Essential Gynaecological Care A guide for the trainee Double Paged 1st Edition by Prof Deepal S Weerasekara – Ebook PDF Instant Download/Delivery: 9789559636229, 9559636227
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Product details:
ISBN 10: 9559636227
ISBN 13: 9789559636229
Author: Prof Deepal S Weerasekara
“Essential Gynaecological Care: A Guide for the Trainee” by Prof. Deepal S. Weerasekera is a practical and concise resource tailored for medical trainees, particularly those in obstetrics and gynaecology. First published in 2015 and updated in 2021, this guide is designed to simplify complex concepts and enhance clinical skills through structured content and clear illustrations.
Table of contents:
Method
1. Take history in the same order each time to minimize errors of omission.
2. Use simple uncomplicated English.
3. DO NOT use any technical language (eg. vagina, cervix and uterus are technical, anatomical terms).
4. Follow through each answer to its logical conclusion, be curious eg. If the patient tells you that she has had a previous D & C find out why was this done, did it affect her symptoms, did she have any complications with the anaesthetic or the operation.
5. Ask questions in the same sequences as you will present them to the examiner (see history presentation note).
6. If the history is complex explain to the patient exactly what is it that you are trying to achieve.
7. Do not become cross with the patient or criticize the answers. If you are having difficulty it is YOUR fault.
Typical Questions
This is an example of a sequence of questioning that you might use although of course there will be other questions depending upon the answers given and in some cases some of the questions may be inappropriate.
1. Introduce yourself, explain the time limitation and what you are trying to achieve.
2. What is your full name?
3. How old are you?
4. Are you married or do you have a stable relationship or do you live on your own?
5. How long have you been married/ How long you have been together if not married?
6. Have you been married before?
7. How old were you when your periods first started?
8. When did your periods start to give you trouble?
9. When your periods were normal how long did they last for?
10. When your periods were normal how long was there between the first day of one period and the first day of the next.
11. When they were normal were your periods heavy? In other words did you pass any clots or have any flooding?
12. What type of sanitary protection do you use?
13. How many tampons/towels did you use for the whole period when your periods were normal?
14. What is happening to your periods now?
15. What was the first day of your last menstrual period?
16. Was your last period any different from your previous periods?
17. Do you have any bleeding in between your periods?
18. Do you have any discharge?
19. Do you have any bleeding after intercourse?
20. Is there any associated pruritus?
There is some times an anxiety in listing a sexual history. The secret is to ask straightforward questions in a matter of fact way. The subject may be introduced in younger women by an inquiry about their love life. Eg
1. Do either of you or your husband use any form of birth control?
2. Do you have any difficulties in intercourse?
3. So your husband/boy friend has no difficulties with his erection and he always ejaculates.
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Tags: Prof Deepal S Weerasekara, Essential Gynaecological, A guide, Double Paged


