Sharing medical info.
The channel idea inspired from Yasser Rahim. This channel made for sharing notes, images, voice records, mcqs ...etc.
إظهار المزيد250
المشتركون
لا توجد بيانات24 ساعات
لا توجد بيانات7 أيام
لا توجد بيانات30 أيام
- المشتركون
- التغطية البريدية
- ER - نسبة المشاركة
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#gyne
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71240
Repost from N/a
Secondary Amenorrhea:
1. 6 Months w/o menses?
2. Non-Pregnant, Breastfed? (Menopause can be checked by age)
3. No history of Contraceptive?
4. History of Curettage (Asherman syndrome) => Uterine Adhesion
5. History of Cone biopsy => cervical Stenosis
6. History Of PCOS (تكيس المبايض) => Ovarian cause
7 . History of Chemo/Radiotherapy, Autoimmune or same condition in the family (Premature O.
Failure).
8. History of weight loss, exercise or psycological distress? => (Hypothalamic cause)
9. History if chronic illness (DM, CRF, Cushing syndrome) => (Hypothalamic cause)
10. History of excessive milk production => Hyperprolactinemia
11. History of Head Trauma, Tumors or TB
12. History of Thyroid disease
22630
Repost from N/a
Primary amenorrhea:
1. Family History of the same condition (like her sister)
2. History of Meningitis
3. History of Head Trauma
4. History of Tumors (Head T.)
5. Diet or Excessive exercise (باليه، جمناستك)
6. Weight loss
🍄 If You think the cause is imperforate hymen or transverse vaginal septum:
7. Intermittent Cyclical abdominal pain
8. Difficulty to pass Urine or Defecation
🍄 Ovarian Fialure
9. History of Radio/Chemothrapy
10. History of Autoimmune Diseases
——————————————————
13630
Repost from N/a
Infertility:
- Name, Age, Date of marriage
1. Conception History
2. how long the patient has been trying to conceive
3. regular, unprotected sex / History of Dyspareunia?
4. contraception or using Lubricant?
4. Menstrual History and Regularity
5. History of Hirsutism and acne
6. History of Head Truman
7. History of Pelvic Surgery, PID or STD
8. History of Radiation or chemotherapy or Autoimmune disease
9. Drug use, Alcohol or smoking
10. body weight and Occupation
11. Chronic Disease like DM, HTN or CRF
12. Thyroid Problem / Heart Disease
13. Family history of same condition
30740
APH approach by Dr. Amal muneer:
1. Pt after 24 weeks GA presented to you with vaginal bleeding ? How you approach her ?
🌼 history:
- Ask about onset whether it's sudden or gradual .
- assess severity by asking :
▪︎if there is clots or not.
▪︎if she had fainting attack.
▪︎number of pads that she changed.
▪︎if the blood corupt her clothes and bed.
-ask about associated symptoms:
▪︎if there is pain or not ( very important, it differentiate b/t placenta previa and abruptio placenta. Note: pain in case of abruptio placenta is continuous pain, while in placenta previa it is painless ( classic presentation) but there is some case the have placenta previa and associated with abruption it is about 10 %.
▪︎ask about associated symptoms like fainting attack , dizziness, palpitation.
▪︎ask about fetal is very important in such case bcz in case of placenta previa it will not affected while in case of abruption it will be affected.
▪︎ if she had history of trauma ( doing heavy duties also consider it )
▪︎consider asking about the causes of abruptio placenta ( hx of HTN , smoking....etc) .
▪︎ GA is important bcz we depends on it in termination of pregnancy .
13850
PPROM hx taking :
Amount
Colour
Odour
Onset ( sudden or gradual )
Trigger ( truma, heavy duty )
Association : related to mother
- abdominal pain
- bleeding
- fever
Related to fetus
- reduce fetal movement
- reduce abdominal size
- fetal part are palpable
Aggravating factors ( sneeze , cough )
Relieving factors ( rest )
Previous episode ?
13060
تقريبا نفس ال ulcer exam
But we should notice some points :
Suture material
Suture tech.
Type of inscision if it was in abdomen which is so recommended
Also if there is dressing we should notice whether it is dry or wet
10200
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