nbe- alhleleics midtunly

Pectticc eramlnalion)
oc lo8 l2oo

elue ceud
Phaemeicaogiia) name :- Hemabruè
Dode m g deily
Raut Otcl 7
Kde lect- lgec Senfijalion
dnclutton megalobteuituc anemas o rlte aa
dltuènc
Anemuas o nuilutiora) jtn
Conle athd ton vil Bu duliueney
Pude lo ther cPy uulh a l a t t
megaloblaste
Nugig dmplication
o cwombh coho ate plenn pgoanancy htuld
be avaudr to tak1 FA deily lee concepluin
t0 peevent CCCLiance Newad tube cifecl

dton SuCtoGt

Phaumaccalogr cel Name -

Veniloé

dos 2094Iml
Ra l 1V

opnu, hecdachu. Chest pcin

muse céampt. coecaknu44, Cpreo
ndication t on cdtncy anLemia eN nemcolt a Lyiu

Patient
to
Contetncl cettion. ypezsena ilne ly dtuy alroha!
L&tnqpene hemalylt cureena
 NuutnI Oplucetiorn
mohila GP
t y alhuta yarlen lon
uette h regn ymplmi ttcn owerloalu
as
dCercuged atively edeton G 0t
aac bludio
upercukoty

Gclcaum
Phasmnacaloyica) Narme Cculttim Ctlt
Dod a9e
I-gm (To peeue n locu Ca leu
S - 70
petvent s l eopan cas tu
oc (n
Rautr
200o
mg ldey a hy ul bonu ele nntly)

ttinithek t0, nud Bp.

cei CRthmuis.
Contiptl) on Pyuier petin HpRCctih eni to
back poti'n, bcuth
nolttottion HPe calcumii perany
P alt emut tetony
Detthy iupp lement
'atoli'a c t t d
ContRasnclircatin-ypuienditivity todeuyg
Vetitneouéheult
Ccice
atih
Rencel Cculeli,

Puynanoy O
btronitet a
Ntt'ng mplirotion
monfa lcin ue ojuently
Rel pattnt t o cdiuliti8n hilp sn
rcel plonnn
 ()

to tun
Phamcaralogu a) Name s yntcnnettne
Das fo droluC dtimeulat1 luboe- J chnpl (1o unu)
To droluce a
7o Cortt al pa.spordum bludin7 - lo to 0 tm

abottion / 0 unul!
hn complute
Roruls-ontivenaus Comaneorcleut bacen dao
icl c Hs
ucncta/ u u l i i u
To 6timnidcets abau.
dnoucerton
Yo contra! partparlum 6luding
dncomypleti abotlior
Contrcinelu roution ypeosorsulive to dtuy
ta
Cephalapelyrè
aluterse
clisptapaton
ptafatbo

uterss
th ulkein (neetia
.Pecon9 C4
Nuing dmplicaltn Cottunauely monilae contrcuircliratin
tcl mculeinul HR, dnd nionttcal 8P

motlet.
PhaamaraJogttotl Name-ethyl+f0*ins
4 002 m 70 Pttuet PH).
Rreut Jv
declt elpecl HA acddeku ha lltu cu ncetion la pcatn
heeead (ongastion, hematuuia
nclucettion aphyláni 4 utmeut vnA tonse
PPH Active managemtut Thuicd aloy
 -Cont t aundtcation
ypeesentilivily to cleu

Hypetenston
Toxemuu
Pesynony
Nues tn7 mpl cetion
-

tuhi Jtviny 7 Clasely Moniloe eP Puls uls ne

contructions ond bluudng

( mgns ium Sulphal 8-

Phaimacaloyic e am
Pheld Dode tncli 'ceuvon -
- mld mognisium dyeuency m/1m
dw pomqgniseia t eseutment 250m
appte Menta Muynium tn TrN &to 24 mE1/dctY
70
pEWent ond coñteal 8Lftlus in
pe eciompsta eo
elampsta. - 4-P1 Se. Salphak scL m ctbin 4hu
a nicsSaRy

contuauneu'coution Hypumagnesemia
ttcut Biöce

mycwcli'al damei
Active to6a.
tct - Canusi on, altcuased 2lKis, x e p
hyterion, ( l llcetee y Peculepdi aulaps,
. NuUut'y dmplcnlion '.
lcelulence hypumaynesemit lpseuu
.mokete Blcod mognsti1m livel. chuck
8tyn 6mp tom
mytA tum toxitity
hruta electncauytu luel and liver ietan tes4
Coeovo:
-nediccetion elotcr ye Venau theomboeu pulmonaty
embalum myocarodlcu/ ulaUion
.
Smy to
lomy a r dailya 34day1
td d Ncteusecd, vomillmy Ctbeanurncd céompP
6lucding, hemapehaqut {eNen
Contacunclireir on .Uncontaltd blesdng
Open 0aund

Eev hupalic olisecutt .

