Download 100 Cases in Obstetrics and Gynaecology

100 Cases in Obstetrics and Gynaecology PDF

100 Cases in Obstetrics and Gynaecology presents 100 obstetric- or gynaecology-related scenarios commonly seen by medical students and junior doctors in the emergency department, outpatient clinic, or on the ward. A succinct summary of the patient’s history, examination, and initial investigations―including photographs where relevant―is followed by questions on the diagnosis and management of each case.

The answer includes a detailed discussion on each topic, with further illustration where appropriate, providing an essential revision aid as well as a practical guide for students and junior doctors.

Making speedy and appropriate clinical decisions, and choosing the best course of action to take as a result, is one of the most important and challenging parts of training to become a doctor. These true-to-life cases will teach students and junior doctors to recognize important obstetric and gynaecological conditions, and to develop their diagnostic and management skills.

About the Author – 100 Cases in Obstetrics and Gynaecology

Cecilia Bottomley, Consultant in Obstetrics and Gynaecology, Chelsea and Westminster NHS Trust, London, UK

Janice Rymer, Dean of Undergraduate Medicine and Professor of Gynaecology, King’s College London School of Medicine, London, UK


  • Presents succinct case studies in an easy-to-read format, listing patient history, examination, and investigations
  • Includes questions at the end of each case, prompting readers to consider their options for diagnosis, investigation, and management
  • Provides answers that guide readers through the clinician’s sequence of thoughts and actions
  • Covers a broad range of common conditions, from the abnormal smear to peripartum collapse, together with more unusual cases
  • Features illustrations, information boxes, and key point summaries to reinforce learning

Contents – 100 Cases in Obstetrics and Gynaecology

Acknowledgements ix
Preface to second edition xi
Abbreviations xiii
Section 1: General gynaecology 1
Case 1: Intermenstrual bleeding 3
Case 2: Infertility 5
Case 3: Amenorrhoea 7
Case 4: Primary infertility 9
Case 5: Infertility 11
Case 6: Shortness of breath and abdominal pain 13
Case 7: Abdominal swelling 17
Case 8: Abnormal cervical smear 19
Case 9: Anaemia 21
Case 10: Absent periods 23
Case 11: Postmenopausal bleeding 27
Case 12: Painful periods 29
Case 13: Postcoital bleeding 31
Case 14: Recurrent miscarriage 33
Case 15: Pelvic pain 35
Case 16: Infertility 37 100 Cases in Obstetrics and Gynaecology
Case 17: Heavy periods 41
Case 18: Urinary incontinence 43
Case 19: Absent periods 45
Case 20: Abdominal and back pain 47
Case 21: Postoperative confusion 49
Case 22: Postmenopausal bleeding 51
Case 23: Pelvic pain 53
Case 24: Amenorrhoea 57

Case 25: Permanent contraception 59
Case 26: Labile mood and abdominal pain 61
Case 27: Cervical cancer 65
Case 28: Urinary incontinence 69
Case 29: Pelvic pain 71
Case 30: Early menarche 73
Case 31: Excessive hair growth 75 100 Cases in Obstetrics and Gynaecology

Section 2: Emergency gynaecology 77
Case 32: Pain and the intrauterine system 79
Case 33: Bleeding in pregnancy 81
Case 34: Pelvic pain 83
Case 35: Vulval swelling 85
Case 36: Abdominal pain 87
Case 37: Urinary retention 89
Case 38: Abdominal pain 91
Case 39: Abdominal pain 93
Case 40: Abdominal pain and vaginal discharge 95
Section 3: Early pregnancy 97
Case 41: Ectopic pregnancy management 99 100 Cases in Obstetrics and Gynaecology
Case 42: Pain in early pregnancy 103
Case 43: Early pregnancy ultrasound 107
Case 44: Midtrimester complications 109
Case 45: Pain and bleeding in early pregnancy 113
Case 46: Bleeding in early pregnancy 117
Case 47: Bleeding in early pregnancy 121
Case 48: Bleeding in early pregnancy 123
Case 49: Pain in early pregnancy 125
Case 50: Vomiting in pregnancy 127
Case 51: Bleeding in early pregnancy 131
Section 4: General obstetrics 135
Case 52: Pain in pregnancy 137
Case 53: Illegal drug use in pregnancy 139
Case 54: Antenatal screening 143
Case 55: Epilepsy in pregnancy 147 100 Cases in Obstetrics and Gynaecology

