-template.html

https://medicstudentnotes.blogspot.com/2024/08/anemia-in-pregnancy-clerking-template.html

Impending eclampsia is a serious condition that occurs in pregnant women, characterized by the onset of seizures (eclampsia) following preeclampsia. Early recognition of the signs of impending eclampsia is crucial for preventing seizures and ensuring maternal and fetal safety. Here are the key signs and symptoms that may indicate impending eclampsia:

- Severe Headache - Often described as a persistent, throbbing headache that is not relieved by analgesics.

- Visual Disturbances - Blurred vision, seeing spots or flashes, and photophobia (sensitivity to light).

- Severe Hypertension - Blood pressure readings of 160/110 mmHg or higher.

- Upper Abdominal Pain - Particularly in the right upper quadrant, often due to liver involvement.

- Nausea and Vomiting - May accompany other symptoms.

- Decreased Urine Output (Oliguria) - Suggesting renal impairment.

- Altered Mental Status - Confusion, restlessness, or irritability.

- Hyperreflexia - Exaggerated deep tendon reflexes and clonus (a series of involuntary muscle contractions).

Prompt medical evaluation and intervention are necessary if these symptoms occur to prevent the progression to eclampsia, which can pose serious risks to both the mother and baby. Treatment typically involves controlling blood pressure and administering magnesium sulfate to prevent seizures.

General examination?

Inspections
- Abdomen distension
- pregnancy cutaneous sign
- scar ? transverse or longitudinal
- umbilicus is

abdomen is soft and non tender

SFH
- Transverse lie : smaller than date
- equivalent to date
- use inch

Leopolds

1st Menouver
- nk determine
- Pole ( 2 pole, 4 pole )
- Lie ( longitudinal or oblique, transverse )
- Kepala : round, Firm, ballotable
- bontot : broad, soft

Lateral Grip
- determine and confirm lie
- push gently
- form the funds
- feel fetal part
- rounded : Fetal back

pelvic grip - how many part fetal head enters the pelvic
- presentation
- engagement ? - 3/5 palpable ( 2 part of the head enter the pelvis )
- ballot ? :
- freely mobile : 5/5 palpable ( not enter pelvic yet )

• longitudinal lie
• cephalic presentation

Transverse lie

There is singleton fetus, longitudinal/transverse/oblique lie,

cephalic/breech presentation

fetal back is R/L maternal side
fetal part us R/L maternal side

head of fetus is 4/5 palpable

Liquor is adequate = nicely feels
Liquor volume is increase = Hardly to feel
Very easily felt = Decrease liquor

EFW = ????

- 12 weeks: 8-14 grams
- 16 weeks: 80-100 grams
- 20 weeks: 300-350 grams
- 24 weeks: 600-700 grams
- 28 weeks: 1,000-1,200 grams (1 kg to 1.2 kg)
- 32 weeks: 1,700-2,000 grams (1.7 kg to 2 kg)
- 36 weeks: 2,500-2,700 grams (2.5 kg to 2.7 kg)
- 40 weeks: 3,200-3,600 grams (3.2 kg to 3.6 kg)

👻Auscultations
- Pinard
- Daptone
: cannot use stethoscope
How to determine
- location of fetal heart ? (posterior / fetal back )
- identify the fetal back ? R/L
- fetal heart located around the posterior to the anterior shoulder
- must face the mother
- how to describe : the fetal heart activity is present
N : 100-160

Start to feel the fundus : 12 week

use measures tape >22 week and above

< 22 weeks : Clinical fundal height
- anatomical landmark
- above : the pubic symphisis : 12
- midway umbilicus and PS : 16 week

- Xiphisterum : 36 week ****

- fullness of the flank : >38 week

max : is more than 38 je

above umbilical
- 1 finger = 2weeks

kalau bawah sikit pada xiphisternum : tolak

Bedside Teaching notes for O&G

1. Uterine Fibroid

https://medicstudentnotes.blogspot.com/2024/08/clerking-template-obstetrics-and.html