→#÷E

! FSA
ovulation

note neo secreted

ily syncytno trophoblast
:
us .

Tipousent un urine 12-5

dogs past ovulation
↳ detectable blood ordained
↳ doubles
in 11
days past
98-72 hours wax at co -
11 notes
every
.

Mx
of ectopic

expectant management wedded

management surgical
foetal bear beat
•
no .
no
foetal heatbeet •
one phoned
small
( 235mm
) small
'

pan
• •

asymptomatic symptoms fetal heartbeat

•
-
•
miner

low mild hCG

hCG
high HGCG
•
• -

of other noble
preys salphmgeckng
-
•
.

note :

pore
-

eclampsia BP cannot present before 20 wks

uf BP T 220 wks
existing hypertension
→
of age .

you
-
.

olefmihen of TBP m
pregs .

BP 7
140/90 TBP 30 15 ddastalde
af systaldcoo
Rubella un
Preys .

mast ouiskm first 8-10 wks .

Congenital ouebellasyubeue
•seuswonearal deafness
no MMR cataracts
for pregnant or women •

canyon .
.

salt & pepserchoriioretinohs

those
attempting to get pregnant
. .
 Ovarian
Cysts

Follicular
Cysts
most
•

common

serval menstrual
oregnesses cycles
•
over .

Corpus heuteom cyst

failure of corpus bedlam from breaking down
•

intraperitoneal bleeds

Desmond
cyst
benign
mast common ovarian tumor < 30
years
•
.

usually asymptomatic
•

serous
cgshadenomee
appears chloe serous carcinoma
-

mucinous
cgstadenoma
large /massive
•
.

Benign Breast humps

Fibro adenoma

solitary welldefwed rubbery tender mobile mass

•

, , , non
-

abreast 235
most wimp years
•
common

w/ menstrual
cycle
•

sire
may vary
ultrasound
•

dropsy confirm
t to

Phyllo rides tumor

•
smrlar to
fibro adenoma ,
vuultonodulor , requires song real excursion
 Introverted Papilloma
most common cause
of bloody nipple discharge
•
.

palpable clomp
-

behind areola .

core needle contrast to ritualize meth duels

bropsey
•

mammogram
. .

surgical excrsren
•
.

Fibro
cystic changes
pore menstrual cbelatenod multifocal breast
pen
•
-
.

be tender
/ non
•
tender
may
-

dear/milk
discharge
•

(not yens )
oecomended < 30
mammogram
•
us +

medical nevermore treatment clone needle aspmalen

•
.
or .

Ashermen 's syndrome adhesions dilation &

→

→
after eultenage
Sheehan 's
syndrome hgnopaleutarncsm due to
kyvorolemha .

Stop methotrexate 6 monks

chyme ecueeephen .

( both women & men

)

caput Sueeedeem to due to roubles or trainee

does not crass suture demos .

preset at snth . oresahesm

day .

Geplalo hematoma
to
delayed onset ,
months .

T AFP →
multiple poignancy to APP →
Downs
omphaloceles Trisomy is
ntD

Bishop score > 8 → spontaneous labour as lobby .

Review stages of Labour

talent come 2ham 7-mid irregular contravenes
ifstgpeye
.

active 4- 10cm ,
diahann lumper hear
2nd Stage von
expulsive .

•
centre
full deleted

noovgeso push
-

expulsive
wgeio path
•

for ooh live

note :
oxybutenin urgetoyremeonwevee .

or lol herodine

darrfenaeive

mmasegronuf elderly Ccfeueranlrchalnagresado effects )

•

stubs mccnhnenee
duloxetine for uf surgical option defused .

normal, recheck later

notes
single episode of glucose It is .

BKMECU absolute contraindicated

> 35 &
smoking 15
cigs day
•
a .

Magnone w/
•
aura
•

thromho embolic disease

•
shake , IHD

breastfeeding postpartum
•
< o wks

breast
•

cancer

notes Turner- syndrome .

amenorrhea
cpoumary
•

old Fstt TLH

,

note : Endometrial Conearousk .

tamoxifen
unopposed easmogen
•
•

week
parity → more
cycles §
•

early menarche, make menopause

•
Contraception after menopause
poorord
1 last
if over so →
year after
-

of under 50 →
2
after last period
•

years

caber live
Dopamine agonist
→
indicated to
stop treat
feeedug
go ,

or
hyper prolad-inae.mu a

DOACS contraindicated
are m
pregnancy .

War
frm us contraindicated m
pregnancy .

→
use low molecular
wreght heparin umstead

contraception after pregnancy

progesterone immediately postpartum

•

IUD 88 horns 6 wks

post parton
•
or

* contraindicated post partum

COCP
absolutely < 6 wts
conure
pregnant again N
days postpartum )→ prayers best
^

contraception
+ .

note : 2
measure serum
progesterone days Ieefore next
period C N )
day
Fibroid Degeneration
→
red
degeneration .

long