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Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
Osce obstetrics for undergraduate
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Osce obstetrics for undergraduate

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Undergraduate course lectures in obstetrics and Gynecology Prepared by Dr Manal Behery Professor of OB&Gyne Faculty of medicine ,Zagazig University

Undergraduate course lectures in obstetrics and Gynecology Prepared by Dr Manal Behery Professor of OB&Gyne Faculty of medicine ,Zagazig University

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  • Amniotic hook/amniotic membrane perforater
    Amniotomy (artificial rupture of membrane)
    Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
    Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
  • Amniotic hook/amniotic membrane perforater
    Amniotomy (artificial rupture of membrane)
    Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
    Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
  • Amniotic hook/amniotic membrane perforater
    Amniotomy (artificial rupture of membrane)
    Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
    Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
  • Amniotic hook/amniotic membrane perforater
    Amniotomy (artificial rupture of membrane)
    Fetal: Cord prolapse, intrauterine fetal infection, conversion of unstable lie to tranverse obstructed lie with prolapse of arm.
    Maternal: Trauma to genital tract n LS of uterus, maternal infection, abruptio placenta (if sudden rupture in polyhydramnion),
  • Transcript

    • 1. DR: Manal Behery Zagazig University,Egypt 2014 DR: Manal Behery Zagazig University,Egypt 2014 OSCE Obstetrics EXAM
    • 2. A B slide1
    • 3. A B • determine position in A and B? • What is the possible cause of this abnormaility ? name 2 • What is the enagaging diameter in B? slide1
    • 4. Left occipto anterior
    • 5. DOA DOP(face To Pubis)
    • 6. Slide 2
    • 7. • What this image show? • What is the cause name 3 ? • What is the complication name 2? • What is the prefered mode of delivery and why? Slide 2
    • 8. Slide3
    • 9. • What is the cord anomaly shown In this photo? • What is the possible complications of this condition ?How to diagnose this complication Slide3
    • 10. slide4
    • 11. 1- What does this graph show? 2- describe the type of abnormal couse you see 3- how would you manage this condition . slide4
    • 12. History Of Partogram • Friedman's partogram •
    • 13. A prolonged latent phase B prolonged active phase C arrest active phase Abnormal progress in labor
    • 14. Philpott alert and action line
    • 15. Alert line ( health facility line ) • The alert line drawn from 3 cm dilatation represents the rate of dilatation of 1 cm / hour • Moving to the right or the alert line means referral to hospital for extra care
    • 16. Action line ( hospital line ) • The action line is drawn 4 hour to the right of the alert line and parallel to it • This is the critical line at which specific management decisions must be made at the hospital
    • 17. Normal labor progress • At addmision • Then after 4h
    • 18. Abnormal labor progress
    • 19. Obstructed labour Assessment: Powers Passenger Passages
    • 20. Slide 5
    • 21. • What is the name of this maneuver ?What is the indications? • What is the prerequisite ? • What is the complication ? Slide5
    • 22. Slide 6
    • 23. • What is the name of this maneuver ?What is the indications? • Briefly describe how it act? • Give name of other 2 maneuver to solve this problem Slide 6
    • 24. Rubin maneuver vs. bring post arm
    • 25. • determine slide 7
    • 26. • determine position in this photo? • What is the attiude of this fetus? • What is the mechnism by which head is delivered? slide7
    • 27. slide8
    • 28. 1. Describe the name of this CTG anomaly? 2. What is the cause ?and degrees 3. Mention additional CTG finding to consider an amnions trace Slide 8
    • 29. Variable Deceleration
    • 30. Slide 9
    • 31. • what is the name of this instrument • what does it detect • what is the character of normal CTG trace Slide 9
    • 32. Toco = uterine activity Fetal heart rate
    • 33. Baseline rate Contractions Irregular 1-2:10 Variability = 20 bpm accelerations No decelerations
    • 34. Baseline rate = 170-180 Variability = 5 No accelerations Contractions 4:10 Late decelerations
    • 35. Slide 10
    • 36. 1. What this image show? 2. What is the possible cause cause ? 3. What is the defferntial diagnosis? Slide 9
    • 37. • ? Slide11
    • 38. • What does this image show? • What is the cause of this problem ? • How to manage? Slide 11
    • 39. Slide12
    • 40. • What is the station of fetal head in this photo? • How to detect fetal station by PV? • What is the importance of • ischial spine level? Slide 12
