امتحان نسائيه

Front 1

Pelvic shape?

Back 1

Front 2

مريضة ما تعرف أو نست LMP ؟ شلون أكدر اعرف ال gestational age و بكم طريقة ؟

Back 2

History:date of quiqing

Exam: fundus height

Investigation: US

18w in primipara

20 in multipara

Front 3

How to expect CPD antenatally?

Back 3

Front 4

What does the labor depend on?

Back 4

Front 5

If the case is bleeding

Back 5

اذا جان ال case مالك هو bleeding ضروري حيل تعرف هالشغلات لان ممكن تنسأل عليها 👇👇 note : if bleeding occur before 24 week this may be miscarriageif bleeding after 24 week this antepartum hemorrhagecauses of antepartum hemorrhage:most common causes is placenta previa and abruption placentaother causes: 1- vasa placenta ( blood vessels of baby present in membrane and cross cervical canal so any rupture membrane lead to bleeding from baby)2- trauma3- infection4- malignancy risk factor of placenta previa: 1- old age 2- multigravida 3- previous scar( ex : ceaseron)4- any operation of uterus ( ex : myoctomy , curttage)5- smoking ( risk for previa less than abruption) 6- previous history of placenta previa risk for placenta abruption:1- old age 2-multi3- smoking4- hypertension 5- towin pregnancy, polyhydramions and Rupert membrane ( any thing lead to overdistention of uterus)6- any anticoagulant drug ( aspirin, heparin)7- cocaine , alcohol8- choriamionitis9-trauma 10-IUD11- previous history of placenta abruption complications of bleeding:for mother: anemia and shock ( tachycardia, palpitations, dyspnea, fatigue, hypotension)for baby: decrease fetal movement or no fetal movementد.ميس

Front 6

If the case is bleeding

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Front 7

في حالات ال bleeding صروري نحددومكانوالسكن

Back 7

بالاضافـة الى انه بحالات ال bleeding ضروري نسأل عن منطقـة السكـن ليش ؟حتى نقدر ونخمّن فتـرة ال bleedingمثلًا اذا بيتها قريب عالمستشفـى ف نتوقع انه فترة النزف قليلـة وجت فورًا وهكـذا.. هاي النقطة ركزت عليها دكتورة تهانـي.

Front 8

حتى نقيّم ال severity of bleeding

Back 8

حتى نقيّم ال severity of bleeding اهم شي من خلال الهستوري نسألها اذا كان اكو clot ف هاي تعكسلنا sever bleeding او من خلال الجنرال اكزام اذا كانت pale او من خلال ال investigation (Hb level) د.تهانـي

Front 9

Us

Back 9

Front 10

Anemia

Back 10

Anemia • 1st trimester-----> less than 11• 2nd and 3rd trimesters---> less than 10.5•post partum------> less than 10د. فاطمة

Front 11

Note

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Front 12

Who can do examination

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Front 13

شنو ممكن يصير بالطفل اذا كانت الام D.M

Back 13

Front 14

شوكت نكول postterm وشوكت نكول postdate

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Front 15

Pre term

Post term

Term

Post date

Back 15

Front 16

what is 2 most common complications during pregnancy?

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1- UTI2-Anemia د. فاطمة

Front 17

HT drug in pregnancy

Back 17

Front 18

اذا سوينا عملية وصار injury in bladder وخلينا catheter شوكت نشيلها؟

Back 18

Front 19

ليش يصير عند الحاملLoss appetit, nausea, vomiting?

Back 19

Because there is delay gastric empty

بسبب تأثير progesteron و relaxin.

Front 20

بشنو نشك اذا ماكو morning sickness بداية الحمل

Back 20

Front 21

شوكت ننطي ٥ غرام folic acid?

Back 21

Front 22

اهمية ال Foley catheter

Back 22

Front 23

Post partum haemorrhage

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Front 24

Vernix caseosa

Back 24

Front 25

Types of dysamenorhea:عسر الطمث

Back 25

Front 26

Misoprostolo

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Front 27

Nitrofurantoin

Back 27

Nitrofurantoin is the first line drug ( antibiotic ) for UTI in pregnancy.

Front 28

اذا كان ال chief complaint CC هوdecrease fetal movement

Back 28

Front 29

Note

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Front 30

Note

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Front 31

Causes of rupture membrane (RM):

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Front 32

Note

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Front 33

When we are depend on LMP to calculate GA?

Back 33

1/regular cycle

2/not lactating

3/not used contraception

Front 34

sign of rupture uterus

Back 34

First sign of rupture uterus

Fetal bradycardia(مهمـة)

Then : bleeding , change in abdominal contour , easily baby palpable per

abdomenد.فاطمة

Front 35

Cause of breech presentation Baby

Back 35

Cause of breech presentation Baby

*prematurity

*Twin pregnancy

*Congenital anomali Maternal

*placenta previa

*Uterine fibroid

*uterine anomaliوممكن ما اكـو اي cause بس هم يصيـغ breech presentation (idiopathic)د.فاطمـة

Front 36

Fundal hight بعد الولادة

Back 36

بعد الولاده

-Fundal height normally we can see below the umbilicus about 2cm

-But can see above the umbilicus in the case of(Postpartum hemorrhage)

اكثر من دكتوره ذكرت هاي الحاله ..

Front 37

Question: What are the post-operativecomplications of cesarean section?1

Back 37

1- Thromboembolism: pulmonary embolism and DVTs. The main cause of maternal death. Can be prevented by early mobilization, hydration, and administration of prophylactic heparin.

2- Postpartum hemorrhage

3- Infections in the endometrium or abdominal wound site

4- Psychological trauma

.د.شيماء

Front 38

Question: what are the intraoperative complications of cesarean section?

.

Back 38

1- Hemorrhage

2- Cesarean hysterectomy

3- Placenta previa

4- Injuries to nearby viscera like bladder and rectum.

Front 39

The most common infection in women is UTI ( urinary tract infection ) .د. ذُكاء .

Back 39

G

Front 40

Back 40

hydatiform mole

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Front 44

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Front 45

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Front 46

Diameter

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Front 47

Physiological change in pregnancy

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Front 48

Source of anoniotc fluid and is function

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Front 49

Why the fetus have jaundice?

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Front 50

h.mole case

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Front 51

تكمله h.mole

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Front 53

Placentae abruption

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Front 54

Case miscarriage

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Front 55

Case ectopic pregnancy

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Front 56

Case labour pain

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