Case 56: Obesity in pregnancy 151
Case 57: Glucose tolerance test 153
Case 58: Antenatal screening 157
Case 59: Antenatal care 159
Case 60: Previous caesarean section 163
Case 61: Group B streptococcus 165
Case 62: Twin pregnancy 167
Case 63: Chicken pox exposure in pregnancy 169
Case 64: Bleeding in pregnancy 173
Case 65: Breech presentation 175
Case 66: Antenatal screening 179 100 Cases in Obstetrics and Gynaecology

Case 67: Elective caesarean section request 181
Case 68: Postpartum chest pain 185
Case 69: Antenatal ultrasound 189
Case 70: HIV in pregnancy 191
Case 71: Itching in pregnancy 193
Case 72: Tiredness in pregnancy 195
Case 73: Diabetes in pregnancy 197
Section 5: Peripartum care and obstetric emergencies 201
Case 74: Absent fetal movements 203
Case 75: Labour 207
Case 76: Peripartum collapse 209
Case 77: Postpartum bleeding 211
Case 78: Labour 215
Case 79: Labour 219
Case 80: Labour 223 100 Cases in Obstetrics and Gynaecology
Case 81: Pain and fever in pregnancy 227
Case 82: Headache in pregnancy 231
Case 83: Prolonged pregnancy 233
Case 84: Pain in pregnancy 237
Case 85: Delivery 239
Case 86: Headache in pregnancy 243
Case 87: Labour 245
Case 88: Postpartum bleeding 247
Case 89: Labour 251
Case 90: Pain in pregnancy 253
Case 91: Perineal tear 257
Case 92: Fits in pregnancy 261 100 Cases in Obstetrics and Gynaecology

Case 93: Breathlessness in pregnancy 263
Case 94: Blood pressure and pregnancy 267
Case 95: Labour 269
Section 6: Family planning and sexual health 273
Case 96: Contraception 275
Case 97: Unprotected intercourse 279
Case 98: Vaginal discharge 283
Case 99: Teenage contraception 285
Case 100: Intermenstrual bleeding 287

PREFACE – 100 Cases in Obstetrics and Gynaecology

Following the success of the first edition of this book and the popularity of the 100 Cases Series, in this second edition we have revised many of the cases to reflect the most up-to-date practice, while retaining the cases reported to be most useful. Both authors are teachers and examiners in undergraduate and postgraduate obstetrics and gynaecology with pertinent knowledge of what is expected of medical students and junior doctors in the field.

This series remains unique in its stimulating questions regarding real clinical scenarios. The questions are highly relevant to everyday obstetrics and gynaecology and most are derived from real cases. In this edition we have incorporated the newer medical developments in gynaecology, such as hysteroscopic sterilization by tubal cannulation, focused MRI for fibroids and insertion of the balloon catheter for a Bartholin’s cyst. Additionally we have included cases with sometimes controversial ethical dimensions, such as maternal request for a caesarean section. Several of the new cases focus on engaging women in the informed consent process, which is increasingly important in clinical exams, whether objective structured clinical examinations (OSCEs) or practical assessment of clinical examination skills (PACES).

We have ensured that the new cases incorporate recently published national guidance from national bodies such as the National Institute for Clinical Excellence (NICE) and the Royal College of Obstetricians and Gynaecologists (RCOG) or from specialist societies such as the British Society of Colposcopy and Cervical Pathology (BSCCP). As with the first edition, the book is written with both junior clinicians and medical students in mind. It is an ideal refresher for foundation year and senior house officer level trainees starting their obstetrics and gynaecology placements. The cases vary in complexity to reinforce important or common subject areas.

They can be read through from start to finish or, more usefully for some readers, delved into between ward rounds, on the bus or after seeing a patient with a particular presenting complaint or condition. The book should reinforce knowledge and build confidence in some areas, challenge and stimulate thought in others and should provide a useful tool for learning in the specialty of obstetrics and gynaecology

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