obs written and oral

kamranmuazzam · Oct 23, 2024 · b384400 · b384400
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diff --git a/assets/DC_Dutta’s_Textbook_of_OBSTETRICS_1729346600160_0.edn b/assets/DC_Dutta’s_Textbook_of_OBSTETRICS_1729346600160_0.edn
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+               :content {:text "Systematic supervision (examination and advice) of a woman during pregnancy is called antenatal (pren atal) care."},
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+              {:id #uuid "6718c381-a0b8-42a3-9a16-2264370f77ba",
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+               :content {:text "The objective is to ensure a normal pregnancy with delivery of a healthy baby from a healthy mother."},
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+               :content {:text "High risk pregnancy is defined as the one where pregnancy is complicated by a factor or factors that adversely affect the outcome—maternal or perinatal or both"},
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+               :content {:text "A grand multipara relates to a pregnant mother who has got previous four or more viable births"},
                :properties {:color "yellow"}}],
- :extra {:page 243}}
+ :extra {:page 240}}
diff --git a/...RICS_1729346600160_0/109_6718c381-a0b8-42a3-9a16-2264370f77ba_1729676160007.png b/...RICS_1729346600160_0/109_6718c381-a0b8-42a3-9a16-2264370f77ba_1729676160007.png
diff --git a/...RICS_1729346600160_0/116_6718c46e-c6e0-47e2-a895-75bf57c0f610_1729676397185.png b/...RICS_1729346600160_0/116_6718c46e-c6e0-47e2-a895-75bf57c0f610_1729676397185.png
diff --git a/...RICS_1729346600160_0/611_6718c9cf-b713-4414-9a0f-8758a665108d_1729677774335.png b/...RICS_1729346600160_0/611_6718c9cf-b713-4414-9a0f-8758a665108d_1729677774335.png
diff --git a/...ing_Perinatology_and_Contraception-Jaypee_Brothers_Medical_Pub_(2018)_1714061390517_0.edn b/...ing_Perinatology_and_Contraception-Jaypee_Brothers_Medical_Pub_(2018)_1714061390517_0.edn
@@ -0,0 +1 @@
+{:highlights []}
diff --git a/assets/Moore's_Essential_Clinical_Anatomy_1729591400827_0.edn b/assets/Moore's_Essential_Clinical_Anatomy_1729591400827_0.edn
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+{:highlights [{:id #uuid "6718b91d-aead-4600-b659-df5716e8cb51",
+               :page 402,
+               :position {:bounding {:x1 29.20901870727539,
+                                     :y1 266.5954055786133,
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+                          :page 402},
+               :content {:text " UTERINE TUBES"},
+               :properties {:color "yellow"}}],
+ :extra {:page 410}}
diff --git a/assets/Moore's_Essential_Clinical_Anatomy_1729591400827_0.pdf b/assets/Moore's_Essential_Clinical_Anatomy_1729591400827_0.pdf
diff --git a/journals/2024_10_23.md b/journals/2024_10_23.md
diff --git a/logseq/config.edn b/logseq/config.edn
@@ -424,4 +424,7 @@
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diff --git a/pages/Antenatal Care.md b/pages/Antenatal Care.md
@@ -0,0 +1,53 @@
+definition:: ((6718c32e-2f09-4a4c-b3cc-e230529f73d7)) #obs-prof-written
+
+- # Aims #obs-prof-written
+	- ((6718c381-a0b8-42a3-9a16-2264370f77ba))
+- # Objectives #obs-prof-written
