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Differential Diagnosis and Managemet Options in Gynecology and Obstetrics : Volume 3

By Parulekar, Shashank, Vyankatesh, Dr.

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Book Id: WPLBN0100002725
Format Type: PDF eBook:
File Size: 3.06 MB
Reproduction Date: 1/7/2018

Title: Differential Diagnosis and Managemet Options in Gynecology and Obstetrics : Volume 3  
Author: Parulekar, Shashank, Vyankatesh, Dr.
Volume: Volume 3
Language: English
Subject: Non Fiction, Medicine, Gynecology and Obstetrics
Collections: Authors Community, Medicine
Publication Date:
Publisher: Self-Published
Member Page: Shashank Parulekar


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Shashank Vyankatesh Parulekar, B. D. (2018). Differential Diagnosis and Managemet Options in Gynecology and Obstetrics : Volume 3. Retrieved from

This book has 165 chapters which cover problems in areas like Menstrual disorders, General gynecology, Gynecologic urology, Gynecologic endocrinology, Infertility, Congenital malformations of genital tract, Gynecologic oncology, Operative gynecology, General obstetrics, Obstetric hemorrhage, Medical disorders, Obstetric disorders, Disorders of labor, Surgical disorders, Maternal fetal infections, Fetal medicine, Postpartum period, Operative obstetrics and Contraception. Each chapter has a logic-based flow-chart and each step in the flow chart is explained in accompanying text on the adjacent page. It is actually the thought process of a clinician in management of his patients with different problems in Gynecology and Obstetrics. I have foregone royalty and made this book free for readers after two successful editions, because not everyone can afford to buy books, and everyone deserves to get knowledge.

The process of learning of a doctor is quite complex. The formal training involves a series of courses in theory and practicals of different subjects. The next phase of learning medical sciences is the phase of medical practice. A doctor sees patients and treats them After an extensive experience, his master computer, i.e. the brain gets programmed well. Once this stage is reached one can make an accurate diagnosis and decide the course of action without seeming to make a conscious effort at it. Of course the process is not automatic. It is a reflex which involves a series of steps, ruling out different conditions at each, and finally deciding the diagnosis and the form of treatment. A number of unimportant steps described in standard teaching are not followed because they do not seem to make any difference in that situation. This is an algorithm or a flow-chart. A successful clinician has all the flow charts in his mind, and he uses them as needed, based on his patient's symptoms or needs. This book has flow-charts developed with a view of shortening the personal-experience-phase of a doctor's learning. These flowcharts are problem-based. The flow-charts are printed the way the sequence of thoughts should be. The problem is outlined at the top. The clinical test or investigation to be done in assessment at any step is printed in italics The results of the tests are printed in ordinary type. The diagnoses are put in boxes The treatment is printed in ordinary type. Explanations are given in the text opposite capital letters printed in the flow-charts.

