Acute

Folly Liver of Pregnancy

long chem hydroxylase deficiency Gotta D) autosomal
-

recessive

in the
fetus
disease third trimester
of
•

signs of hepatitis w/V

→
epngasne pent
•

anemones , ,

Ascites
yandree ,

TLFT
, hepdhrecprckne .

Obstetric
emergency
→ donor
asap . charred af trpktals → HE UP .

d dusk → A
fake acid
high
A BMI 530 as
plum fan Rwks for
•

history of NTD pre-eclampsia prenahen

•

thohasemer then ,
eealnae
,
diabetes

Plaeaitl Abruption
&
fetus alone Skrulls uf Jeered donees
236 →
if
•
.
.

if
336
nagmal delroy

Bishop scone 28 → labor Libby

• Corneal positron , effacement , aldermen consistency
,
•

fatal Staten

→
PPK 2800mL blood less
→ 22h hens
pormevy
dueto otome
atony .

→
Secondary ootand products of conception
endometrihs hehe ! SSRI is calm

feheacndaiy
ywdtswotEdsnbusougn feeding
brass
'

m .

↳
Post Rankine Depressor Scale
penoximee .

Score 713 →
depressor .

> 5,6
feisty greens
2- how 77-8
gives
redhead foetal movement ☐ ett
monitory
I. hedhehd
doppler movements felt afbezo wks
•
.

2.
cltrooonocpapry
•

menage tall 32 .

33 •
CTG .

plateau

stop mehvrexdbe 6 maths before conception .

(ceoeaffohe and
INTA .

B
Hep ,
HIV , Sgphllus to be screened
on
sorcery
cervical cancer
→
HPV of & 18 .

commonly squamous cell carcinoma .

Otherwise,

adenocarcinoma .

→
oreste falters :

sexual partners
#
of smoking
• •

sexual ( ) multiparty
early activity before the vaccine
-
•

not condoms AW
using
• •

←
attendance to > 5
of
•

Coe
sereeneg
use
years
•
non
Hpv
heshy
→
annually .

abnormal
vaginal deleedg →
vaginal speculum examination
•

→
dysporaenues W/ swab
•

penn .

cpelrrepam
→ corneal
discharge corpuscopy →

intraepithelial neoplasia .

C. IN

stage mild
dysphoria top 43 lager usually oresabees
I → →
,
. .

treat
moderate,
hop 313
2 → →

metastasize
full thickness very likely to
3 →
severe, ,
.

Ccarememam site )

moderate N
Large loop Evensen or core
Biopsy for
 Endometrial Coney
→
post menopausal endometrial canoer unless
bleeding m ne women as

g§0
maths pass
proven otherwise
post menopausal bleeding
R
.
.

¥§÷§?•••
last menstrual bleed .

→ •%
↳ mom mane cancerous . m.ae,

g fÑ&usk
contrivers oral
-1 us
,
or
progesterone

factors :
unappeased oestrogen

Aegeus →
early menarche date
•

, menopause
multiparty → tyre 2 DM

oestrogen dueto feet overtaken but

→ →
•
Pcos no
high oestrogen
-

,
.

cheque as the
obesity →
adipose largest
tamoxifen source
of oestrogen post
•

menopause
↳ note :
tamoxifen as used to double of breast cancer , but oneness

oreste of endometrial career ( fleek kneeg Hr )

smoking protective , but w/ breast
•
is worse career .

→
retrospective dnagneebs after R monks without meensheeen
menopause
Wha women above Leo .