Cezebecvuatcauu humahayt
. maluynanl HTN.

NUAIaj dnplicalion
cLfchs4 sympéorn b lerodiny crnd Hupatb
.monlapetli nl uver uncubn les

(vimloclptne :
edalon darge 4&untual HTN, Cheonte taleli cingua
pectaus VCaSpasve Cgena
Po
S 0
mg ance deul
.Contscuincicatiorn: Hypeienttlivly te deuy
cl ed a d a t hypotenton, akddrinal dsanyat
muscl (eamp. /aeines4 befcalh.

ursin1 dmplucatian
-

Moreta palrent cisentiny onund

Mentl a Heat éala thythem P 8P
 Vetammtn k
Phuumenelegiro Name: phyloreettone
Dcea i l eaitl
Bulh Cu (0o0
tobe gtven m a MauJ mg
Buth usl k looom-fmg
nte alcalulal aspect othiyh. 3m
dndicat10 n v e k v e n y peaphylerky
Hemarrbogs olu ray nuubotn.
xlalsaeplon fYrdeom
Cyeuc baaoju
Hepalic oulur
dntidcut to wa/aun
.

Contrainclicoction Hypeos0 ntlluvt lodecey

Pcun Guuallny gane nas dtlte tnjetion dit .
Huu th dmptcatonAssest tlu dkin.
Wsur thi uu'n
himcttuula
Aiy plculilcats (int. uesa ond
dtoa) Cuuuluu

18)nsulinn
.
Phaama caloytral Nane Ansuln Reyulcu Niumdn
daiaf thlccalion -CO Hpe J Dm pe 2 Dm

welulcluldesn 0fle.Jinti kyidey

Dealicter 4 ketceaaidasu.
Acttt chtlde in loacti ny
day 0r tUntt
1ky
Std /ect yPoct lcaiua 6ocliun eclentuchs, hyPstyr
miu, #ash, edemo teytht ma
Contrcindicalon ypis eat tlivtl, hypuytf eme,

Nuung dmplurctli0n enttar 7le ue t u d

e9 Atympty
hypatyemiu
 pALatomy eAa-
C Culung tlue peeinucl kin ond iusu (epe4 ucrton y
Hoacilitáu
cebw
tuu
paava of tlutal hicad olucin

Coec cutlng KuuKCu

di
o
commónsly used to uul thi umblical ud,
u

makt
C- 6c0ucn
epue'atomy,to cut Sutu mula in

Rgat clitutas
J u curd tn olilutcclsn tu cewica ctnct.

i m 8peculum i
l d in aluldica
o
neptct tu ceev va nra to
alute Ciny
uy Laun delivey
o cln tlu Vagtn a.
o tnspecd lu (et vagina.
Duing dnd apuculton

CLsco Sp?culum:
10 Vuculse Llu Cenvir
(occ ctus of APH
Vgena)mce any
Te inpect btlu
(eRUtle peepena (eeutc snmi cu
cu ytcelogy stL ning
u m halcliny arCep
en
Led to eemvtng hu ptocluc cornception
tnvettalilt
d n c ompltle aalecaalion

n tezminati on peLy naney pepcclon

Dtetin aund
To Knoc tlu pccsilidn a/ t u uhuu cind ttu
Uu
l nyth uteme
Cavuy putu to clulutalon c
ceave th D+E apecuion.
7o Send l u ulune Cauily to clil rd ony taetyn aly

ecen dtmyta ap
To hald cu edye af u touen seyment ater cltivety
u
Eed tn plaa y pong aleliny x e to a
traung1 cenuttcfl lecut

Babcack anpP
70 hald s / t dnd olilicle lisne SIch oai dlomch.
batLu, kiuls
rncalu lar Ppe ndar aeperin
0Vulsellum
dt tutd n deLuctie percetion peceatl, tn
uucevon Co hewe ood p q tluetdal parts y
tvtng luctioo.
 (

