30 female Para winioniwñihniloinrioni ilwiiui

yo o no

It Bartholin 's cyst

2×1 CM Mass at 4 o'clock
•
Tx observation

i -a-lionitnoilunihioniby.it
marsupial
pain abscess Tx IID
Post Mi
-

pain ,
no uterine atony

Vulva hematoma perineum / n' ñ /

nrniowno.lun.hn
'

inniiu

drain repair
+ citrin pain controls
•
:Éhioon
i noili Foley
•
oioiñninfxlñ
Painful ulcer ,
no vesicle

Chancroid
.

post 51 ~ 1Wh

. nwaÉn voulwifounwnwnaiuwo.ro: pain

-

inguinal 1N In

Dx 01s no G- re cocco bacilli i school of fish , H .

duireyi
nwnuivu 7-
•

sens ↓ : .li clinical DX +

Therapeutic trial new
pain /us days ,
days )

Ati thro single dose / let } / Cipro / Erythro

i
g
.
Hard chancre

i syphilis
•
Painless ulcer nimrod: on vowitvw.li
, ,

-
Dx dark field microscope riv spirochete
serology iiliininoiiuilaiiii ) CDC / Inuit yr ,
WHO iiyr

•
Tx : Beniathine Pen 6 i. a NIU single dose i for ili / early latent )

late latent 1Wh syphilis drip

doxy / let
Neuro IV to MD
lit nhi
:
3
. -

of
✗
=
-

3) =

trial = 1.1 NIU Ennis evil viii. 1.1 NIV

i genital herpes
<

01mn:p iriinoi recurrent

.li ,
1N In É / aioon it 1mi urethra ,
,

-
A :
acyclovir 14001 1×3 for 7- to
days
•
Dx : clinical ,
PIR ,
Ab
lwiiu.nu/iwod:oin ÑU niiiiwnrnilin
,
✓ i. rinimwlaimi riri acyclovir and,n
Tx iwionn viral shredding + niluiiwnuioiio
Ini www.uiunniilinoiliioi )
Painless lesion denied HPV vaccine
,
Genital warts
-

Dx clinical ± Bx it / www.li/diiulA cage cool

>

pigmented / large lesions

 chemical lainiolñwa

non - keratinized vs
keratinized

iiuiwiuo : Sx ilaiiiinoiiiuriioioui

-
hip-1 .
mliniuuow ñiliñiñir www.ivi.miwoiiuxsdays/whtiwiwiiiowhs
HWI !

nwlimioi

thigh cone
,
so

.gr/.iuwonoimlu.mvaseline1iri ri i oi iowi:1n-1aiburn
Mollusiuncon-agiouniu.nnid.nl
e. ionium: Ñv content oon
g.

~
genital warts

for severe case

POP prolapsed uterus , procidentia uteri ,

Tx non Sx e.
g. pessary .
Hegel estrogen
+ m lit cervix lhiwwihnioinoon )
Sx obliterate Ng hysterectomy )

colpoileisis iitniloinnonl 511 screen Pap kiln

for nwsx titi
 fun gating from cervix

CA cervix exophytic
ulcerative
infiltration ipviiiiiiy )
-
Dx =
punch Bx ± packing -

: bleed in uoioonlw uhh

Sxlñ
-
Clinical staging ≤ 11A

≥ 1113 RT
 Endo cervical polyp
-

Tx =
polyphony ;
di patho iÑnÑu benign )

in
ring forceps Huang
naiñioon i / www.wi : bleed no: ; ,ww% in
un rss )
 Vaginal candidiasis

-
Dx wet smear uon Nss
,
Holt i :iuw pseudohyphae budding yeast
+
 bifilar complicated case

if iuiivoilailñ e.
g. no SI

Hu original rim filion irnwlñ local made

;
 homogeneous discharge nÉw~d:wwVñ
, esp now SI

innviiihñi :/wiiluiwiiiñioo )