T
osteoporosis
T Shobe, VTE → Coc is OKWHECZ .

contraception perimenopeueeey
us
copper
•

progesterone method note :

depot causes
osteoporosis & wright
•

not of
germ
.

good for over

 Oreorron Cancer
→
epithelial cell carcinoma . most common orarnen tuner ( or%)
Guest cowmen serows
cystadenoma →
benign
design
tumor ) serious
cystadenocarcinoma
→
malapert
→
Germ cell turners

dermend
cysts mast cannon
myonger females
→

→
Sex chord tames 3-590
of tuners
produleg
.

endometrial
granulosa preeaseeeis puberty hyperplasia
→
,

→
Sertoli
lyelngoeel nraseeeliuatron
-

fibroma
→
mages syndrome ascites
→

occurs around
menopause .
pleural effusion
fubneeadenemee
→

kvokenburg tumor mets the

ovary from
a
:

primary
in

cells
Signet oung on
histology
-

crook footers → so
age
Tagetes smoking ctonvfene → used to induce

/ BRACAZ
BRAU
obesity ovulation .

anything that reduces the number

of cycles is
protective

presentation note . m women > 80

, new

dbdoslaativeg• loss
of ayahs chrgem Scene hebt ,

ascites faeheoecwelaese bloating winery symptoms

•

pain / mass
less
gebre wnegutbss wmoptt
•

Beats
ornery freeaeieglorgony
•

2
us not
very
RIGO endometrium,
stagey speeye .
→
goads .

I
corfud money
•

2
eafnedmpehes
•

3
abdomen
couped m
-

4 -

distort nets .
 Volral Career

postmenopausal women
→
assoseratedwl Lichen sclerosis m

↳ white
shiny patches thet may die ikly .

&
also
assosevatnaaf AM
, immunosuppression .

mostly bibrameyorer
Kallman 's
syndrome
hypogonadotropic hypogonadism
•

↳ to testees to taek sexual chevaliersbeg

, pens, of secondary
↳
trsreest anrerereod
development , peumery .

should start & 15 latest

girls means
ily
13 ,
at the
of
other

sexual characteristics here not developed .

hyrgenadihoprc hypogonadism
diet & exercise
↳ chronic cheese to
wnegut
genetic hooky
, ,
.

paluihaey failure
constitutional
delay inreslngatnas
Kallman 's Syndrome .
↳ RBC
↳ LA
, ferreting UAE , coelnasoeou .

TSH
, FSA , , insulin lillee greater
hyper gonadotropic hypogonadism .

pnolaehn , feeler
↳ issue
w/ genes teedocsbiue bae
meyeg
.

borgen , caeer
,
trauma (mfeeku , melons] MRI

LXO )
turner 's
syndrome peheyalreaecd .

Congenital cause
↳
Congenital Adrenal Hyperplasia the hydrocele defeeaey )
proves as female )
•

nd

Androgen Insensitivity Syndrome CXY that

stoueclwralaseae
'
imperfect hymen .
 Amenoreen
Secondary pan w/ low marshal
fleur
•
stress mental &
physudegud hrsheryafddataheseweeteege
•
,
.

°
↓ athletes
might also ,
creeureertmseaeoege
•
, anorexia
,

◦
hyrerpralaetmeny or
infertility
•
.

Cmusheenven)•
Pregnancy
•

Pcos
Ho progeny
•

• •

menopause
Connaught
• •

thyroid precut MC
af
→
•
aneiereoh
secondary meroey
car as .

traoaeuieaendt NSAIDs .

symptom diary as
first line for PMS .

1ˢᵗ live for

by stereoscopy investigation Sos grenades .

Red Fobreud
Degeneration of .

low
abdopoun grade fever , tachycardia morning in
pregnant
•

, , a women

w/ a
history of uterine
fnbronde .

Pecos → Annunciating
Patortary adenoma heemae

headache
penhypopaluetart.sn
◦ "
.

biren penal
henenenopna
•

triptorelin → GnRH
agonist → ↓ Lit , ↓ FSH , ↓ aethedted .

adenenyosihrs endometriosis but → the uterus

itself m .
more in

multipoint women towards the end

of fertile jeers .

TV us as 1ˢᵗ live
investigator .

presents w/ meraragnh oxybulnn

→
orgemeaue
duloxetine → shese
dgsmenereah .

dyspoonareen
.
 show
glkt to hospital .

