𝐌𝐑𝐂𝐎𝐆 𝟐 𝐋𝐨𝐧𝐠 𝐂𝐨𝐮𝐫𝐬𝐞 | 𝐉𝐚𝐧𝐮𝐚𝐫𝐲 𝟐𝟎𝟐𝟓 Start Early & Revise Multiple times Course Features ▪️8 months ◾ ZOOM Sessions Covering all Modules ▪️Topic wise Quiz From Practice Books ◾ Intensive discussion in telegram ◾Revision of all Modules till Exam ◾Mrcog 2 I High Quality Notes e book ( For Easy Revision) ▪️Top Rated All exam Favourite topic Infographics/ Picnomics & Flash Cards to boost your memory ▪️ After Course Completion All GTG,NICE , FSRH,FIGO,BASH Exam Important Tog Articles will be covered Join us What's app direct link 🔗 https://wa.me/923014843695 For further information #MRCOGCOURSES #MRCOG2 #MCPS #FCPS #IMM #MRCPI #MRCOG #MedHome #flashcards #MRCPIPART2WRITTEN #mrcpiosce #OSCE #mrcpicourses #MRCOGcourses #MRCOG1 #MRCOG2 #MRCOGpart3 #mrcog3 #mrcpiosce #shortnotes #fcpscourses #courses #congratulations #toppers #success #results #champions
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🫁"Sarcoidosis is an uncommon multi-system disorder characterised by the presence of non-caseating granulomas. It has a peak incidence between the ages of 20–40 years old. 🫁 The pathogenesis of sarcoidosis is uncertain; however, it is known to be associated with an exaggerated T helper 1 (TH1) immune response leading to systemic inflammation and granuloma formation. 🫁 Suppression in TH1 responses in pregnancy leads to disease remission in the majority of pregnancies. Nevertheless, the potential for decompensation in a subgroup remains, and consideration should be given to the pre-pregnancy state. 🫁 Sarcoidosis is associated with increased risk of maternal-fetal morbidity, including growth restriction and pre-eclampsia. Clinical management should focus on medication optimisation and mitigation of this increased risk" Odendaal, J., Mackie, F.L., Tosounidou, S., Ghosh, S. and Knox, E. (2024), Sarcoidosis in pregnancy. Obstet Gynecol, 26: 66-74. https://doi.org/10.1111/tog.12917 #mrcog #mrcog2 #mrcog3 #obgyn #obstetrics #matmed #medicine #pregnancy #womenshealth #sarcoidosis #doctor #obstetrician #doctorintraining #midwifery #nursing #medstudent #meded #studygram #infographics
"There is evidence that ondansetron is safe and effective. Its use as a second line antiemetic should not be discouraged if first line antiemetics are ineffective. Women can be reassured regarding a very small increase in the absolute risk of orofacial clefting with ondansetron use in the first trimester, which should be balanced with the risks of poorly managed HG. It is important to put this into context as the background risk of orofacial clefting is low, and therefore the increase in absolute risk is small. If the increase in risk is real, then ondansetron represents an additional three oral clefts per 10 000 births. A limitation of [these studies] is that they compare women with severe NVP and HG taking ondansetron to women who do not have severe NVP and HG. This leaves open the possibility that any effects are confounded by indication, nor do they consider the competing risks to women with severe NVP and HG of leaving their illness poorly controlled." Infographic: Irish Medicines in Pregnancy Service: Position Statement on Ondansetron Use in Pregnancy. 23 October 2019, 2019. Nelson-Piercy C, Dean C, Shehmar M, Gadsby R, O’Hara M, Hodson K, et al; the Royal College of Obstetricians and Gynaecologists. The Management of Nausea and Vomiting in Pregnancy and Hyperemesis Gravidarum (Green-top Guideline No. 69). BJOG. 2024; 00: 1–30. https://doi.org/10.1111/1471-0528.17739 #mrcog #mrcog2 #mrcog3 #obgyn #obstetrics #gynaecology #obstetrician #gynecologist #earlypregnancy #womenshealth #pregnancy #ondansetrong #hyperemesis #doctor #medicine #neonatology #doctoringtraining #nursing #midwifery #studygram #meded
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"The committee agreed that, to determine which women and pregnant people would benefit from treatment, it would be necessary to determine cervical length. Consequently, they made a recommendation to carry out a single cervical length scan in women and pregnant people with a twin or triplet pregnancy. The committee noted that in the evidence, cervical length scanning had been carried out before 20 weeks of pregnancy, but the committee were aware that cervical length scans were usually carried out between 16 and 20 weeks, so they included this range in their recommendation. This may also give units the flexibility to arrange the cervical length scan to coincide with other antenatal appointments and scans. However, the committee noted that sometimes cervical length measurement would be carried out later in pregnancy, for example if a woman or pregnant person presented with threatened preterm labour, or if they were late booking. In this case, the committee agreed to recommend that progesterone could be started up to 24 weeks (as there was evidence of benefit when started at this time)." Twin and triplet pregnancy NICE guideline [NG137] Published: 04 September 2019 Last updated: 09 April 2024 #mrcog #mrcog2 #mrcog3 #obgyn #obstetrics #pregnancy #womenshealth #multiplepregnancy #twins #triplets #pretermlabour #obstetrician #doctor #midwife #medicine #obgyntraining #doctorintraining #meded #medstudent #studygram