Bacterial vaginosis
Dxlñilainoiuuni
uñlñniui
oil ,

Whitt test wet clue cells i epithelium cocco bacilli in: roue ell o :/ iiuvou cell him
Dx
+
•
= smear no
,

fi Ansel criteria
NIMH /I 1100 ) 1×1 for 7- d
inluiloinnon ñwiinuiioo
+
, dysuria

Trichomonas vaginalis
/ññi
-

foamy discharge yellow,

-

green ,
in fl roo:p cervix

<
Dx = wet smear
iuu protozoa more hi
Tx partners lñnivnpnw
 too -1h

Teratoma i not DX
by film
'

Dx by Usb

•
it acute pain iñn complication e.
g.
twist 1 dermoid rumours
Subnucoui myon a

sagittal view
"
"

endometrial

mass ñi upper part of endometrial cavity

Ectopic pregnancy
uterus
•

gestational sac won

niwyolhsac / embryo ± fetal heart activity

•

Tx =
explore / laparoscopic DX +
salpingectomy
• medical Tx mix
Molar pregnancy
clinical
•

Tx suction curettage + FN p h lo &

-

into GTN )
Multifocal led thin wall ñiiowiow molar
a-

Theca lutein cyst

. / n' noi Tx exe at complication
 endonetriotic
hypoeihogenici.ly cyst
ground glass appearance ,
 Multiple small follicles to / Polycystic
ovary
>

ovary
string of pearls

Plos

Tx moimrwipn induced ovulation

liinoimr =
pil s 3.0 cycles
•
moi Tx : chronic an ovulation unopposed E CA corpus now aomiiy iilnñiiouniisoyo )
Twins 11 yolk sac +1
embryos
 NST Ino V11

-
1cm / inin
- moderate variability
•

good quality .
acceleration ≥ 2110 mins

-
baseline FHR 1406pm Inp reactive
: NST
 NST
DDX of fetal tachycardia
www.naf/i.icn1nin
decreased variability
'

pn hyperthyroid
.

good quality periodic change

-

no
arrhythmia
.
.

.
baseline Ho bpn Imp : non - reactive v51
,
fetal tachycardia .

early asphyxia
 Nst

.im/nin .
acceleration ✗
I

good quality .

spontaneous deceleration i. is cord compression

.
FHR baseline 1406pm
MX Midi BPP rio
- moderate variability
 EFM
acceleration
good quality }
. ×
•

.
1 in / min
.
no deceleration
' ' "

UC I 3 -4 D 60
.
,
IMP EFM call
- FHR baseline 140 6pm
•
moderate variability
 EFM
acceleration
.

good quality .
no

/minion
recurrent early deceleration head compression now 1+0
parasym )
1 in / min
-

call
"
-

V11 a:D 60 Imp F.FM

. FHR baseline 1406pm

.
moderate variability
 EFM
acceleration
good quality
•
no
-

1cm / min
• recurrent late deceleration fetal hypoxia / utero placental insult
laiiiiñwñ hypoxia / acidosis ,
' '

lwiiiñuñ Iai
'
in
-

•
FAR reserves +

' "

Imp EFM cat 11

• UC Ia ,
Doo

. FHR baseline no bpn Mx IVR initio , thin it /aiñ

'
termination
.
minimal variability
 overshoot
g. shoulder
g.

EFM
acceleration
good quality
•
no
-

recurrent variable deceleration iñniin cord compression

1cm / min
•

Itch
prolapsed cord
-

' "
emergency
I
• VC 4
,
D 60
oligohydrannios IVR daintier us )
. FHR baseline bpn
14s

.
moderate variability
 EFM
acceleration / deceleration
good quality
•
no
-

sinusoidal pattern rñniin severe anemia severe hypoxia medication

1cm / min
-

, ,
-

' "
Imp : EFM cat 111 whim terminate
• UC Ia ,
Doo

. FHR baseline no bpn

• absent variability
 tasting inVnñ GDMA , aiirwoiwwpwlailñnio diet control
.
: A : insulin

riv cut point ≥ in Dx GDM