Faa
Itgreremosrs Grandam
5% unable to tolerate oral
pougneneywregnt loss ligands
•

pre
- •

debag he disturbance ketonuria

•
•

dehydration co martinet condition

ouganeng
•
•
-

medication
☆
Pregnancy unique qaalefheakerayenuns.PUQE-seene.la

RrsK↑mdo[
W/V natural
history
→ 4-7 wks stats .

↑
10th wks worst
multiple peg .

1ˢᵗ
note :

smoking as
protective . so wks resolves .

Prey .
Obese

1ˢᵗ line
cgdeirme/promethium (anti histamine
• -

prochlorpevazom / chlorpromazine IDs

antigens )
•

and line •
ondensetrem Csttts )

domperndone ( Dn )
•

Risk Index cancer

Malignancy Ovarian
-

e
CA tht

1 local
menopausal status
spread
•
.

lrtnasornd
findings hgnpn node pom aortic lymph
→
°
.
2 . .

3.
heemerhalegnal Spread to liver .

Vescio Vaginal Fistula

dribble incontinence
continuous
after difficult chioth low outcome
•
in

seetny .

?
Adenomyositrs orarrentorsren
→
MRI →
Whirlpool sign
Bartholin
Cyst
Fits
Hugh Curtis
syndrome Syphilhus
- -

Severe PID RUQ

w/ deranged LFTS
•

pam , .
 stall
note : past menopausal
us crests far .

osteoporosis .
Shake, BUT

cognitive Impairment → Remake .

Poorhdtave Ovarian Feature

Cho
age
•

✗ FSH
persistently creased
→
needs to die
•

Foal symptoms ( so years )

still ART until normal
note
contraception chequered
:
us .

age afvveopcse .

HRT→ Breast Patch HRT

restage
→
ousleaf Carreon .
hes no

Tindouf under ☒ risk .

Clonndne →
helps
→
a -2
adreuegre agonist w/ neesomotor symphonies .

MT
af omnes →
gne progesterone
+
oestrogen
who ohuy just oestrogen free
→
as .

still
cgcldcalaf hay periods Calnuousaf no periods . .

HRI
note !
uf oestrogen only oestrogen may help
ouster CVD
no
of -

.
.

↑ ↑ breast career , ↑ endometrial caeet

bot
generally speabey clotting ,
.

Is conherndieelas metered VTE , breast Ca ,

endemdalca, CVD .

pregnant

progestogenic side
effects aestnegenesndeeffaes
mood a Cw /U )
songs year
-

bloating Breast
smelly /tadeneess
•
•

heedeeeeee
wneghtgun
'
'

fund crewmen hey

' •

ways
hehe
•
 can complicate pregnancies .

Bacterial 50%
Vaginosis asymptomatic .

Canaanites ]
↓ lactobacilli ↑
overgrowth of chaetenel
gardnerellaragmalls
→
.

transmitted
isnot
sexually Mycoplasma hommns

→
crooks
presentation
:

recent anti brake use

filthy smelly grey /
• •

/
excessive
cleaning douching white
discharge
-

irritation
smoking atony
•
.
no ,
,

multiple sexual peahens or

peen .

cool
-

copper
acrelre)
Cheyne is
normally
→
vaginal put
→
more cellular (pit > 7. us )
CNAAT)
high reigned sweet
after speculum → exclude ohlemrdha

due cells exclude

gonorrhoeae

→
me metronidazole → treated anaerobic
w/ -
unfectras .

↳ contraindicated
w/ alcohol .

Chlamydia
→
move
asymptomatic
that solo are .

PID features
otherwise
vaginal discharge are
•

infertility < 25
yens of ages vaginal chleeeuy
"

↑
ectopic multiple sexual pennies pelvic pain dyspeoununea
e

,
.

neonatal
infection coronary symptoms
•

PROM in men : •
urethral
discharge
prematurity dyeuneu
-

archives
* born wept
eprdydrmal
•

•
creaetne arthritis →
cent see, can'tpee, can't climb a tree -

check for oral

infection .
Al
symptoms for email infection .

