Date post: | 30-Nov-2014 |
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Health & Medicine |
Upload: | drmcbansal |
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FLOW CHARTS FOR GYNAECOLOGICAL CONDITIONS---DIAGNOSIS & MANAGEMENT
Prof. M.C. Bansal. MBBS. MS . MICOG. FICOG.Founder Principal & Controller ;Jhalwar Medical College And Hospital Jhalawar.Ex . Principal & Controller ; Mahatma Gandhi Medical College And Hospital , Sitapura; Jaipur.
Pain full Vulva--1
Pain Full Vulva
Oogenesis /spermatogenesis From stem cells e.g, primary germ cell present in primordial Gonads
Normal work up Plan For Infertile couple
INVESTIGATION Plan For Infertile Couple
Investigation For Anovulation
Treatment Plan For infertile couple
Sexual Motivation
Sexuual Arousal disorders
Sexual Asualt—Case Management Plan
Steroidogenesis----Flow Chart
Pathway of Testosterone synthesis
Androgen Production In Adrenals &ovary
Flow Chart For Management Ambeguous sex of child
Investigation plan for sexual development
Investigation Plan For girl with No Development of secondary sex characters
Flow chart of cloting
DUB: Classification, Pathophysiology And Endometrial Changes
OVULATORY
Idiopathic Ovulatory Menorrhag
ia
Corpus Luteum
insufficiency
Normal Progestero
ne
Altered PG E : PG F
Menorrhagia
Secretory Endometrium
Reduced Progesterone
Reduced PG F2
Premenstrual Spotting
(Polymenorrhoea)
Irregular ripening
ANOVULATORY
Metropathica Haemorrhagica
Prolonged Oestrogen
No Progesterone
Reduced PG F2
Amenorrhoea followed by
bleeding
Hyperplastic Endometrium
Threshold Bleeding
Low Oestrogen
No Progesterone
Reduced PG F2
Polymenorrhoea/
Polymenorrhagia
Proliferative Endometrium
Management of Abnormal Uterine Bleeding of Endometrial cause
Management of Abnormal Uterine Bleeding of Endometrial cause---2
DUB management in Reproductive Age Group Abnormal bleeding Clinical Evaluation Normal AbnormalMedical Rx USGResponse No Response Rx AccordinglyCont. For USG3-6 months/ Polyp
NormalLNG –IUS Response
No Response
Hysterectomy
hysteroscopic polypoidecto
myEndo . Ablation
LNG -IUS= Levonorgstrel intra uterine system
DUB Management in Perimenopausal age group
Abnormal Uterine Bleeding
clinical Evaluation
Risk Factors for Hyperplasia , carcinoma , irregular acyclic Bleeding
NO
Yes
Low Dose OCS
USG, Fractional Curretage, endometrial HP examination
Atypical Hyperplasia
Simple Hyperplasia
Hysterectomy
Low Dose Ocs / cyclical
Progesterone
Pathogenesis Of PMS
Changes in Ovarian steroids
Alteration In Neurotransmiters ( adrenergic, steroidogenic opoids , GABAergic)
Genetic Socio
Predisposition PMS/PMDD culturalFactor
PreMenstrual Syndrome
Treatment Of Chronic Pelvic Pain
Treatment Of Chronic Pelvic Pain --2
Interpretation of Cervcal Cytology -1
Interpretation Of Cervical Cytology --2
Management Of Recurrence of Ca Cervix
Flow chart for Management of High Risk Case of Endometrial Cancer--2
Differentiation Pathway of Germ Cell Tumors
Treatment Plan For Ca Ovary
Symptoms Of suspecious of
Management of Hyper prolactnemia