Iscommon (use hsleleicA tn eu Gpe Pceii on

a n enconpliti alctebior.
d + E Geoceli on ttu Cntaye ti don1 by bune
Cuullie

Kochea'
fo tica cad o bettea
7eup
ctive C&Lu hr' n elfec to occtude lu vusdl <
d n low eufula o thi membeonet r
clucti0n o (olbcag ajirca
Suctio Cannla
LAseto tuta) patenay test fus eayeetiluty A H
Luap
o ccth hatd tu ontcetcan lup o tu reauctn
+E obeaion
7o hald lt apea u piutatomy (ucncd ddeuity
cpc
1o Cotd. h a l d y the e g i n opeertonceum . tcluu
Shucuth Vaysrn mttrnt clutny eeppce ia
 en . Yhu etal skuts y Cwa shaped ond lar e
peapaution toelc1l bocly at letmn
Boni lu cCL complily Os44/ted at buth
ond au Jued to7 ethea
Bon cy vauult a u much lcctler and putll

Os4rubon
and
entr t tncompli at tu
suluus
huts
aps bitoun borus #on tue mfanul
4 lendmat u skul
Thu dhull u Co nsiclk ei d a ole ve ele d tnto l h e petRls

ult uce n d Bcuse

7he vciut a lcngt dom1 shaptd patl cl:ave an
emogenauy lini oléecn beluvean lue Ceebilas érdge
Ctnd nape oy niCk
7h cucus m and non omptedt ctel n d /srd
Cre anitim

aital tkuul

h sayla! tlus /engilelinca Saleus ies betuwecn

wa páuilta) b0nas
Th Caionas uftuut Eun betuw een partedal and
ontal bens n tthut uel .
/ tontal tutuu u kutuun tuo /e ontal koru
7h lambarc tluuy p al u
ocapetel to
ond tu (w peanehces bonst
 (1

OntantUt
O AnteaiA ontanilu
. Xt u
au med y juining o
mudp teint JeuuR diluun
Yhe s u l u d anieaia
Sa9y tlau dnd bn
onionecw peteertt
eithn ft
cuCwona!.
hcep ik C olmon.
Lt u
amdy m embe on Ond u becomis OcCu fted
monéh alu 6ath

2Pastuiee cntannlu
Jt e ent d by unbon a d u l u y Un.
yitul Sutiu añleaelly4 0lambaud Suluu ellhu
sid
lt leoe Y membsane but be onn bony cat lum.

Decemetu skull:
e anaveest dludmelu selh de Cncund (Lh l u
mechanium (abcLI CU
etctnal clmelu scm 21 extesd between Ui
lwa Paulses einenCe
Bualaces cliamub1 & sem y lus cleslcnu
bitude en blu urlut prtunt Ceconr/
/ falu1e4 at
thu temp y

maulding,
hu u tu teem cuppueod 10fchung e en
Shape
 letcelhtad that taks place ofuuny
E hicugh l t btith cA nou pos4uye
1hi Balur n e pamit u dkuu bonu lo slis ve
cctc athur mauloling lulpi to etcluu eu peu enlny
oltctne leo

Ccuput duc CLclenium

d thamatdn
o l u ' d n tuu (aye
uuullung duu to staqnatin
tu Usaln benedhu
acontad
7h ecdls y Dcont act citha bony ou lu ditätiny
uidI a ulva) eng
hi Suillng dftiye .boygy and uKu imulhd
by le suteu Un 0
ZSouyapprcuu 8pontctniausly ulhin 24hn au
6th
Cephculhe malom
clu to
y
dubpeuagtea himaho e tujullny
écm zctumati olUyay
t nevu eateneled bycnd tles utun Un
ICcy CT can /xCuld be takin to ealud e hue

Hemcut ocaut 6ilietulit n (evel fhautd br

eltimcuud.
 emal peluy

80 nu
lium luxut. pot o hip bou, l y béoag
on sheped
ii) Puls he puii bons c a c hip bone Connects
to cethi a1 pulisynphya
) dschuum meul o luu body usht atls dn
tlu paet

cunt
cIc2o ilrac ja'nta CX») - tween ilum e/ hap
bones oncSocEum

i)caeo Coccaymphyu between surtum

Cind Coccyna,
)Pultc mphytu -
beliusun pculuj bocl/es o
w a hp bonu.

zt t u funttón buueen Eael

enP
uss peluti clul eeminus lu s f clnd fhape
tunth Ptomtin nt &gu key ceud
musls yomnt cettcnhemeul

Ccvely z u b o l luke huctuu thet Sils

Ccuut L orn
ape ntog baulud y Coccux,
Lichal
tiboastliesf pul Synpyr
Decumedes
Prlvs
Petnec nlut nt¬RO Po4ieruea. !|cm
JE navep8= 1a cm.
(Cliliguu Cm

felvre Cwtly lntuo po4 iuian = lacm.