NAAT .
Through swab or frat catch crime .

contraindicated
doxycycline
m
us
pregnancy .
 also cenchelrcr cayuetivihs
chlenuohh .

Nympho granuloma Venereum

complication of daniydna infection of ungained

→
m mom .

or
femoral lymph nodes .

I. ulcer
painless
2.
lymphadenitis
3 .
Poochhis /pnoctocalitrs → tenesmus +
desaharge .

Ghonorneaha

symptomatic Ken
→ sinner to cherimrdna
,
but more more
likely to
purulent discharge that us odorless be
symptomatic )
•

pelvic pain dyspeoraneevea

•

also affect rectum, &

can
pharynx ,
eyes .

culture &
NAME first line
investigation .
swab for microscopy, severely
Idell IM
ceftriaxone

the neonate
can cause
conflictual infection m

Disseminated Gonococcal infection

8km → sheen clones
non-specific
•

arthritis,
Joints
migratory arthritis heaesyenlg
→
'

paly ,

systemic symptoms
'

Ccndadnooohs
→
ousk feelers
:
recent calibrate core ,
pregnancy ,
immunosuppression ,

↑ states
diabetes
, oestrogen
vaginal itching deseemfermt
•

mode whole
weeny discharge
'
.

severe excavators
car cause
peen, dysvoyuork Younes , ,

) (
→ acrdre
pit < 7.5 me w/ toprod single
vaginal pit
mere
cred
antifungals or
single
.

sweets +
microscopy
to
confirm diagnoses dog
 Torrchermoniasrs
praktroocn organism infection
•
.

nonspecific infective symptoms of nagana

•

discharge is frothy & yellow-green

•

alkalohe 27.5
•
pH is

strawberry oowrx
•

↑ IN, diademed ¥
ouskcy vaginosis ,
,
pregnancy issues .

P1D_

high vaginal swab metronidazole at Gdm device .

( Pallidum )
Syphilis T .

1° at site
of nnfeehen (chancre )
genital ulcer omgnol
2° mucusmenilnene & skeletons
maculoperpeebr crash
^

hgnnphadenopahy
Ccndylomala haha → wort like lesion crowd
guilds
•

& arms
systemic features
•

•
Oral lessons & allopeeha
latent phase
3° →

neevosypullvs heedahe Dementia .

aorhearurvm sensing ocular moneyer .

gurmndtousbesoaer Altered mental status

Argyll -
Robertson Pupil /Prostitutes Rupel )
•
oiecmadestes but does not oreaeh .

Antibody testing us first line for syphilis

SnykberrlylpeneellnII.
 →
ltsv I cold sores
→
HSN 2 genital warts → ulcers , talkers
Jhalak Sgmpcres
↓
.

,
.

dysuria inguultynpkdeqiky .

west neonatal
canned complicates →
herpes
SH simpler infection .

Genitalia
NAAT for Oonennealie , Chlamydia , &
Myeoplesm .

Antenatal screening
asymptomatic 017
•

hep B HIV
syphilis
•

,
,

Blood Rh Stakes , anti oud cell aclesodees

group ,
.

Chicken Pox Exposure

outlaws stakes → cheek cuhbedees
if
•
.

meine < 20 Wks → WIG

af t
-

u n + > To wks →
/aeyeleny after Zeleye
WIG .

afmfeehen →
aegeknw ufpreseily
with 24 hens
of noon .

Nuchal translucency
Downs
syndrome
•

Congenital Cardinal Anomalous

•

Abdominal wall
defects
•

Bates
.

* →
Combined hest nuchalhovsleeeereg P hey PAPP A ,

growth Toupee test

Phcg fdoprohen vneayagchedaeslaed
-

→ ✗ .
, ,

add whilom d- for

quadruple test
-

Dorms 21 Edwards 18 Patreon B

 Uliport steel autronunasthma
5
days after OPS I
→

hevenogestral → 3
days after OPSI can
affect hammered contraception .