+	- ((6718c3a9-9064-49a4-828b-1f9d44e0a619))
+- # Advantages #obs-prof-written
+- # Values #obs-prof-written
+	- ((6718c46e-c6e0-47e2-a895-75bf57c0f610))
+- # WHO recommendation for antenatal visits #obs-prof-written
+- # WHO antenatal visits #obs-prof-written
+	- Second Trimester, around 16 weeks
+	  logseq.order-list-type:: number
+	- Between 24 and 28 weeks
+	  logseq.order-list-type:: number
+	- 32 weeks
+	  logseq.order-list-type:: number
+	- 36 weeks
+	  logseq.order-list-type:: number
+- # Information #obs-prof-written
+	- Complaints
+	- History of Present Illness
+	- Obstetric History
+		- Gravida and Parity
+	- Menstrual History
+		- Period of Gestation calculation by LMP and calculation of EDD
+	- Past History
+	- Family History
+	- Personal History
+- # Investigation #obs-prof-written
+	- Routine
+		- Blood
+			- Hemoglobin
+			- Hematocrit
+			- ABO blood grouping
+			- Rh blood typing
+			- Hemoglobinopathies
+			- Blood Glucose
+			- VDRL
+		- Urine
+			- Protein
+			- Sugar
+			- Pus cells
+		- Pap smear
+	- Special
+		- Serology : Rubella, Hepatitis B, HIV
+		- Genetic screen : Maternal serum alpha-fetoprotein
+		- Ultrasound examination
+		- Hemoglobin
+		- Urine Protein
+		- Random Blood Sugar
+- # Investigations in Booking Visit #obs-prof-written
+- # Dietary Advice to Pregnant mother #obs-prof-written
diff --git a/pages/Cesarian Section.md b/pages/Cesarian Section.md
@@ -1 +1,10 @@
 alias:: CS
+
+- ## Absoulute Indication #obs-prof-card
+	- Absolutely Contracted Uterus
+	- Central Placental Previa
+	- Absolute Cephalopelvic Disproportion
+	- Obstructed Labor
+	- Transverse Lie[]()
+	- Advanced carcinoma cervix
+	- [[Vesicovaginal Fistula Repair]]
diff --git a/pages/Eclampsia.md b/pages/Eclampsia.md
@@ -1,6 +1,39 @@
-definition:: [[Pre-Eclampsia]] when complicated with grand mal seizures (generalized tonic-clonic convulsions) and/or coma is called eclampsia
+definition:: [[Pre-Eclampsia]] when complicated with grand mal seizures (generalized tonic-clonic convulsions) and/or coma is called eclampsia #obs-prof-card
 
+- # Stages of Ecamptic Fit
+	- # Premonitory Stage
+	  duration:: 30 seconds
+		- The patient becomes unconscious.
+		- There is twitching of the muscles of the face, tongue and limbs
+		- Eyeballs roll or are turned to one side become fixed.
+	- # Tonic Stage
+	  duration:: 30 seconds
+		- The whole body goes into a tonic spasm the trunk-opisthotonus, limbs and hands clenched.
+		- Respiration ceases and the tongue protrudes between the teetch
+		- Cyanosis appears
+		- Eyeballs become fixed
+	- # Clonic Stage
+	  duration:: 1-4 minutes
+		- All the voluntary muscles undergo alterate contraction and relaxation.
+		- The twitchings start in the face then involve one side of the extremities and ultimately the whole body is involved in the convulsion.
+		- Biting of the tongue occurs.
+		- Breathing is stertorous and blood stained frothy secretions fill the mouth; cyanosis gradually disappears.
+	- # Stage of Coma
+		- Following the fit, the patient passes on to the stage of coma.
+		- It may last for a brief period or in others deep coma persists till another convulsion.
+		- On occasion, the patient appears to be in a confused state following the fit and fails to remember the heppenings.