    • 41. Ischial spin level station 0 • Above this level 1 ,2,3 cm • Station -1,-2, • -3(head abdominal (floating) • Below this level 1,2,3 cm • Station +1,+2, • +3(head on perineum
    • 42. Slide 13
    • 43. • What is the name of this maneuver? • What is the indication ? • What is the prerequisite? • Name 2 complication Slide 13
    • 44. Internal podalic version To do or not to do ??To do or not to do ??  Experienced operatorExperienced operator  EFW > 1500 gmEFW > 1500 gm  Adequate liquorAdequate liquor  Available anesthesia forAvailable anesthesia for effective uterine relaxationeffective uterine relaxation  Simultaneous preparationSimultaneous preparation for emergency C/Sfor emergency C/S
    • 45. slide14
    • 46. • What this image show? • What is the main cause of this abnormaility? • What is the complications?name 2 Slide 14
    • 47. Slide 15
    • 48. • What does this image show? • What is the complication of this method? • Name 2 other possible alternative methods Slide 15
    • 49. Slide16
    • 50. • What is the name of this graph ?what is the indication? • Describe briefly mangment in zone 2,zone3 • Give 2 other diagnostic test for this condition Slide16
    • 51. Slide17 A B
    • 52. • What this photo show? • What is the risk factor? • What is the degree in A &B?what is the main complication ? A B Slide17
    • 53. Answer
    • 54. Slide18
    • 55. • What does this picture show • What is the chromsomal pattern of this condition? • What is the treatment ?and how to follow up after ttt Slide 18
    • 56. slide19
    • 57. • What does this picture show • What is the indication ? • What is the prerequisite? Slide 19
    • 58. • ? Slide20
    • 59. • What is the name of these 2 traingle? • How to define outlet contraction? • What is Thomas” dictum ? Slide20
    • 60. An outlet with male pelvic character
    • 61. Contracted vs. capacious outlet
    • 62. Slide 21
    • 63. • What is this maneuver ? • Why it is performed ? • How it is performed ? • What is the risk of sudden extension of fetal head? Slide 21
    • 64. Slide 22
    • 65. • What is cause of this emergency situation • Give 2 diagnostic signs • Give 4 factors affecting prognosis of this condition? Slide 22
    • 66. Diagnosis Cord pulsations CTG shows variable decelerations  Fundal pressure causes bradycardia Meconium stained liquor
    • 67. Slide 23
    • 68. • What this image show ? • What is the cause ? How to diagnose this case antenatally? Slide 23
    • 69. • What is the name of this maneuver ? • What is the indications • Name 2 complications Slide 24
    • 70. • What is the name of this maneuver ? • What is the indications • Name 2 complications Slide 24
    • 71. Slide 25
    • 72. 1. What are 1, 2 ,3 ? 2. Which one is the most important obstetrically and what’s its length? 3. What are 4 and 5? Slide25
    • 73. Slide26
    • 74. 1. What do you see in this photo ? 2. What type of zyogsitiy? 3. What is the choroncity? How to determine it antenatal? And postnatal Slide26
    • 75. Dichoronic vs. monochoronic
    • 76. Slide 27
    • 77. 1. What condition shown in this photo? 2. What type a,b,c? 3. What cause type e ? 4. How to diagnose type D&e? Slide27
    • 78. Slide 28
    • 79. • What is the placental anomaly shown In this photo? • What is the possible complications of this condition ?How to diagnose it antenatally? Slide28
    • 80. Placenta succenteuriata: Complication 1. Retained placenta 2. Postpartum hemorrhage 3. peurpral sepsis Diagnosis 1. US and Doppler
    • 81. Slide29
    • 82. • What is the placental anomaly shown In this photo? • What is the possible complications of this condition ?How to diagnose it antenatally? Slide29
    • 83. 1. Bipartite placenta Complication 1. Retained placenta 2. Postpartum hemorrhage 3. peurpral sepsis Diagnosis 1. US and Doppler
    • 84. by Doppler :Bilobate placenta
    • 85. Slide30
    • 86. a)What this image show? b)What it this process called? c)How you detect it by PV ? Slide30
    • 87. Slide31
    • 88. a)What is the name of this instrument b)What it is indication for its use? c)What are the possible complications of this procedure ? Slide31
    • 89. Answer a)Amniotic hook/ (amniotic membrane perforator) b)Amniotomy (artificial rupture of membrane) c)Cord prolaps • Trauma to genital tract or LS of uterus, • Intrauterine infection, • Abruptio placenta (if sudden rupture in polyhydramnios),
    • 90. Slide 32
    • 91. Slide 32 1)What is the name of this maneuver ? 2)What is the complication ?name 2 3)Name 2 other maneuver ?
    • 92. Slide 33
    • 93. • What are these 4 maneuvers • What is value of a, • What is value of b • What is value of c • What is value of d Slide 33
    • 94. a/r

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