Intrauterine device 5
5
days after barrier
days
→
for .

UPSI
,
most
effective .

delay abreast
feedg look .

Infertility

85% will cencaeve un one

year
.

1/2 couples here trouble

covering .

30% male factor infertility ( Pcos )

Lolo ovulation issue → mast common cause
af female infertility
15% uterineproblems (fibroids ,
PID , Asnesmen 's )
6 unexplained
•

no .

regular unprotected intercoms

every
V3
days
. timed intercourse as

not oreccosnended .

initial
investigations
semen
analysis
•

Lt anti mullarden nevermore

BMI , →
for Pcos
• -

dharmendra
•

screening
serum
progesterone day
H
af cycle (7
days before nieshaabrek)
•

on

pralaetm
•

↑ FSH indicates poor ovarian crooner at ↑ m Pcos

anti Muharrem nevermore mast accurate measure

us the
of overran
-

orlsorve .
AHH indicates ↓ oveoulen observe

hystcnosalphmgogrem to look
for tubular
pathology
adhesions & endometriosis
gene
come lapnaseopre &
dye test for
count ↓9oaᵈᵈThʰ Fat/at drilling
letrorde↳É÷
ovarian
thalamus →
patenting →
ovary
 who
olagogporntra low at least
of total
→
sperm
almeoot should be normal
crypto spernnd
→ verre

→
none
azoospermia

→
Rsk, Ut testosterone
pre testicular wheels malate
,
-

Kellman 's
syndrome
•

hyverpnalaltenemaa stress
•

, . chronic ultras

teslrealer

eprdydimal sewing
→
chlamydia
•

mumps
•

trainer →
ooednotkrapg chemotherapy career
•

, ,
.

(xxx)
klrenfelhevs
•

post
-

toolmaker

iatrogenic demeyer
•

•
trauma
☆ '

cgshre fibrosis congenital ahsaeueeafvasdeforase

→
.

outro
grade ejaculation
•

to ↑ VEGF
◦ narron
Hyperstimulation syndrome → due
oedema , ascites
byporalemnee after oreorien stimulation w/
&
•

cwregut gon )
↳
FSH /Lit .
more
w/gonadotropin therapy then
•

mines
togethers
→ serum
oestrogen clafenomne .

Hamateor it ultrasound to see number

of follicles
↳ ARDS
phoned effusen
→

AKI
may
die
amputated investigators for urinary mcaihreeee .

thrombosis by oneonta torsion •

Dipstick
Bladder
dharlg
•

Risks of IVF past nerd residual bladder

volume
•
multiple properly •
oitss
•

ectopic •
failure
•

urodgnevmiehestrg
album me / creatinine ↑
sample
→
comes
from ome m
pre ederysre
-

☐
gestational diabetes
gurdlines .

Preterm Porelabor Rupture of Mercers .

examination
speculum
◦

if fluid check insulin like

annedhic
growth fueler
•

no ,
.

erythromycin for antibiotic prophylaxis mdudnnuf 734 wks .

without contractors
corneal
clerege for very preterm cervical dilation .

corneal &
transvaginal length of 730 ales no
ouglorecyomelneee .

2M owed fetal fibronectin

line to 1ˢᵗ
nifedipine calyxes .

Magasin for hemophilia .

Oxytocin receptor antagonist 2M line G maternal

respiratory deposes
↓ BP

misoprostol albeit
prostaglandin analogue oufluas
↳
.

mifipneshen anti
progesterone
used & mduelor labor
medical management
in
of abohm of
in a dead
fetus .

tetrabeiteelne → used as an antidote to uterine

hyperstimulation .

1ˢᵗ stage .

better ddatner
to 3rem
irregular Cantwell
→
up ,

aetne 1cm / h regular cenhecheus

→ 3-Wcm .
. .

