Reproductive system

PBL: Uterine fibroids/Leiomyoma

Keywords: 36 yo woman married 5 years had oral contraceptives 2 years ago already discontinued fro 2 years infertility menstrual cycles regular and normal length not taking other regular medications not smoking no chronic diseases STD –ve male partner no sexual dysfunction Semen analysis normal Prolactin & TSH levels normal endometrial biopsy normal (rule out…

PBL: Inadequate antenatal care and malnutrition

Keywords: 38 yo Malay woman 6 months pregnant 6 children, 4 school going stays with her children in a village husband is a truck driver and is seldom at home only gone for antenatal check up 2 times unable to follow up her antenatal care anaemic & mild hypertension children are underweight mother believes certain…

PBL: Endometriosis

Keywords: 35 yo nulligravida woman cyclic debilitating pelvic pain realting to menses 3 year history failure to concerive & dyspareunia 2 year history menstrual cycles regular but heavy No history of STD Bimanual examination normal sized immobile retroverted uterus fixed left adnexal mass tenderness on palpation Ultrasound 8×6 cyst in left ovary Laparoscopy performed left…

PBL: Polycystic Ovarian Syndrome (PCOS)

Keywords 27 yo woman 10 year history erratic scanty painful menstruation thinning hair facial hair increasingly prominent intermittently on contraceptive pills without them, menstrual cycle only every 6 months overweight increased fasting insulin increased total testosterone increased cholesterol increased TG increased LDL, decreased HDL TG/HDL ratio increased (insulin resistance) Ultrasound of pelvis normal sized uterus…

PBL: Testicular cancer

Keywords: 16 yo male enlargement of right testes gradually increasing in size – 4 months no pain no trauma firm in consistency, non tender on palpation tumour markers carried out right orchidectomy carried out counselled on future management Hypothesis Testicular cancer Lymphatic blockage filariasis seminoma Hypertrophy Inflammation Hydrocele Extra learning issues Tumour markers AFP, hCG…

Dynamics of population

Read this from the lecture notes. Alot of calculation involved which may be important for OSPE examination.

Menopause

Read from Dr. Chen Yu Sui’s notes! To be updated later. FSH increase 1st Decrease of all other hormones Phases of changes during climacteric (transition) Hypothalamic-pituitary hypersensitivity Increase FSH Premenopausal symptoms Ovulation & corpus luteum failure low progesterone causes DUB, endometrial hyperplasia, CA Ovarian follicular failure low oestrogen menopause Symptoms Hot flushes due to oestrogen…

Behaviour in Midlife

Just a collection of important points in the lecture: 30-70 years old biological & physical changes Psychological implications wrinkles, grey hair etc may still think of themselves as young may not appreciate being called old Difficult period reorientation of life goals masculinity famininity Carl Jung’s phases of midlife ( 5 phases) Accommodation meeting other’s expectations…

Prevention of STD & HIV

Prof Yadav’s lecture. Just a very brief collection of important points. Complications of STD PID Infertility Ectopic pregnancy Gonorrhea most common STD Chlamydia trachomatis Opaque discharge scanty quantity urethral itching burning during urination Neonatal conjunctivitis How does a child get infected? Mother to Child Transmission In uterus before birth transplacental During delivery infected blood/vaginal secretions…

Perinatal & postnatal infections

Include photos of the microbes. Congenital infections are in utero infections from mother to foetus through transplacental. Mother’s symptoms are usually asymptomatic, mild or overt. However, effect on foetus is more varied: no effect common cold localized infection adverse effect congenital infections death spontaneous abortion syphilis malformations rubella chronic infection HIV failure to thrive rubella…