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How to Prepare for Extended TOACS Exam

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How to Prepare for Extended TOACS Exam 1)- Oragnize Yourself.  Make notes of every topic. 2)- Whenever you study a topic , incorporate its important points in the case you have studdied 3)- Its good idea to take an online course or watch relevant youtube videos regularly and make notes of them as those make your mind active and increase mind ability to learn in a better way.

Acute Kidney Injury in Pregnancy

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Acute Kidney Injury in Pregnancy It is a condition in which kidney stop to work appropriately . The malfunction ranges from minor renal insult to complete renal failure. Complication 1)-Hyperkalemia including Arrythmia 2)-Fluid Overload including Pulmonary Edema Management of Acute Kidney Injury in Pregnancy Principles of Management include appropriate Communication , Resusitation and Investigation and documentation. 1)-Insert Iv Catheter 2)-Urgent ECG especially to look for signs of Hyperkalemia 3)-Involve micobiologist regarding choice of antibiotics 4)-Appropriate Fluid Replacement 5)-Ensure follow up with Nephrologist Special Advice given to the patient 1)-Encourage sufficient fluid intake 2)-Mobilize to prevent the chances of thromboembolism 3)-Advice to avoid Potassium rich food 4)-After delivery encourage breast feeding.

Hysteroscopy

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Hysteroscopy Indications of Hysteroscopy 1)- Failed medical treatment  2)- Patient on Tamoxifen Harmonic Device It is a mechanical device. It has got two jaws which move with very high friction. It is the movement of the jaws of it which cause heat energy to produce and that causes cutting and coagulation. It has two jaws. Ligasure It is a bipolar energy device. Hormonic is a device which will continue to cut and coagulate . I will not stop on itself.

Diffrential Diagnosis of Obstetrics and Gynaecology Problems

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Diffrential Diagnosis of Obstetrics and Gynaecology Problems Hirsutism PCOD

Why do gynaecologists get Frustrated with patients?

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Why do gynaecologists get Frustrated with patients? It has been seen in the clinical practice that few gynaecologists don't like to see the patients. There might be several reasons behind this issue but after discussion with a group of doctors , these reasons have been found to be the most prominant among all. Lack of Sleep Work load Inability to fullfill home responsibilities The family pressures of so many expectations especially from a female doctor are also important cause of a doctor being frustrated all the time.

Endometriosis

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Endometriosis Definition of Endometriosis It is the presence of endometriotic tissue / glands and stroma outside the endometrium. Types of Endometriosis Superficial Endometriosis Deep Endometriosis  Classification of Endometriosis Type- I (Minimal)  Type-II (Moderate)  Type-III (Severe) This classification is based upon different scoring system which are used to classify endometriosis. Location of Endometriosis Rectal Endometriosis Pouch of Douglas Abdominal Endometriosis Investigations of Endometriosis CA-125 level Transvaginal Endometriosis Transrectal Ultrasound Laparoscopy MRI  MRI is used for mapping endometriosis.  Transrectal ultrasound is used for diagnosisng deep endometriosis. Management of Endometriosis Combined Oral Contraceptive Pills Gnrh analogues

Long Acting Reversible Contraceptives

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Long Acting Reversible Contraceptives What are LARC   These are types of contrceptives which provide contraception for long period of time but are reversible. Lists of LARC include  Injectable Contraceptives Intrauterine Contraceptive Device LNG-IUS Implanon and Jadelle  What is different types of Implants   Norplant is the one which are having six rods , The Jadelle contain 2 rods whereas the Implanon contains one rod. What are the contents of different types of Implants   Norplant contains 216 mg levenorgestrel. Jadelle contains150 mg leveonorgestrel Implanon contains 68 mg Etonorgestrel What is Jadelle   It is an effective contraceptive method , which is inserted just below the skin .

Combined Oral Contraceptive Pills

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Combined Oral Contraceptive Pills Mechanism of Action Inhibits Ovulation. Inhibits implatation. Effectiveness 99 % effective. Non Contraceptive Benifits of COCPs Reduction in Ovarian and endometrial Cancers. Decreases menstrual loss and menstrual pain. Side effects Venous Thromboembolism MI Stroke Breast Cancer Cervical Cancer Effect of type of COCP on risk of thromboembolism Risk of arterial venous thrombosis depends upon type of Progesterone. Risk of arterial venous thrombosis depends upon the type of Estrogen. Contraindications UK-MEC category 3 and 4 should be taken into account for contraindications of COCPs. Category 3  Venous Thromboembolism MI Stroke Breast  Migraine Headache without Aura Category 4 Venous Thromboembolism Migraine Headache with Aura Missed Pills Protocol Week 1 :-  Emergency Contraception required. Week 2 :-  Emergency Contraception not required. Week 3 :-  Emergency Contraception required.

Urodynamics

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Urodynamics Indications of Urodynamics Incontinence not responding to corrective measures. To differentiate between different types of incontinence. Suspected Neuropathic Disorders Components of Urodynamics Cystometrogram Uroflowmetry Pressures assessed on Urodynamics Abdominal Pressure Bladder Pressure Detrusor Pressure