780meR8 l2 Cm

aliyu l2 cm.

(9 Peutc oLLllil ntNO

po! letsa = /3Cm
7e0 nd Verst I1Cm.

lgu
(7Bem lu peuu
pelvec nlut, s t n g
though llu pe omi narnet Sacelum. tlu
Qural alnd pecdinual lues and ppee m i
puht ymph yu
S)Ptcrcenta dno Card-
Placenta

0evelapment :)7he placento oleuelaped eom

etal pcete charon torcdosum»
iMalena! component olkticdua
basu
h e s tvo betns al 6th coeek cnd u Comptul.d
Ry 2th Cweek

i ucture i)the plucenta Cons u t e/ lua

Plcitt
)chaniónueplale.
i) Bausce! plcute
ir) 13eloeen U t plcde tnfenvtleruu spac
Contanung sum vilU uul hua beunchus. elu
space bdng lled uutt a l r e l bleed,

Amniati ) e mbeoine Stngo lcye of Cubetas

epithlium oastly cttachucf
to Chionit pdct ls

Baial plole )ZL Consest o a l loustny sttetetu

ecm utkid nuvads

a dcuclua hasCL
Peet 3pongy
Nit abéach y
)Cytaliaphrll astic shett
n8y titeapalu leust
(Plcacenta Hqtng
As placembe hces limiled
li/e span il u ikety to
umdi/o enUqtive Chorye
)Ayng tnvalu
s) v i l l Changes
bath
ilal and malu nal componnd
eceLcuit thiikneys appecwone a yndw krad
i) 1tephollast oluapta
r) Co peltcey aliallo n
)
V)Depoes ilíon o ytbern
Distcliual chenye"
Mtahuch lcytn Uml a elher nueessbn
dLitelura, menbeane aldent in placenla acuet
)dnisvllau4 Spau
)Mc entangung vazialla numbun olvlu
i) Colutccubi oh eNen
yil amulio
untion
iTtans/e nulienls Ule fpEocleud btlween
mat hn U Gnedtty.

)Respucadacy
ii) Eaectay
ii Nulaltve
i) endo elne cnction toclua Sercesd {
Peptrte
hautmo ni
)Bcer2ICaunction
iv)
ommunakoytt cel tnelion.
S)Abnotmatilies
1) Plcecento Buccenlurjcet ca Ctobu on ptacento).
Place nto eaturhavalus
) CevUM VOLLlerli placento.
4) PlaCe nto mnginila
s) Plcace nto membton
6) Placent o dcarla. tncer culo Peattcty
Umbiliccel Cancd:

Develapment
Peimitive umbiluca tIn -é eapanaton a cmnialr
CcLvely leacd to lallin uth
ventaa 3u 1iny
amnio cteoleurd fiunction and armlion
ptimilive mkilica/ en.
Petmiliv umbilucl card eapansto o o
dmnac_Cawlytaels lo clengoaton umkuiras
Cand
Dtnelive umbliceul cand Ratuun to dntesuncu
ldop to celdominca Cavlly g meth

tuctuu 2t
i
con4nt luvo aeteries dndvetn
h e loo Vessus au endsd Peateled y
helon uy
NO nnve uPPly Ptsent n llu umbelrcel
cond
 untions
t v e s CA bloed aun a thu (ulerty
rcdge e Jseaus malulu
&RA/ sduuea of nuulelnts
l hlYPr tluL è m o a l o/ carte peocluct

Abnarmalilles
s h e l Catd cads to pes malues depee etion
placenta
7 cand t moy encccle neck y e t u t
mc am teu nad
Conghlal umbli'cce) heania Caod Contctins cail
Enles lu
earense Ona umbtdras atey
tbrcuma cuttuchment nad
meytnct/ cuttache ment
7ha ugh membto (Velomendau)