+		- Rarely, the coma occurs without prior convulsion
+- # Differential Diagnosis
+	- Epilepsy
+	- Encephalitis
+	- Meningitis
+	- Puerperal cerebral thrombosis
+	- Hypertensive encephalopathy
+	- Cerebral malaria in topics
+	- PRES
+	- Intracranial tumors
 - # Management
+  collapsed:: true
 	- Prediction and Preventions
 		- generally, it's preventable in pre-eclampsia but some cases(20-40%) occur without pre-eclamptic state
 	- Call for extra help, multiple personel are required to simultaneously manage different aspects

diff --git a/pages/Fallopian Tube.md b/pages/Fallopian Tube.md
@@ -0,0 +1,23 @@
+alias:: Uterine Tube, Oviduct
+tags:: #obs-prof-written
+length:: 10 cm long
+
+- Type of Organ : muscular tubular organ
+- # Parts
+	- Infundibulum
+	  alias:: fimbriated end
+		- numerous projections at the abdominal end called fimriae
+		- longest fimbria is called : ovarian fimbriae
+	- Ampulla
+	  length:: 5 cm
+		- most dilated part
+		- site for fertilization
+	- Isthmus
+	  length:: 3 cm
+	- Intramural part
+		- within the musculature of the uterus
+- Two opening
+	- Abdominal Ostium
+	  lies:: laterally
+	- Uterine Ostium
+	  lies:: medially
diff --git a/pages/Female Reproductive System.md b/pages/Female Reproductive System.md
@@ -0,0 +1,3 @@
+- [[Fallopian Tube]]
+- [[Uterus]]
+-
diff --git a/pages/Genitourinary Fistula.md b/pages/Genitourinary Fistula.md
@@ -0,0 +1 @@
+- [[Vesicovaginal Fistula]]
diff --git a/pages/Gestational Diabetes Mellitus.md b/pages/Gestational Diabetes Mellitus.md
@@ -0,0 +1,36 @@
+alias:: GDM
+definition:: GDM is defined as carbohydrate intolerance of variable severity with onset or first recognition during the present pregnancy
+
+- # Complications in pregnancy #obs-prof-card
+	- Maternal
+		- During Pregnancy
+			- Abortion
+			- Preterm labor (26%)
+			- Urinary Tract Infection and vulvovaginitis
+			- Increased incidence of preeclampsia (25%)
+			- Polyhydramnios(25-50%)
+			- Maternal Distress
+			- Diabetic Retinopathy
+			- Diabetic Nephropathy
+			- Coronary Artery Disease
+			- Ketoacidosis
+		- During Labor
+			- Prolongation of labor due to big baby
+			- [[Shoulder Dystocia]]
+			- Perineal injuries
+			- Postpartum hemorrhage
+			- Operative interference
+		- Peurperium
+			- Puerperal sepsis
+			- Lactation failure
+	- Fetal
+		- Fetal macrosomia (40-50%)
+		- Congenital malformation (6-10%)
+- # Obstetric Management
+	- Time of Termination of Pregnancy #obs-prof-card
+		- Women with good glycemic control and who do not require insulin may wait for spontaneous onset of labor. However, elective delivery (induction or cesarean section) is considered in patients requiring insulin or with complications (macrosomia) at around 38 weeks
+- # Diagnosis
+	- ## Screening #obs-prof-card
+		- WHO screening method
+			- Random blood sugar, Urine for sugar, $\ce{HbA1C}$
+		- We follow [[OGTT]]
diff --git a/pages/Grand Multipara.md b/pages/Grand Multipara.md
@@ -0,0 +1,27 @@
+definition:: ((6718cab3-f79c-4b0c-8a70-8ab207166200)) #obs-prof-written
+
+- # Complications #obs-prof-written
+	- Abortion
+	  logseq.order-list-type:: number
+	- Inherent Obstetric hazards such as
+	  logseq.order-list-type:: number
+		- malpresentation
+		  logseq.order-list-type:: number
+		- multiple pregnancy
+		  logseq.order-list-type:: number
+		- placenta previa
+		  logseq.order-list-type:: number
+	- medical disorders such as 
+	  logseq.order-list-type:: number
+		- anemia(both iron deficiency and megaloblastic)
+		  logseq.order-list-type:: number
+		- hypertension with or without superimposed pre-eclampsia
+		  logseq.order-list-type:: number
+		- cardiac disability
+		  logseq.order-list-type:: number
+		- exaggerated manifestations of hemorrhoids and varicose veins
+		  logseq.order-list-type:: number
+		- hiatus hernia
+		  logseq.order-list-type:: number
+	- Prematurity
+	  logseq.order-list-type:: number
diff --git a/pages/High Risk Pregnancy.md b/pages/High Risk Pregnancy.md
@@ -0,0 +1,6 @@
+definition:: ((6718c95f-0b6b-4f7f-914f-1ed96c4f6459)) #obs-prof-written
+
+- # Causes #obs-prof-written
+	- ((6718c9cf-b713-4414-9a0f-8758a665108d))
+- # Danger Signs of Pregnancy #obs-prof-written
+-