I hear aelve
of whether
Ñᵈ Shake -
Theirs aehe far prvmnepenel . 3ʳᵈ stage .

passive aehie →
urge path
to . 30ms aetnemeregeu
GO mug nerved .
 oxytocin used
for active
management .

41 wks → ↑ oust
pregnancy after
ceasarnen

↑ oath neonatal admission

↑ aisle neonatal death / still born

38 was →
do not delver
wy PROM
defer .

? delver expeetatmageaeul
PROM →
Mates ?
ay cyhr .
.

detour at 37 Wks or
higher .

Tuf GBS ② → labour .

≤5
af Bishop score
,
induction as necessary .

(
generally at us 8 the )

feuhalcbahehr d- A 110 -160

motor .

entered
analgesics labour paracetamol
→ to &
in
prods .

epidural → Mat tplenlagh .

↳ ↑ ousk
prolonged second stage .

of instrument delneny .

PPA within 2h heirs

primary
→ .

24 hens
after
→
Secondary
.

at least 500mL PPA

afhrnagmd .
5007000 → inner .

22000
at least 1000 me afhr beatdown .
→ →
severe PPA

uterine
Atony tetracyclines netueieelyuledm pregame .

Tissue Cdoegdyetne
Threaten trimethoprim cartwheels
Trauma .

1st line for

uritrofuvatoin oil in
preopeeey
www.%dE
.

↓Tbut not at term .

heermotylre anemia
of the newsom .
anaphylaxis ,
PE , sepsis after delray
or →
amnnomefluadeentahs .

20% mortally . ABODE Svppentne core .

uterine matemaldeshebst abnormal OTG Absence of

phone
→
one .

→
uterine contractions
enregayoeaharnen
.

induction
Men ousters
after eeaseernen .

↑ BMI ↑
peony rage useafoegheem
.

Kleihanv test →
determine how much
fatal blood hes crossed .

Jose
agent after 20 whos
geskleu
.

Tros for
adenoruyasihs .

hyshevosopy for submucoeal fibroids

→
secondary menoragner
GnRH ( goserelm)
agent Creed to ↓
oestrogen )
2M/ 3ʳᵈ trimester women w/
red
degeneration
→
history of fibroids
cred
ykresents w/ abdominal
pam
→
degeneration .

HRT ↑ oath
of breast career
addiy progesterone ↓ crest
↑ endometrial ↑
crook
of career .

of endometrial duct breast .

OKMEC 4
VTE ,
Shrake , IHD, immobility oulrphusphaliprd
, ,
ther embers .

Smeltery > to
cry 735
age
.

Wigmore w/ awes

uheaherlled
Wyndham .
 Rook Foetus fer PPA

prewar Milt placenta premed , accrete

• •

bleeding disorder pre-eclampsia

•
•

onto ↑
coagulants
•

age
•

3rd C- seeker
of stage
•

passive emergency
•

mx

meienosom her
•

90% due to Oborne

atony .

cephalosporins for ehldnen , breastfreely

Lgwmehoprn
ornoeaeellu

safe mcbeeohfeedg .

calm mchnecstfeedy
Pepo provera megaton henenogeshen
→ 72 hens

start COOP POP

corregidor bleeds on
using immediacy
-

wnegutgan after
•
.

breast career .
UWperished → no news

went 5 oresheorhee Coen pop

days before ,

↓ PAPPA ↑ b- Hole Annual wetness

,
,

calcium
gluconate for
magnesium
induced
respiratory depression
bicarbonates for trrcylre onlndepressert OD

75mg aspern for hugh rest

of pre eclenpsn
-

now.

premature crane

fluke .
FSH ↑ on 2x

Root Neill 41-1^1^5

Edmbroagh Depression Scale measure news .
m

PCOS .
↑ LH/ FSH rate ,

Wipro talus contraindicated un severe woman

☐ okmrec a
shift
☐ Antenatal one & debes .