Předmět Gynekologie a porodnictví - SZ (EA0112038)

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Materiál	Typ	Datum	Počet stažení

Sylabus

Syllabus  (teaching schedule)  OBSTETRICS AND GYNAECOLOGY VI. year, English, General Medicine Bed-side teaching:  5 hours per day in block - 20 days Student‘s independent work in all divisions of the department under teacher‘s guidance.                Labor and delivery, postpartum care, postoperative care, high risk pregnancy,                out patients, ultrasound, operative rooms, general gynecology                /Preterm Labor and Delivery, Hemorrhage in Obstetrics, Hormonal Treatment,                   Gynecological Oncology/ State examination (test, oral) Literature: McKay Hart, Norman, Callander, Ramsden: Gynecology Illustrated. Churchill Livingstone, 2000,Hanretty, Ramsden, Callander: Obstetrics Illustrated. Churchill Livingstone, 2003 Topics for state exam in Gynecology and Obstetrics Group 1.Physiology, propedeutics·         Development of reproductive organs.·         Anatomy of female reproductive tract.·         Gynecological examination + medical history.·         Prebioptic methods in gynecology, screening -  cervix, breast.·         Imaging methods in gynecology.·         Female reproductive hormones.·         Menstrual cycle and its regulation.·         Climacterium - definitions, hormonal changes, acute climacteric syndrome, organic and metabolic estrogen-deficient syndrome.·         Contraception - male, female.·         Hormonal contraception.·         Puberty, development of secondary sex characteristics.·         Human gametes, fertilization, blastogenesis, nidation. Embryogenesis.·         Symptoms and diagnosis of pregnancy, estimation of date of delivery.·         Physiological changes in female body during pregnancy.·         Placenta, morphology and function, variations and anomalies.·         Feto-maternal circulation.·         Amniotic fluid - composition, function, formation. Polyhydramnios, oligohydramnios.·         Fetal lie, position, presentation and attitude in the uterus. External obstetric examination.·         Prenatal care in normal pregnancy, its organization, examinations in prenatal visits.·         Non-invasive methods of prenatal diagnostic testing. Screening for chromosomal anomalies and congenital fetal malformations.·         Invasive methods of prenatal diagnostic testing. The most common genetic syndromes.·         Birth canal. Internal obstetric examination.·         Forces of labor.·         First stage of labor. Definition, duration, mechanism of cervical dilatation.·         Obstetric anatomy of fetal skull.·         Second stage of labor. Definition, duration, mechanism of delivery of the fetus.·         Third stage of labor. Definition, duration, mechanism of delivery of the placenta.·         Admission of a parturient to labor ward. Management of labor.·         Obstetric analgesia - methods, benefits and disadvantages.·         Cardiotocography.·         Intrapartal fetal pulse oxymetry (IFPO), ST analysis of the fetus (STAN).·         Ultrasound in obstetrics.·         Puerperium - physiological changes.·         Newborn, postpartum adaptation, resuscitation of a newborn.·         Breasts and lactation. Group 2.Obstetrics·         PROM. Causes, diagnosis, risk, management of pregnancy.·         Fetal distress.·         Maternal obstetric injury. Episiotomy. Uterine rupture.·         Ceasarean delivery.·         Operative vaginal delivery: Forceps, ventouse.·         Breech delivery. Management of pregnancy and delivery.·         Transverse and oblique lie of the fetus. Abnormal presentation.·         Abnormalities of the 1st and the 2nd stage of labor·         Fetal macrosomia. Shoulder dystocia.·         SGA/IUGR.·         Deflexed cephalic presentations.·         Abnormalities of the 3rd (4th) stage of labor. Postpartum hemorrhage.·         DIC.·         Abortion, miscarriage.·         Placenta praevia.·         Placenta abruption·         Rhesus and AB0 blood group system. Isoimmunization in pregnancy.·         Preterm birth (premature delivery).·         Post-term pregnancy, postmaturity - definition, management of pregnancy. Labor induction.·         Multiple pregnancy.·         Infections in pregnancy, GBS - pregnancy management.·         Diabetes in pregnancy·         Hypertension in pregnancy. Preeclampsia and eclampsia.·         Cardiovascular diseases in pregnancy.·         Thromboembolic disorders during pregnancy.·         Neurological and respiratory diseases in pregnancy.·         Stillbirth.·         HELLP syndrome, intrahepatic cholestasis of pregnancy.·         Gastrointestinal diseases in pregnancy.·         Uropoetic diseases in pregnancy.·         Acute abdomen in pregnancy.·         Systemic and endocrine diseases in pregnancy.·         Abnormal puerperium. (lochiometra, hemorrhage in puerperium, puerperal infections, vulvar and paravaginal hematoma).·         Abnormal lactation.·         Perinatal audit. Perinatal morbidity and mortality.·         Perinatal audit. Maternal mortality a morbidity.Group 3.Gynecology ·         Abnormal menstrual cycle - terminology, diagnostic and therapeutic algorithm.·         Primary and secondary amenorrhea.·         Dysmenorrhea, Premenstrual syndrome.·         Hormonal replacement therapy - HRT.·         Sterilization and  medical abortion.·         Vulvovaginitis - etiology, differential diagnosis, therapy.·         Cervicitis, Endometritis, Myometritis, Perimetritis.·         Pelvic inflammatory disease (PID) - classification, etiology, spread, therapy.·         Veneric diseases and STD.·         HPV and vaccination.·         Ectopic pregnancy.·         Acute abdomen in gynecology.·         Pelvic pain.·         Endometriosis.·         Benign diseases and precanceroses of the vulva and the vagina.·         Benign diseases and precanceroses of the cervix.·         Benign diseases and precanceroses of the uterus/endometrium.·         Benign diseases and precanceroses of the ovary and the Fallopian tube.·         Ovarian cysts.·         Benign diseases and precanceroses of the breast.·         Basics of oncogynecology - terminology, histology, therapeutic modalities.·         Malignancies of the vulva and the vagina.·         Malignancies of the cervix.·         Malignancies of the uterus.·         Ovarian and Fallopian tube malignancies.·         Gestational trophoblastic disease.·         Breast malignancy.·         Human infertility.·         Assisted reproduction, IVF.·         Urine incontinence - terminology, diagnostic methods.·         Urge incontinence, OAB (Overactive bladder).·         Stress incontinence.·         POP - Pelvic Organs Prolapse.·         Female sexuality and sexual disorders.·         Pediatric gynecology.·         Congenital malformations of female reproductive tract.·         Endocrinopathies in gynecology - hyperandrogenic syndrome, hyperprolactinemia.·         Preparation for surgery and postoperative care in gynecological patients.·         Laparoscopy in gynecology - indications, procedure description, complications.·         Hysteroscopy - indications, procedure description, complications.·         Vaginal gynecologic operations.·         Abdominal gynecologic operations.  

Garant

doc. MUDr. Zdeněk Novotný, CSc.