Obstetrics & Gynaecology

Obstetrics

Basic Science

• Clinical anatomy of the pelvis and reproductive tract
• Conception, Fertilisation and Implantation
• Maternal Physiology
  • Endocrinology; Haemodynamics; CVS/Resp; Genital tract and breast; other
• The Placenta and Foetal Membranes
• Normal Foetal Growth
• Puerperium and Lactation

Normal labour

• Normal Labour
  • Stages; induction (cervical ripening)
• Analgesia and anaesthesia in labour
• Drugs and common conditions in pregnancy

Clinical Skills

• History and Examination of the pregnant woman
• Pre-conception care/advice
• Antenatal care
• Foetal Monitoring during labour and Assessing foetal growth
• Induction and Augmentation of Labour
• Contraception
• Abortion/Termination of Pregnancy

Core Clinical Problems

• Bleeding in Pregnancy (also non obstetric bleeding)
• Abdominal pain in pregnancy (before and after 24 weeks; related/unrelated to pregnancy)
• Prolonged Labour
• Contraception

Clinical situations/conditions

• Minor complications in pregnancy
  • GI; MSK; GU; other
• Substance misuse in pregnancy
• Early pregnancy
  • Bleeding and Miscarriage
    • Recurrent miscarriage
  • Ectopic pregnancy
  • Unknown location
  • Hyperemesis gravidarum
• Antepartum haemorrhage
  • Placenta praevia
  • Placenta accreta
  • Placental abruption
  • Bloody show
  • Vasa praevia
• Blood pressure problems
  • Hypertension in Pregnancy and Pre-Eclampsia
  • Eclampsia; Haemolysis and HELLP syndrome
• Amniotic Fluid
  • Polyhydramnios
  • Oligohydramnios
• Growth
  • Large for gestation
  • Intra-uterine growth restriction and small for gestation
• Multiple pregnancy
• Breech presentation and other abnormal lies/presentations
• Preterm labour
  • Prevention/prediction
  • Preterm prelabour rupture of membranes
• Prolonged gestation (the overdue baby)
• Gestational diabetes and diabetes in pregnancy
• Infections to be aware of in pregnancy
  • Rubella
  • Measles
  • Parvovirus B19
  • Cytomegalovirus
  • Varicella Zoster virus
  • Herpes simplex virus
  • Toxoplasmosis
  • Hepatitis B
  • Group B Streptococcus
  • Group A Streptococcus
  • HIV
• Labour
  • Meconium stained liquor
  • Tears, Episiotomy and Cervical section
  • Prelabour rupture of membranes
  • Retained placenta and accreta (products of conception)
  • Post-partum haemorrhage
• Puerperium
  • Postpartum Sepsis and fever
  • Postpartum depression/psychiatric disorders
• Emergencies
  • Sudden collapse in pregnancy
  • Shoulder dystocia
  • Massive obstetric haemorrhage
  • Venous thromboembolism in pregnancy
  • Amniotic fluid embolism
  • Uterine inversion
  • Cord prolapse
  • Foetal distress
    • 2nd twin foetal distress
• Neoplasia
  • Hydatidiform mole
  • Choriocarcinoma
• The newborn
  • APGAR assessment and neonatal resuscitation

 

Gynaecology

Basic Science

• Anatomy of the female genital tract
• Anatomy of the pelvis (inc blood supply in relation to other organs)
  • Pelvic floor
• The Menstrual Cycle
• Menopause

Clinical Skills

• Gynaecological History
• Gynaecological Examination (Includes performing a smear test)
• Assisted reproduction

Conditions/Disorders

• Malformations of the genital tract
• Disorders of sexual development
  • Congenital adrenal hyperplasia
  • Androgen insensitivity syndrome
• Sexually transmitted infections and Pelvic inflammatory disease
  • Chlamydia
  • Herpes simplex virus
  • Gonorrhoea
  • Syphilis
  • Trichomonas
  • Human Papilloma virus
  • Bacterial vaginosis
  • Candidiasis
  • Pelvic inflammatory disease
• Polycystic ovarian syndrome
• Ovarian Hyperstimulation Syndrome
• Menstruation-related
  • Dysfunctional uterine bleeding
  • Premenstrual syndrome
  • Endometriosis
• Premature menopause
• Urogynaecology
  • Urinary incontinence
    • Stress incontinence
    • Overactive bladder
  • Pelvic organ prolapse
    • Vaginocele
    • Rectocele
    • Cystocele
• Neoplasis
  • Benign neoplasms of the lower genital tract
  • Benign neoplasms of the uterus
    • Fibroids
  • Benign ovarian tumours
  • Cervical cancer
    • Screening
    • CIN/CGIN
  • Ovarian cancer
  • Endometrial hyperplasia and cancer
  • Vulval cancer
    • VIN
• Skin/soft tissue conditions
  • Lichen sclerosis
  • Atrophic vaginitis

Contraception and Sterilisation

• The combined oral contraceptive
• The progesterone-only oral contraceptive
• Implant
• Mirena Coil
• Injection
• Barrier
• Emergency contraception
• Options for female sterilisation

Presenting Complaints/Core Clinical Problems

• Amenorrhoea/Oligomenorrhoea
• Dysmenorrhoea
• Menorrhagia
• Intermenstrual and Post-coital bleeding
• Pelvic Pain (Acute and chronic)
• Infertility (Male and female)
• Sexual dysfunction
• Menopause
• Urinary Incontinence
• Hirsutism and virilisation
• Delayed puberty
• Vaginal discharge (Children/puberty/adults)
• Sexual assault

Management/Pharmacology

• Hormone replacement therapy

 

Breast Disease

Basic science

• Breast development and lactation
• Anatomy

Presenting complaints

• Breast lumps
• Breast pain
• Skin changes
• Discharge

Clinical Skills/Investigation

• History and Examination
• Screening for cancer and one stop clinics

Conditions

• Benign breast lumps
• Breast cancer
• Paget’s disease
• Mastitis and Breast Abscess

Management

• Mastectomy and Breast lump excisions

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