Clinical Cases in Obstetrics, Gynaecology and Women’s Health

Caroline de Costa is Professor of Obstetrics and Gynaecology and Director of the Clinical School at James Cook University School of Medicine, Cairns Campus in North Queensland, Australia. Caroline was born and educated in Sydney. She has been a specialist obstetrician and gynaecologist for 37 years. She studied medicine at the Royal College of Surgeons in Ireland, in Dublin, and graduated MB BS (London University) and LRCP&SI in 1973. After completing residency in Port Moresby General Hospital, Papua-New Guinea, she returned to Ireland and undertook specialist training there and in the United Kingdom. In 1980 she returned to Port Moresby for a further 18 months before moving back to Sydney where she spent 17 years in private practice. In 1999 she moved to Cairns and took up her present appointment in 2004. In her current practice Caroline is committed to improving outcomes for indigenous women in the area of obstetrics and gynaecology. She has conducted research into possible interventions to reduce the incidence of fetal alcohol syndrome amongst the children of indigenous women in Far North Queensland. Current research and publications have included the topics of vitamin D levels in pregnant women in Far North Queensland, knowledge and practice of abortion and emergency contraception in Far North Queensland, maternal mortality in Papua-New Guinea, vaginal birth following caesarean section and caesarean section on maternal request. Caroline has a particular interest in caesarean section, including the history and social implications of this common operation as well as techniques and risks of the surgery. She has authored or co-authored three books on this subject.

Part 1Taking an obstetric or a gynaecological historyConducting an examination Part 2 Clinical Cases in General Practice Case 1 Kate presents for a well-woman checkCase 2 Emma comes for a postnatal checkCase 3 Felicity is recalled after an abnormal Pap smear reportCase 4 Carries periods are becoming heavierCase 5 Mai Ling is missing school because of heavy periodsCase 6 April is bothered by acneCase 7 Chloe has severe period painsCase 8 Dorothy complains of an itchCase 9 Tammy is unexpectedly pregnantCase 10 Lara is followed through a normal pregnancyCase 11 Stacey is unsure about having the influenza vaccinationCase 12 Diane has diabetes and wants to have a babyCase 13 Maria has a twin pregnancyCase 14 Hazel and Kevin are trying for a pregnancyCase 15 Ruth complains of abdominal swellingCase 16 Jamie-Lee needs to know about safe sex Case 17 Anula is depressed following the birth of her babyCase 18 Patricia complains of hot flushesCase 19 Debbie presents with some irregular bleedingCase 20 Miranda fears she may be pregnantCase 21 Daniela has a molar pregnancyCase 22 Sara would like to be pregnantCase 23 Michelle still hasnt started her periods Part 3 Clinical cases in obstetrics Case 24 Lucys long labour leads to further problemsCase 25 Megan develops pre-eclampsiaCase 26 Helen presents with raised blood pressure in pregnancyCase 27 Lisa presents to the birth suite at 28 weeks of pregnancyCase 28 Bronwyn is bleeding at 31 weeks of pregnancyCase 29 Dora develops diabetes in pregnancyCase 30 Diane has diabetes and is pregnantCase 31 Maria is followed through a twin pregnancyCase 32 Tayla presents with herpes in pregnancyCase 33 Amanda suffers a placental abruptionCase 34 Melissa has persistent vomiting in pregnancyCase 35 Julia has a breech presentationCase 36 Tegan develops an obstetric emergencyCase 37 Amy wants to try for a natural birth this timeCase 38 Kahlias baby seems smallCase 39 Kelly is referred to the Emergency Department with heavy postpartum bleedingCase 40 Anne has been referred to discuss prenatal diagnosisCase 41 Louise requests a caesarean sectionPart 4 Clinical cases in gynaecology 259 Case 42 Rebecca presents with acute abdominal pain Case 43 Tarni presents with irregular periodsCase 44 Marilyn has postmenopausal bleedingCase 45 Houda has an ovarian cystCase 46 Vivienne presents with abdominal painCase 47 Sharon is bleeding in early pregnancy Case 48 Angie presents with an ectopic pregnancyCase 49 Barbara is bothered by leakingCase 50 Jenny would like a babyDigital:Multiple choice practice and test questions for Clinical Cases in Obstetrics, Gynaecology and Women’s Health are now available in an app of the same name for both smart phones and tablets from the Apple App Store and Google Play.