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Archive for September, 2007

Obs. Exam Cases

PIH
Anemia
GDM + Polyhydramnios
IUGR
Bad Obs. History
Twins
Cardiac disease in pregnancy
Previous LSCS
Post dates
Malpresentations (Breech)

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Hypertension

HYPERTENSIVE DISORDERS OF PREGNANCY: classification, grading and acute management

Hypertensive disorders of pregnancy are important causes of maternal and perinatal morbidity and mortality. There is, however, confusion about the terminology and grading of these disorders. The different classes of hypertension carry different risks but severe hypertension in itself remains a medical emergency.

Classification
Over [...]

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OG 1 Clubbing

From tomorrow onwards i.e., 25th September, u r clubbed with the other clinical group for everything including seminars and clinics…
Both the seminar topics are clubbed together on Wednesday.  Try finishing them as early as possible coz after that theres a clinic on IUGR by Dr. Bivas(probably).
And Saturday., class will be taken to the men students.

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Leadership!

This msg is to those people who act smart even after knowing that they r not…
      You people should atleast have discussed with your group representative before meeting the concerned departments regarding the residential postings.
     By doing such a thing, u actually ruined the plan which we had.  Now, u will never be able change it coz its been [...]

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Rh iso-immunization by Ann

For this presentation just click here…

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Template – Obstetrics

Template for obstetrics history and examination:
HISTORY:

Name
Age
Occupation
Place (How many km from here)
Husband’s name
Husband’s occupation(qualify with salary)
SES(check from the modified kuppuswamy’s scale from the archive)
Booked(depends)
Hospital no.
Obstetrics score:
LMP
Previous menstrual cycles
Gestational age(weeks, days)
EDC
Presenting complaint: admitted for…
HOPC
Obstetrics history(previous pregnancies and current)

·        Duration of marriage
·        Consanguineous or not
·        Relation
·        For PRIMI GRAVIDA only:
o       Conception after how many yrs of marriage
o       Conceived [...]

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OG End Of Posting!

OG End of posting is scheduled on the following dates:
Theory : 2Essays and 5short notes on 1st october.
Practicals: one long case each ono 3rd october.
 The OG1 Chief has the sole discretion to change the pattern.

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Birth weight

Classifications

Large for gestational age: Weight is above the 90th percentile at gestational age
Macrosomia: Weight is above a defined limit at any gestational age
Appropriate for gestational age: Normal birth weight
Small for gestational age: Weight is below the 10th percentile at gestational age
Low birth weight: Weight is below a defined limit at any gestational age

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Bishop’s Score

Components
The total score is achieved by assessing the following five components on vaginal examination:

Cervical dilatation
Cervical effacement
Cervical consistency
Cervical position
Fetal station

They can be remembered with the mnemonic: Call PEDS For Parturition = Cervical Postion, Effacement, Dilation, Softness; Fetal Station.

 Scoring
Each components is given a score of 0-2 or 0-3. The highest possible score is 13.

Parameter\Score
0
1
2
3

Position
Posterior
Intermediate
Anterior
-

Consistency
Firm
Intermediate
Soft
-

Effacement
0-30%
40-50%
60-70%
80%

Dilation
<1 cm
1-2 cm
2-4 cm
>4 [...]

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TTTS

Twin-to-twin transfusion syndrome (TTTS) is the result of an intrauterine blood transfusion from one twin (donor) to another twin (recipient). TTTS only occurs in monozygotic (identical) twins with a monochorionic placenta. The donor twin is often smaller with a birth weight 20% less than the recipient’s birth weight. The donor twin is often anemic and the [...]

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