Maggie Cruickshank & Ashalatha Shetty 
Obstetrics and Gynaecology 
Clinical Cases Uncovered, eTextbook

Featuring a range of commonly encountered and important conditions
in women’s health, Obstetrics & Gynaecology:
Clinical Cases Uncovered allows the reader to understand normal
reproductive physiology and anatomy in the context of clinical
practice. It highlights aspects of good practice which in real life
are considered beyond the presenting symptom.

This unique case-based approach allows the reader to progress
through each stage, gaining an understanding of the rationale for
investigation and management and to consider other important
aspects for holistic care.

Obstetrics & Gynaecology: Clinical Cases Uncovered is
ideal for medical students and junior doctors, obstetrics and
gynaecology trainees, midwives and nurse practitioners.

Table of Content

Preface.

Acknowledgements.

How to use this book.

List of abbreviations.

Part 1 Basics.

Basic science: gynaecology.

Basic science: obstetrics.

Approach to the patient.

Part 2 Cases.

Gynaecology.

Case 1 A 24-year-old woman with vaginal bleeding in early
pregnancy.

Case 2 A 25-year-old woman presenting as an emergency with low
abdominal pain.

Case 3 A 23-year-old woman admitted as an emergency with acute
vulval pain.

Case 4 A 45-year-old woman with heavy periods.

Case 5 A 52-year-old woman who has not been able to control her
temper recently.

Case 6 A 58-year-old woman with post-menopausal bleeding.

Case 7 A couple who can’t conceive.

Case 8 A 16-year-old seeking emergency contraception:
contraceptive choices through reproductive life.

Case 9 A 22-year-old woman presents with vaginal discharge.

Case 10 A 29-year-old woman with an abnormal smear test.

Case 11 A retired school teacher presents with a feeling of
‘something coming down’.

Case 12 A 57-year-old woman with abdominal swelling and vague
abdominal pain.

Case 13 A 68-year-old woman presents with long-standing vulval
itch Obstetrics.

Case 14 A 30-year-old woman with a postdated pregnancy.

Case 15 A 37-year-old woman with heavy bleeding per vaginum
following a forceps delivery.

Case 16 A 16-year-old woman with high blood pressure.

Case 17 A 34-year-old woman with painless vaginal bleeding at 33
weeks gestation.

Case 18 A 39-year-old woman with painful vaginal bleeding at 37
weeks gestation.

Case 19 A 29-year-old woman with leaking fluid per vaginum at 31
weeks gestation.

Case 20 A 35-year-old woman booking for antenatal care.

Case 21 A 24-year-old insulin-dependent diabetic woman planning
a pregnancy.

Case 22 A 32-year-old woman with a fetus in the breech position
at 37 weeks gestation.

Case 23 A 26-year-old woman with a history of one previous
caesarean section booking at the antenatal clinic.

Case 24 A 29-year-old woman with vomiting in early
pregnancy.

Case 25 A 38-year-old with a twin pregnancy.

Case 26 A 26-year-old woman diagnosed HIV positive on routine
antenatal screening.

Part 3 Self-assessment.

MCQs.

EMQs.

SAQs.

Answers.

Index of cases by diagnosis.

Index.

About the author

Dr Maggie Cruikshank, Consultant Gynaecologist and Senior
Lecturer at Aberdeen Medical School and Aberdeen Maternity
Hospital.

Dr Asha Shetty, Consultant Obstetrician and Honorary
Lecturer at Aberdeen Medical School and Aberdeen Maternity
Hospital