Table of Contents
I Menstrual disorders 1 Dysmenorrhea 2 Primary amenorrhea 3 Secondary amenorrhea 4 Puberty menorrhagia 5 Menorrhagia in reproductive age 6 Postmenopausal vaginal bleeding 7 Metrorrhagia 8 Hypomenorrhea 9 Precocious vaginal bleeding 10 Premenstrual syndrome 11 Suspicion of endometrial hyperplasia 12 Suspicion of luteal phase defect II General gynecology 13 Acute lower abdominal and pelvic pain 14 Tenderness on transverse cervical movements 15 Low backache 16 Endometriosis 17 Pyometra 18 Adnexal mass 19 Abdominal enlargement 20 Uterine leiomyoma 21 Genital prolapse 22 Leukorrhea 23 Itching of the vulva 24 Vulvar lesion 25 Vulvodynia 26 Female sexual dysfunction 27 Painful dyspareunia 28 Chronic Pelvic Pain III Gynecologic urology 29 Urinary incontinence 30 Frequency of micturition 31 Retention of urine IV Gynecologic endocrinology 32 Hirsutism 33 Galactorrhea V Infertility 34 Infertility 35 Induction of ovulation 36 Cervical factor and sperm mucus penetration test 37 Male infertility VI Congenital malformations of genital tract 38 Congenital absence of vagina 39 Congenital malformations of the female genital tract VII Gynecologic oncology 40 Pap smear 41 Cervical intraepithelial neoplasia 42 Invasive cancer of cervix 43 Undiagnosed cervical cancer in a total hysterectomy specimen 44 Endometrial carcinoma 45 Uterine sarcoma 46 Ovarian carcinoma 47 Suspicion of choriocarcinoma 48 Suspicion of vulvar carcinoma VIII Operative gynecology 49 Choice of laparotomy incision 50 Difficult vaginal hysterectomy 51 Myomectomy 52 Repair of vesicovaginal fistula 53 Request for reversal of female sterilization 54 Postoperative fever 55 Postoperative hemorrhage 56 Suspicion of intraoperative bladder injury 57 Suspicion of operative injury to ureter 58 Operative injury to bowel 59 Postoperative abdominal wound breakdown 60 Posthysterectomy vaginal evisceration 61 Needle breaking inside tissues IX General obstetrics 62 Suspicion of pregnancy 63 Last menstrual period (LMP) unknown 64 Uterine size less than expected 65 Uterine size more than expected 66 Failure to gain weight 67 Exposure to teratogen 68 Request for prenatal diagnosis X Obstetric hemorrhage 69 First trimester vaginal bleeding 70 Suspicion of septic abortion 71 Suspicion of tubal ectopic pregnancy 72 Repeated abortions 73 Antepartum hemorrhage XI Medical disorders 74 Vomiting 75 Edema in pregnancy 76 Suspicion of anemia 77 Subacute/chronic breathlessness 78 Cough 79 Pulmonary disease 80 Cardiac disease 81 Cyanotic heart disease 82 Coarctation of aorta 83 Peripartum cardiomyopathy 84 Hypertension 85 Convulsions 86 Asymptomatic bacteriuria 87 Chronic renal disease 88 Jaundice in pregnancy 89 Pruritus 90 Out-of-wedlock pregnancy 91 Venous thrombosis 92 Pulmonary embolism 93 Systemic lupus erythematosus 94 Scleroderma 95 Antiphospholipid antibody syndrome XII Obstetric disorders 96 Rh-negative gravida 97 Multiple pregnancy 98 Umbilical cord prolapse 99 Hydramnios 100 Oligohydramnios 101 Preterm labor 102 Vaginal leakage of fluid 103 Prolonged pregnancy 104 Reduced fetal movements 105 Induction of labor XIII Disorders of labor 106 Occipitoposterior position 107 Breech presentation 108 Transverse lie 109 Face presentation 110 Brow presentation 111 Compound presentation 112 High floating presenting part at term 113 Suspicion of pelvic contraction at term 114 Nonprogress of labor 115 Soft tissue dystocia 116 Fetal macrosomia 117 Fetal hydrocephalus 118 Previous cesarean section XIV Surgical disorders 119 Trauma 120 Pelvic or abdominopelvic lump in pregnancy 121 Burns during pregnancy 122 Goitre in pregnancy 123 Thyroid nodule in pregnancy 124 Nipple discharge during pregnancy 125 Solitary breast mass in pregnancy 126 Breast pain 127 Hematemesis in pregnancy 128 Epistaxis in pregnancy 129 Hernias in pregnancy 130 Varicose veins in pregnancy XV Maternal fetal infections 131 Cytomegalovirus Infection 132 Dengue In Pregnancy 133 Ebola Virus Disease 134 Group B Streptococcus 135 Hepatitis B In Pregnancy 136 Hepatitis C In Pregnancy 137 Herpes Simplex 138 HIV Infection 139 Rash In Pregnancy 140 Rubella 141 Toxoplasmosis 142 Varicella Zoster 143 Zika Virus Fetal medicine 144 Assessment of fetal well being 145 Fetal arrhythmias 146 Hydrops fetalis 147 Craniospinal and facial anomalies 148 Fetal alloimmune thrombocytopenia 149 Intrapartum fetal monitoring 150 Acute fetal distress 151 Ambiguous genitalia XV1 Postpartum period 152 Postpartum hemorrhage 153 Postpartum hemorrhage : uterus not palpable 154 Late postpartum hemorrhage 155 Suspicion of coagulopathy 156 Thrombocytopenia 157 Sudden collapse in pregnancy 158 Puerperal pyrexia 159 Postpartum mastalgia XVII Operative obstetrics 160 Cervical incompetence 161 Difficult cesarean section XVIII Contraception 162 Desire for contraception 163 Missing threads of an IUCD 164 Failure of contraception 165 Desire for medical termination of pregnancy


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