Katherine Lattey - Unofficial Guide to Obstetrics and Gynaecology (Unofficial Guides)

ISBN 978-0957149977

Text, design and illustration Zeshan Qureshi 2018.

Edited by Matthew Wood, Katherine Lattey and Zeshan Qureshi.

Published by Zeshan Qureshi. First published 2018.

All rights reserved; no part of this publication may be reproduced, stored in a retrieval system, transmitted in any form, or by any means, electronic, mechanical, photocopying, recording, or otherwise, without the prior written permission of the publishers.

Graphic design by Anne Bonson-Johnson, A Poke in the Eye.

A catalogue record for this book is available from the British Library.

Commissioned medical illustrations by Caitlin Monney, Harry Heyes and Sam Goddard.

Medical illustrations:

Caitlin Monney 1.01: .

Sam Goddard and Harry Heyes 1.01: .

Clinical photographs:

Matthew Wood 1.01: .

Molar pregnancy 1.03: . Licensed under a Creative Commons Attribution 4.0.

Lichen sclerosus 1.04: .

Although we have tried to trace and contact copyright holders before publication, in some cases this may not have been possible. If contacted we will be pleased to rectify any errors or omissions at the earliest opportunity. Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property that may occur as a result of any person acting or not acting based on information contained in this book.

Print managed by Jellyfish Solutions Ltd.

Acknowledgements

We would like to thank all of the authors for their dedication and hard work, our panel of student reviewers for their unique input and our senior reviewers for their expertise. We would like to thank you the reader, as a medical student or junior doctor you have inspired this project, believed in it and continued to promote, contribute and distribute this book across the UK and further afield. In addition, we are thankful to the support of medical schools, without whom this project would not be possible.

Additional thanks to our friends and family (mostly our long suffering parents Rachel, Nick, Maurice and Ivy). Finally a massive thank you to our partners (Emma and Greg) who have put up with us, and supported us during this project.

Matt and Kat

Introduction

The Unofficial Guide to Obstetrics and Gynaecology is the ninth book in the Unofficial Guide to Medicine series. Obstetrics and gynaecology is a speciality that covers a broad range of medical and surgical presentations in women and girls of all ages that often appear both on the wards and in medical school exams. However, clinical exposure to this speciality at an undergraduate level is often limited. Therefore, it is crucial that educational resources explain and cover this area of medicine in a concise and accessible manner.

Obstetrics and gynaecology is a challenging specialty because of the grey areas in clinical practice where management strategies are often led more by clinical experience and preference rather than by clear cut guidelines. This can be difficult at an undergraduate level where multiple choice or short answer questions, do not leave much space for explaining these subtle complexities. The core ethos of this project was therefore to produce a book based on guidelines and evidence, minimising the use of potentially differing clinical opinions or variations in practice.

This book presents a succinct, approachable summary for each section which covers information that is both relevant for examinations but also working on the wards. These summaries lead into over 350 questions, both multiple choice and true/false, or extended matching questions. Answers are then explained in full to help gain an understanding of not only why the correct answer is right but also why incorrect answers are inferior options.

'...the core ethos of this project was therefore to produce a book based on guidelines and evidence, minimising the use'.

With this textbook we hope that you gain a greater understanding of obstetrics and gynaecology and whether you are interested in this specialty as a potential future career choice, or you are just learning it to pass exams, we hope you find it a useful resource.

Matthew Wood and Katherine Lattey

Editors

Unofficial Guide to Obstetrics and Gynecology

The Unofficial Guide
to Medicine Project

We want you to get involved. This textbook has mainly been written by junior doctors and students just like you because we believe:

that fresh graduates have a unique perspective on what works for students. We have tried to capture the insight of students and recent graduates to make the language we use to discuss this complex material more digestible for students.

that texts are in constant need of being updated. Every student has the potential to contribute to the education of others by innovative ways of thinking and learning. This book is an open collaboration with you.

You have the power to contribute something valuable to medicine; we welcome your suggestions and would love for you to get in touch.

admin@unofficialguidetomedicine.com

@DrZeshanQureshi

Unofficial Guide to Medicine

www.unofficialguidetomedicine.com

Foreword

Helen Bickerstaff

Senior Lecturer in Medical Education, Honorary Consultant Gynaecologist, Kings College London, UK