New to Meducation?
Sign up
Already signed up? Log In

Category

Www.bmj
2
75

Diagnosis and management of subclinical hypothyroidism in pregnancy

In prospective studies, the prevalence of undiagnosed subclinical hypothyroidism in pregnant women ranges from 3% to 15%. Subclinical hypothyroidism is associated with multiple adverse outcomes in the mother and fetus, including spontaneous abortion, pre-eclampsia, gestational hypertension, gestational diabetes, preterm delivery, and decreased IQ in the offspring. Only two prospective studies have evaluated the impact of levothyroxine therapy in pregnant women with subclinical hypothyroidism, and the results were mixed. Subclinical hypothyroidism is defined as raised thyrotropin combined with a normal serum free thyroxine level. The normal range of thyrotropin varies according to geographic region and ethnic background. In the absence of local normative data, the recommended upper limit of thyrotropin in the first trimester of pregnancy is 2.5 mIU/L, and 3.0 mIU/L in the second and third trimester. The thyroid gland needs to produce 50% more thyroid hormone during pregnancy to maintain a euthyroid state. Consequently, most women on levothyroxine therapy before pregnancy require an increase in dose when pregnant to maintain euthyroidism. Ongoing prospective trials that are evaluating the impact of levothyroxine therapy on adverse outcomes in the mother and fetus in women with subclinical hypothyroidism will provide crucial data on the role of thyroid hormone replacement in pregnancy.  
bmj.com
over 7 years ago
Preview
2
32

Ob/Gyn - Ca Endometrium

The online lecture series for medical students. On demand streaming video lectures. www.mdcrack.tv Owner: MD CRACK  
YouTube
over 7 years ago
9211header
2
40

Obstetrics and Newborn Care

A two-semester course in obstetrics and newborn care for prospective healthcare professionals.  
waybuilder.net
over 7 years ago
Preview
2
38

Preterm birth and the role of neuroprotection

Preterm birth remains a common complication of pregnancy and causes substantial neonatal morbidity and mortality. As improvements in the care of preterm neonates have outpaced efforts to prevent preterm birth, the numbers of survivors with neurologic sequelae that affect quality of life have increased. The main strategies to reduce the impact of neurologic complications of prematurity include prevention of preterm birth and protection of the developing fetal brain through antenatal administration of drugs. These strategies rely on a basic understanding of the intertwined pathophysiology of spontaneous preterm labor and perinatal brain injury, which will be reviewed here. The review will outline current methods for the prevention of prematurity and neuroprotection. The use of magnesium sulfate as a neuroprotective compound will be discussed, including concerns over its association with increased pediatric mortality and abnormalities in bone density.  
bmj.com
over 7 years ago
Preview
2
19

10 Ectopic Pregnancy

Introduction to pelvic ultrasound for the evaluation of ectopic pregnancy by Bret Nelson, MD, RDMS, FACEP. Department of Emergency Medicine, Mount Sinai Scho...  
youtube.com
about 7 years ago
Preview
2
91

Bedside Obstetrics & Gynecology

The second edition of Bedside Obstetrics & Gynecology brings postgraduate trainees fully up to date with the most recent advances in the field. The first section covers obstetrics, discussing normal and abnormal presentations (such as normal labour versus breech presentation), complications in pregnancy (including early pregnancy bleeding and ante- and postpartum haemorrhage), and medical disorders related to pregnancy (such as preeclampsia and gestational diabetes). Section two covers numerous gynaecological abnormalities. This new edition has been fully revised but continues to emphasise the importance of history taking and clinical examination. New chapters have been added to cover topics such as preterm pregnancy, post-dated pregnancy and intrauterine death, bleeding due to miscarriage, menopause and contraception. Nearly 1100 images, illustrations and tables enhance learning, and each chapter includes questions and answers related to case studies. Key points Fully revised, new edition providing recent advances in obstetrics and gynaecology Many new chapters added Includes 1100 images, illustrations and tables Previous edition published in 2010  
books.google.co.uk
almost 7 years ago
Preview
2
111

Core Clinical Cases in Obstetrics and Gynaecology Third Edition

You've read your textbook and your course notes. Now you need to apply your knowledge to real life clinical situations. The problem-solving approach of Core Clinical Cases guides you to think of the patient as a whole, rather than as a sequence of unconnected symptoms. With its emphasis on everyday practice strongly linked to underlying theory, the series integrates your knowledge with the realities of managing clinical problems, and provides a basis for developing sound analytical and confident decision-making skills. The core areas of undergraduate study are covered in a logical sequence of learning activities; the same questions are asked of each clinical case, followed by detailed explanatory answers. OSCE counselling cases, with related questions and answers, also feature in each section. Key concepts and important information are highlighted, and the reader-friendly layout reflects exactly the type of question you will encounter, making these volumes the perfect revision aid for all types of case-based examination. The Obstetrics and Gynaecology volume, fully revised and updated in this third edition, focuses on the following topics: * Early pregnancy problems * Pregnancy dating and fetal growth * Late pregnancy problems * Labour * Medical disorders of pregnancy * Puerperium * Abnormal uterine bleeding * Amenorrhoea and menopause * Incontinence and prolapse * Neoplasia * Discharge and pain* Infertility * Fertility control Volumes in the Core Clinical Cases series remain absolutely invaluable in the run up to clinical, written or OSCE examinations, and ideal course companions for all undergraduate medical students at various stages in their clinical training.  
books.google.co.uk
almost 7 years ago
Preview
2
77

