One of the most common obstetric/gynaecological presentations in a hospital/GP setting is vaginal bleeding. When women present with per vaginal (PV) bleeding it is usually because the bleeding is unexpected, irregular, heavy or painful. Other common presentations alongside PV bleeding are pelvic pain, missed periods and vaginal discharge. Women presenting with PV bleeding can present
If the thought of conducting an intimate examination or attempting to wield (without any embarrassing pitfalls) the contraption that is the speculum is enough to fill you with apprehension- fear not! The good news is that junior doctors are not typically expected to perform speculum/bimanual examinations unless you are on an O&G or GP placement.
In this article, we discuss why you should apply to O&G training, how to build your portfolio & we detail the application process. O&G is a 7 year run-through programme, incorporating a core curriculum with ultrasound training & there are plenty of opportunities to subspecialise.
The management and review of postnatal women are usually straightforward. There are a few points specific to postnatal women that are important to consider, which will be covered below. Prior to review As with every patient, it is important to review the notes of postnatal women thoroughly. Review the type of analgesia used during the
As gynaecology issues uncommonly present on the ward, many doctors have difficulties with the standard framework for addressing these issues. The classic referrals to gynaecology are: The nursing staff have noted vaginal bleeding. Could this be assessed? Could this abdominal pain be gynaecological? The abdominal scan has shown a pelvic mass or ovarian cyst. What
When you are on call, you will often get a bleep about a patient with abdominal pain. Abdominal pain can be a bit of a minefield and it is easy to get bogged down with all the possibilities. The key is to be systematic and take a clear history and thorough examination so that you