Obstetrics and Gynecology, like all other branches of medicine, are changing constantly. What are considered advances today may become old before long. It is no wonder that I have had to revise this book twice in a course of just twelve years. Some things just do not change, like gynecologic disorders, and conventional obstetrics. I have changed those parts of the book a little. But investigative modalities and treatment keep changing, and therefore have been revised. Oncology keeps changing in staging and management options. Those chapters have been thoroughly revised. Conditions which were not common before may gain importance due to either change in epidemiological factors, or uncovering of new information due to modern investigations. As a result I have had to add a few chapters. I have combined a couple of chapters. Thus the overall number of chapters has increased by just one. The style of the book is in the form of flow-charts and concise explanations.
Contents
I Menstrual disorders
1 Dysmenorrhea
2 Primary amenorrhea
3 Secondary amenorrhea
4 Puberty menorrhagia
5 Menorrhagia in reproductive age
6 Postmenopausal vaginal bleeding
7 Metrorrhagia
8 Hypomenorrhea
9 Precocious vaginal bleeding
10 Premenstrual syndrome
11 Suspicion of endometrial hyperplasia
12 Suspicion of luteal phase defect
II General gynecology
13 Acute lower abdominal and pelvic pain
14 Tenderness on transverse cervical movements
15 Low backache
16 Endometriosis
17 Pyometra
18 Adnexal mass
19 Abdominal enlargement
20 Uterine leiomyoma
21 Genital prolapse
22 Leukorrhea
23 Itching of the vulva
24 Vulvar lesion
25 Vulvodynia
26 Female sexual dysfunction
27 Painful dyspareunia
28 Chronic Pelvic Pain
III Gynecologic urology
29 Urinary incontinence
30 Frequency of micturition
31 Retention of urine
IV Gynecologic endocrinology
32 Hirsutism
33 Galactorrhea
V Infertility
34 Infertility
35 Induction of ovulation
36 Cervical factor and sperm mucus penetration test
37 Male infertility
VI Congenital malformations of genital tract
38 Congenital absence of vagina
39 Congenital malformations of the female genital tract
VII Gynecologic oncology
40 Pap smear
41 Cervical intraepithelial neoplasia
42 Invasive cancer of cervix
43 Undiagnosed cervical cancer in a total hysterectomy specimen
44 Endometrial carcinoma
45 Uterine sarcoma
46 Ovarian carcinoma
47 Suspicion of choriocarcinoma
48 Suspicion of vulvar carcinoma
VIII Operative gynecology
49 Choice of laparotomy incision
50 Difficult vaginal hysterectomy
51 Myomectomy
52 Repair of vesicovaginal fistula
53 Request for reversal of female sterilization
54 Postoperative fever
55 Postoperative hemorrhage
56 Suspicion of intraoperative bladder injury
57 Suspicion of operative injury to ureter
58 Operative injury to bowel
59 Postoperative abdominal wound breakdown
60 Posthysterectomy vaginal evisceration
61 Needle breaking inside tissues
IX General obstetrics
62 Suspicion of pregnancy
63 Last menstrual period (LMP) unknown
64 Uterine size less than expected
65 Uterine size more than expected
66 Failure to gain weight
67 Exposure to teratogen
68 Request for prenatal diagnosis
X Obstetric hemorrhage
69 First trimester vaginal bleeding
70 Suspicion of septic abortion
71 Suspicion of tubal ectopic pregnancy
72 Repeated abortions
73 Antepartum hemorrhage
XI Medical disorders
74 Vomiting
75 Edema in pregnancy
76 Suspicion of anemia
77 Subacute/chronic breathlessness
78 Cough
79 Pulmonary disease
80 Cardiac disease
81 Cyanotic heart disease
82 Coarctation of aorta
83 Peripartum cardiomyopathy
84 Hypertension
85 Convulsions
86 Asymptomatic bacteriuria
87 Chronic renal disease
88 Jaundice in pregnancy
89 Pruritus
90 Out-of-wedlock pregnancy
91 Venous thrombosis
92 Pulmonary embolism
93 Systemic lupus erythematosus
94 Scleroderma
95 Antiphospholipid antibody syndrome
XII Obstetric disorders
96 Rh-negative gravida
97 Multiple pregnancy
98 Umbilical cord prolapse
99 Hydramnios
100 Oligohydramnios
101 Preterm labor
102 Vaginal leakage of fluid
103 Prolonged pregnancy
104 Reduced fetal movements
105 Induction of labor
XIII Disorders of labor
106 Occipitoposterior position
107 Breech presentation
108 Transverse lie
109 Face presentation
110 Brow presentation
111 Compound presentation
112 High floating presenting part at term
113 Suspicion of pelvic contraction at term
114 Nonprogress of labor
115 Soft tissue dystocia
116 Fetal macrosomia
117 Fetal hydrocephalus
118 Previous cesarean section
XIV Surgical disorders
119 Trauma
120 Pelvic or abdominopelvic lump in pregnancy
121 Burns during pregnancy
122 Goitre in pregnancy
123 Thyroid nodule in pregnancy
124 Nipple discharge during pregnancy
125 Solitary breast mass in pregnancy
126 Breast pain
127 Hematemesis in pregnancy
128 Epistaxis in pregnancy
129 Hernias in pregnancy
130 Varicose veins in pregnancy
XV Maternal fetal infections
131 Cytomegalovirus Infection
132 Dengue In Pregnancy
133 Ebola Virus Disease
134 Group B Streptococcus
135 Hepatitis B In Pregnancy
136 Hepatitis C In Pregnancy
137 Herpes Simplex
138 HIV Infection
139 Fever And Rash In Pregnancy
140 Rubella. doc
141 Toxoplasmosis
142 Varicella Zoster
143 Zika Virus
XV1 Fetal medicine
144 Assessment of fetal well being
145 Fetal arrhythmias
146 Hydrops fetalis
147 Craniospinal and facial anomalies
148 Fetal alloimmune thrombocytopenia
149 Intrapartum fetal monitoring
150 Acute fetal distress
151 Ambiguous genitalia
XVII Postpartum period
152 Postpartum hemorrhage
153 Postpartum hemorrhage : uterus not palpable
154 Late postpartum hemorrhage
155 Suspicion of coagulopathy
156 Thrombocytopenia
157 Sudden collapse in pregnancy
158 Puerperal pyrexia
159 Postpartum mastalgia
XVIII Operative obstetrics
160 Cervical incompetence
161 Difficult cesarean section
XIX Contraception
162 Desire for contraception
163 Missing threads of an IUCD
164 Failure of contraception
165 Desire for medical termination of pregnancy
