Important knowledge

⚡️Ovarian tumors that secret estrogen Benign : ▪︎Brenner tumours (rarly) ▪︎Thecomas Malignant : ▪︎Granulosa cell tumours

شوكت تگدر تحدد ال Sex مال البيبي اسبوع 12-14 اذا experience sonographist وتسوي بوزشن خاص للام اسمه Outward Appearance و تكدر تشوفه براحتك ب الاسبوع 16

⚡️Abrabtio placenta : -------------------- During active bleeding, the transfusion of platelets is often the best practical means of counteracting a clotting deficiency

⚡️Normal parameters of seminal fluid analysis (look for total motility vs progressive motility)

⚡️ HUS vs TTP #hematology

⚡️Folic acid in pregnency ▪︎Low risk pregnency = 400 Microgram ▪︎high risk pregnency = 5 mg 3 indications only for 5mg folic acid (high risk situations) including: ▪︎pt. with history of previous baby with neural tube defect ▪︎diabetic pt. ▪︎pt. on anti epileptic drugs

ECG presentations of pulmonary embolism

Pap smear set (بعض الادوات غير موجودة في ملزمة العملي لكنها ترد في السلايدات )

CTG Shoulders Sign of variable deceleration

⚡️Indication of termination of pregnancy in Iraq : ♦️fetal ▪︎congenital anomaly incompatible with life ( as anencephaly ) ♦️maternal ▪︎Eclamptic fit ▪︎pulmonary hypertension or eisenmenger syndrome or severe mitral stenosis or stage 4 heart failure ▪︎acute liver failure due to cholestasis of pregnancy ▪︎severe hyperemesis gravidarum ▪︎diabetic retinopathy

Tocolytic drugs

⚡️symptoms of pregnency (nausea & vomiting) normaly disappear at the beginning of the second trimester ( 4th month)

⚡️Ddx of vaginal discharge in pregnency ▪︎infection ▪︎leaking liquor ▪︎show ▪︎hydrorrhea gravidarum ▪︎urine incontinence

⚡️Trid of ▪︎cessation of uterine contraction ▪︎severe vaginal bleeding ▪︎hematuria in follley catheter = uterine rupture until proven otherwise

⚡️ The cause of linea nigra during pregnancy is due to the melanocyte-stimulating hormone created by the placenta causes melanin to rise during pregnancy .

#gyne_obstetrics_rotation🤰