Future Doctors

عيد أضحى مُبارك، وكُل عامٍ وأنتُم بخير أعاده الله علينا وعليكم بالخير واليمن والخيرات ♡︎.

ملخص الي صار طلعت من البيت اشوف شنو المستمسكات الي يردوها للتسجيل رجعت عل بيت مكمل امتحان نسائية ومخلص رابعة ولهسا محد يعرف شلون

Note : -

- Most clinical features in miscarriage is bleeding. - Most clinical features in ectopic pregnancy is abdominal pain. - Most clinical features of molar pregnancy is bleeding with grape like vaginal discharge.

PPH PRIMARY :24hr after delivery SECONDARY:48 hr to 6 weeksafter delivery 500ml in vaginal delivery 1000ml in caesarian delivery Asthma: between 24 and 36 weeks of pregnancy. pelvic inlet : normal transverse diameter in this plane is 13.5 cm the anterior–posterior (AP) diameter 11cm midpelvis is almost round(12 cm) station zero is at the level of the ischial spines, −1 is 1 cm above the spines and +1 is 1cm below the spines). pelvic outlet : The AP diameter of the pelvic outlet is 13.5 cm and the transverse diameter is 11cm Head diameter : Occipito mental diameter =13cm Suboccipital frontal diameter = 10cm Suboccipito breagmatic diameter =9.5cm By 12w the amnion comes in contact with inner surface of the chorion &obliterates increase in plasma volume (40-50%) Stroke volume increases by 35% Total lung capacity is reduced by 5% 50% increase in GFR Urine pregnancy test: usually positive on day 35 from LMP Serum pregnancy test : usually positive 11-14 days after ovulation. Ultrasonography recognition of the gestational sac as early as 4-5 weeks. Fetal heart activity → US show fetal heart after 6 weeks of gestation Fetal gestational age is best determined by measuring the crown rump length (CRL) Quickening Multi :16-18 Primmi :18-20 Fetal heart sound (FHS): it can be detected between (18–20) Heart rate is ( 110–160) beats per minute. Palpation of fetal part from the 24th week onwards maximum cardiac output in pregnancy at 28 week serum screening(15-19)wks, for Down's syndrome. Maternal serum alpha-fetoprotein (15-19) wks for neural tube defect. Detailed ultrasound scan (19-22)wks for structural abnormalities. Prophylactic anti D for Rh negative women at 28 & 34 wks. Gestational diabetes screening at 28 wks. Full blood count &red cell antibodies screen at 28 & 36wks. miscarriage :The termination of pregnancy or expulsion of conception before 24 weeks gestation. Idiopathic recurrent miscarriage (40-50%) OGTT by giving 75gm glucose: • Fasting ≥100 • one hour ≥ 165 mg/dl • 2hrs ≥ 140mg/dl سؤال المد : − If FBS < 6 mmol/l → have low risk to develop DM − If FBS 6-6.9mmol/l→have high risk to develop DM − If FBS > 7 mmol/l→ diagnosis of DM Delivery in D.M :37-38.6week Delivery in gestational D.M :40.6 week Delivery in mild HTN :befor 37 week Delivery in sever HTN : between 34-36 week primigravida engagement usually occur 36-38weeks multipara it usually occurs during labor. PTP: beyond 42 week Late deaths: occurring between 42 days & one year after abortion or labors Stillbirth: Is the birth of a baby after 24 weeks of gestation Neonatal death: The death of the baby within 28 days following birth. Early neonatal death occurring within one week of birth. Late neonatal death occurring in the remaining 3 weeks of the neonatal period. Normal baby weight is 2.5 - 3 kg When growth restriction is sever and the baby is >34 so termination of by delivering the baby (APH) is defined as any bleeding from the genital tract after the 24th week of pregnancy and before the end of 2nd stage of labor. More than 50% of women suffer from postpartum blues. Twin pregnancy continuing beyond 38 weeks. Echo at the booking visit and at around 28 weeks’ Pre term labour : Uterine contraction with cervical dilatation and effacent that lead to Delivery of the fetus between 24 weeks --- 36 week +6 days of gesta 1-Plasma fibrinogen concentration rises during pregnancy about 50% 2-Increase in factors V , VII , VIII , IX , X , XII . Most maternal deaths after CS are due to Pulmonary Thromboembolism (PE) & 90% of deaths occurs in the first 24 hour after delivery. Pregnancy increase the risk of (TE) by 6 folds . prophylactic Anti D at 28 & 34 weeks rupture of uterus: Disruption in the continuity of the all uterine layers beyond 28 weeks Serum free T4 concentrations are measured every 4 to 6 weeks. اغلب الارقام و الاسابيع خليتهم و للكورسين طبيعي ما يشمل كل الارقام ولكن الاهم والمتكرر خليته ان شاء الله تستفادون منه ولي عنده اضافه شي مهم خل يضيفه