Core Clinical Cases in Obstetrics and Gynaecology Third Edition

You've read your textbook and your course notes. Now you need to apply your knowledge to real life clinical situations. The problem-solving approach of Core Clinical Cases guides you to think of the patient as a whole, rather than as a sequence of unconnected symptoms. With its emphasis on everyday practice strongly linked to underlying theory, the series integrates your knowledge with the realities of managing clinical problems, and provides a basis for developing sound analytical and confident decision-making skills. The core areas of undergraduate study are covered in a logical sequence of learning activities; the same questions are asked of each clinical case, followed by detailed explanatory answers. OSCE counselling cases, with related questions and answers, also feature in each section. Key concepts and important information are highlighted, and the reader-friendly layout reflects exactly the type of question you will encounter, making these volumes the perfect revision aid for all types of case-based examination. The Obstetrics and Gynaecology volume, fully revised and updated in this third edition, focuses on the following topics: * Early pregnancy problems * Pregnancy dating and fetal growth * Late pregnancy problems * Labour * Medical disorders of pregnancy * Puerperium * Abnormal uterine bleeding * Amenorrhoea and menopause * Incontinence and prolapse * Neoplasia * Discharge and pain* Infertility * Fertility control Volumes in the Core Clinical Cases series remain absolutely invaluable in the run up to clinical, written or OSCE examinations, and ideal course companions for all undergraduate medical students at various stages in their clinical training.  
books.google.co.uk
almost 7 years ago
Preview
2
78

How to perform an episiotomy | RCM

The RCM website is published by The Royal College of Midwives. Midwives magazine, Evidence Based Midwifery and Midwives Jobs are published by Redactive Publishing Ltd on behalf of The Royal College of Midwives.  
rcm.org.uk
almost 7 years ago
Preview
2
13

How to Assess & Treat Common Pregnancy Complications

Case Presentation The EMS crew of Station 4 is called to the home of a pregnant female who’s complaining of abdominal pain and vaginal bleeding that began occurring after a fall. The crew learns that she slipped on a wet floor and fell on her abdomen. She advises the lead paramedic that she’s 30 weeks pregnant and that it’s her second pregnancy. During questioning, the paramedic learns that the patient has not sought prenatal care due to severe financial difficulties and lack of insurance.  
jems.com
almost 7 years ago
Preview
2
24

Preeclampsia FAQs

Preeclampsia can appear at any time during pregnancy, delivery and up to six weeks post-partum, though it most frequently occurs in the final trimester and resolves within 48 hours of delivery. Preeclampsia can develop gradually, or come on quite suddenly, even flaring up in a matter of hours, though the signs and symptoms may have gone undetected for weeks or months.  
preeclampsia.org
almost 7 years ago
Preview
2
81

What is syphilis?

Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT...  
youtube.com
almost 7 years ago
Preview
2
47

Textbook of Gynaecology

 
books.google.co.uk
almost 7 years ago
Preview
2
33

Pre-eclampsia - Case Video - Ministry of Ethics .co.uk

Medical ethics and law revision notes for free, with MCQs, EMQs, animated videos, clinical scenarios, lecture notes and discussion forums. Discuss with senior lecturers, and download resources they upload  
ministryofethics.co.uk
almost 7 years ago
Preview
2
8

Infertility May Actually Be A Genetic Disease

Researchers compare mice and human gene databases to identify which are capable of mutating to cause infertility.  
medicaldaily.com
almost 7 years ago
Preview
2
14

The day I removed a toy dinosaur from a woman's vagina

At first I thought my patient had a bad case of thrush. How wrong I was  
theguardian.com
over 6 years ago
8
2
22

The ZedScan as an adjunct to colposcopy in women with suspected cervical intra‑epithelial neoplasia | Advice | NICE

NICE has developed a Medtech Innovation Briefing (MIB) on ZedScan as an adjunct to colposcopy in women with suspected cervical intra epithelial neoplasia.  
nice.org.uk
over 6 years ago
Preview
2
8

Ovarian cancer: recognition and initial management | Guidance and guidelines | NICE

This guideline will shortly be checked to see if it needs updating, please register as a stakeholder to be informed about the decision.  
nice.org.uk
over 6 years ago
Preview
2
9

Ovarian cancer (advanced): bevacizumab 7.5 mg/kg in combination with paclitaxel and carboplatin for first-line treatment | Key-points-from-the-evidence | Advice | NICE

One large (n=1528), open-label, randomised controlled trial (RCT; ICON7) that assessed the efficacy and safety of bevacizumab 7.5 mg/kg for treating ovarian cancer was identified; quality of life outcomes from this study were also reported separately (Stark et al. 2013). ICON7 found that interim analysis of overall survival data showed no benefit for adding bevacizumab to standard chemotherapy compared with standard chemotherapy alone, except in a subgroup deemed at high risk for progression. In this subgroup median results for progression-free survival after a median follow-up of 19 months were 10.5 months with standard chemotherapy and 15.9 months with standard chemotherapy plus bevacizumab. Adding bevacizumab to standard chemotherapy resulted in a small but clinically relevant reduction in quality of life.  
nice.org.uk
over 6 years ago