Obstetrics and Gynecology
Obstetrics, more than any other field of medicine, combines clinical skills, diagnosis, medical mangement, emergency management, procedures, and operations . The delivery of a baby to the world and its parents is perhaps the greatest event in health care, and students are priviledged to share this time filled with excitement, anxiety, and pain.
The nature of the obstetric history and physical exam requires maturity, sensitvity, and confidence from students. The following cannot teach this, but provides background information for students to build upon.
- biology
- presentations
- conditions
& diseases - history &
physical exam - investigations
- treatments
- health
care - cases and
questions
Normal Anatomy and Physiology
Students will be able to describe the structure and function related to:
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Presentations
Students will be able to describe common and important causes of the following presentations, and the initial clinical assessment, diagnostic investigations, and management of:
Reproductive Conditions and Diseases
Students will be expected to be able to describe the causes and risk factors, pathology, signs and symptoms, diagnosis, treatment, and complications of the following conditions and diseases:
obstetrical |
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Gynecologic
Infections
Vulvar complaints
Hormonal
Breast conditions and disease
Neoplastic diseases
Other
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The mortality rate in Canada is ~ 5 in 100,000, or 0.005%. In some places in the developing world, mortality rate is close to 1%, in large part due to post-partum hemorrhage.
History and Physical Exam
Students will be expected to describe the purpose of, and demonstrate, the following aspects of clinical assessment:
- obstetrics and gynecology history
- pelvic exam
- female genitourinary exam
Obstetrics and Gynecology Investigations
Students will be able to describe the methodology, indications, contraindications, and limitations of the following investigations:
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Treatments
Students will be able to describe the rationale, methodology, indications, contraindications, and limitations of the following treatments:
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Health Care
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Cases and Questions
Students will be able to explain the answers to questions in the following cases:
history and physical exam
- a 35 year-old woman presents to the ED with a two day history of vaginal bleeding. Her LMP was 8 weeks ago. answer
- a 28 year-old woman arrives for her first pre-natal visit. What do you ask and examine? answer
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