Download Liaquat University Latest MBBS Gynaecology and Obstetrics Syllabus

SUBJECT: OBSTETRICS
GYNAE UNIT-I
Physiology of Pregnancy
? Diagnosis of pregnancy
? Conception, implantation of placenta

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? Physiological changes associated with pregnancy
Miscellaneous Medical Disorders in Pregnancy
? Epilepsy
? Migraine
? Thyroid diseases

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? Respiratory disorders
? Auto immune disease
Abnormal Labor
? Awareness of complications and management
? Instrumental vaginal delivery

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? Forceps delivery
? Ventouse delivery
? Episiotomy
? Perineal trauma
? Cesarean section

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? Prolonged labor
? Causes
? Management
? Obstructed labor / ruptured uterus
? Causes

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? Management
? Complications of 3rd stage of labour
? PPH (Primary & Secondary)
? Causes
? Management

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? Uterine inversion
? Obstetrics shock and unconscious patient
New Born Care
? Essential newborn care
? Observe the immediate assessment, apgar score and resuscitation of newborn care

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? Breast feeding and its importance
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GYNAE UNIT-II
Anatomy of Fetal Skull and Maternal Bony Pelvis
? Anatomy of fetal skull and maternal bony pelvis

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? Abnormalities of bony pelvis
Perinatal Infections
? Syphilis
? Toxoplasmosis
? Cytomegalovirus

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? Rubella
? Varicella zoster
? Malaria
? U r i n a r y t r a c t i n f e c t i o n

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? Bacterial infections

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? Herpes simplex viral infections
? Chlamydia, Gonorrhea
? Trichomoniasis
? Genital warts
? HIV, Aids

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? Hepatitis
Puerperium
? Normal Puerperium -Physiological changes
? Abnormal Puerperium o Puerperal
disorders & Puerperal pyrexia

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? The breasts and breast disorders
? Contraception (post-partum)
? Maternal and Perinatal mortality
Ethics in Obstetrics Practice
? Ethics and Legal issues in obstetrics

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GYNAE UNIT-III
Normal Pregnancy
? Pre-pregnancy care and antenatal care
? Imaging in obstetrics
? Pre-natal diagnosis

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? Essential drugs and immunization with dosage and estimated need for pregnancy, child
birth and newborn
Abnormal Pregnancy
? Bleeding in early pregnancy
o Abortion

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o Ectopic pregnancy
o Gestational trophoblastic disease
? Bleeding in 2nd half of pregnancy
o Ante partum hemorrhage
? Placenta previa

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? Abruptio placentae
? Vasa previa
? Polyhydroamnios
? Intra uterine fetal death
? Mal-presentation and position

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o Breech presentation
o Transverse lie and shoulder presentation
o Face presentation
o Brow presentation
? Cord prolapse

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Normal Labor
o Physiology
o Mechanism
o Diagnosis
o Management of labor

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? Structure and use of partograph
? Intra partum fetal monitoring
o Fetal heart rate monitoring
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? Methods of induction and augmentation of
labor o Indications
o Contraindications

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o Complications
? Analgesia and anesthesia
? M a n a g e m e n t o f 3 r d s t a g e o f l a b o r
GYNAE UNIT-IV
Basic Clinical Skills

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? Logical sequence of eliciting history from an obstetric patient
? Clinical examination by videos
? Interpretation of investigations
? Effective verbal and non-verbal communication
High Risk Pregnancy

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? Identify a high risk pregnancy
? IUGR and fetal monitoring
? Prolonged pregnancy
? Multiple pregnancy
? Hyperemesis gravidarum

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? Diabetes in pregnancy
? Hypertensive disorders of pregnancy
o PIH
o Pre-eclampsia
o Eclampsia

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o Essential HTN
? Chronic renal diseases
? Cardiac diseases in pregnancy
? Liver diseases in pregnancy
? Hematological disorders of pregnancy

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o Anemia in pregnancy
o ISO immunization
o Thrombocytopenia and thrombophillias
o C o a g u l a t i o n a n d f i b r i n o l y t i c d i s o r d e r s

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SUBJECT: GYNAECOLOGY
GYNAE UNIT-I
Sexual and Reproductive Health -Contraception and sterilization
Sub Fertility

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? Subfertility, causes, management. Ethics and values in ART
? Endometriosis and Adenomyosis
GYNAE UNIT-II
Basic Clinical Skills
? Introduction, gynecological history taking

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? Clinical examination by video
? Anatomy of female genital tract
? Development of female genital tract
? Puberty and adolescence
? Ovulation and its legal importance

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? Physiology of menstrual cycle
? Menstrual disorders
? Abnormal menstruation

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? Amenorrhea
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Primary and Secondary amenorrhea
? Polycystic ovarian disease
? Hirsutism / virilism
Gynecological Oncology
? Conditions affecting vulva and vagina

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Benign conditions of vulva
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VIN and invasive vulval carcinoma
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Benign conditions of vagina
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VIAN and vaginal carcinoma
? Condition affecting cervix, uterus, ovarian and fallopian tubes
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Benign conditions of cervix
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CIN and invasive carcinoma of cervix
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Benign conditions of uterus

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Malignant disease of uterus
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Benign tumor of ovaries
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Cancer of ovaries
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Cancer of fallopian tubes
? Chemotherapy for gynecological cancers and GTDs and radiotherapy
GYNAE UNIT-III

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Sexual and Reproductive Health
? Introducing the sexual history taking
? Infections of female genital tract
? Management of lower abdominal pain
? Acute pelvic inflammatory disease (PID)

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? Chronic PID
? Sexually transmitted infections (STIs) including HIV/AIDS
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Screening, Management and Prevention of STIs
? Iatrogenic infections of female reproductive tract

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? Reproductive tract infection in male
? Awareness of psycho sexual problems
? Vaginal discharge
? Menopause Medico legal
aspects of Gynecology

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? Litigation and consents
GYNAE UNIT-IV
Urogynaecology and Pelvic Floor Problems
? Utero vaginal prolapse
? Urinary incontinence

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Stress incontinence
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Urge incontinence
? Urinary frequency

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? Urinary tract infections
? Urinary fistulae

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Common Gynecological Operations
? Common gynecological procedures
o Hysteroscopy

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o Laparoscopy
o Cystoscopy
o Dilatation and curettage
o Abdominal and vaginal hysterectomy
o Myomectomy

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? Pre-operative preparations
? Post-operative complications and its management

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