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"High-risk human papilloma virus (HPV)-associated vulval high-grade squamous intraepithelial lesions and HPV-independent differentiated vulval intraepithelial lesions represent distinct disease processes with different risks of progression to vulval squamous cell carcinoma. First-line medical management is appropriate for women with biopsy-confirmed vulval high-grade squamous intraepithelial lesions who have been adequately counselled on the risk of occult invasive disease. Topical treatment should be undertaken in the context of a specialist clinic because it is not suitable for all patients. Surgical management is needed for differentiated vulval intraepithelial neoplasia." Henderson, I., Lewis, F., Williams, A., Yap, J. and Krishna, A. (2024), The diagnosis and management of vulval intraepithelial neoplasia. Obstet Gynecol, 26: 18-26. https://doi.org/10.1111/tog.12906 #mrcog #mrcog2 #mrcog3 #obgyn #gynecology #vin #vulvaldisorders #womenshealth #doctor #gynecologist #doctorintraining #colposcopy #hpv #obgyntrainees #obgynresident #examrevision #medicine #meded #medstudent #studygram
Every time I end up in diabetic clinic I have to remind myself what TBR and TIR mean... so hopefully after this it will stick! "Pre-pregnancy diabetes is associated with increased risk of a range of adverse pregnancy outcomes. real-time continuous glucose monitoring (rtCGM) should be offered to all pregnant women with type 1 diabetes to help them meet their pregnancy blood glucose targets and improve neonatal outcomes. It may also be considered for pregnant women who are on insulin therapy but do not have T1DM, if they have problematic severe hypoglycaemia or if they have unstablic blood glucose levels that are causing concerns despite efforts to optimise. Current recommended targets for CGM are: › Sensor glucose 3.5-7.8 mmol/l at least 70% of the time (>16 h 48 min per day) › Sensor glucose >7.8 mmol/l less than 25% of the time (<6 h per day) › Sensor glucose <3.5 mmol/l less than 4% of the time (<1 h per day) » including sensor glucose <3.0 mmol/L less than 1% of the time (<15 min per day) " BEST PRACTICE GUIDE: Using diabetes technology in pregnancy. Version 2.0, March 2020. Association of British Clinical Diabetologists. Diabetes in pregnancy: management from preconception to the postnatal period NICE guideline [NG3] Published: 25 February 2015 Last updated: 16 December 2020 #mrcog #mrcog2 #mrcog3 #obstetrics #matmed #obstetrician #womenshealth #pregnancy #diabetes #rtcgm #doctor #medicine #endocrinology #nursing #midwifery #meded #medstudent #revision
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"While women diagnosed with TB pre-pregnancy or during pregnancy can be expected to have good outcomes with optimal management, pregnant women with the infection who remain undiagnosed may experience serious maternal and perinatal outcomes. Tuberculosis among pregnant women can adversely affect the health of the mother, fetus, neonate and child, with a wide spectrum of short- and long-term implications, including pregnancy loss and preterm delivery, leading to an increased risk of maternal and perinatal morbidity and mortality Untreated TB in pregnancy presents greater risks to the mother and her baby than the effects of TB treatment itself, so TB in pregnancy should be treated. When treatment of TB is initiated earlier in pregnancy (first trimester) the risks associated with preterm birth, low birthweight and perinatal death are almost eliminated. Similarly, maternal complications are also decreased with early initiation of treatment when compared with commencing treatment in the second or third trimester." Raveendran, A., Keepanasseril, A., Balu, R.K., Shetty, A. and Chetty, M. (2023), Tuberculosis in pregnancy. Obstet Gynecol, 25: 175-185. https://doi.org/10.1111/tog.12888 #mrcog #mrcog2 #mrcog3 #obgyn #obstetrics #worldTBday #publichealth #medicine #womenshealth #tuberculosis #infectiousdiseases #matmed #pregnancy #doctor #obgyntraining #doctorintraining #meded #medstudent #studygram
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"Female genital cosmetic surgery (FGCS) includes several procedures involving the labia minora, labia majora, clitoris, vagina, mons pubis and genital area; procedures may involve, for example, reduction or augmentation and be surgical or energy based. It is important to understand why a woman is seeking cosmetic surgery to offer the appropriate counselling regarding the expected outcome from the intervention. The increased prevalence of an underlying psychological disorder among women seeking FGCS is recognised [...] Screening for psychopathology and referral to the appropriate services before surgery is important to address any psychological issues." Bugeja, R., McConnell, J. and Jha, S. (2024), Cosmetic gynaecology. Obstet Gynecol, 26: 6-15. https://doi.org/10.1111/tog.12905 #mrcog #mrcog2 #mrcog3 #obgyn #gynecology #gynae #womenshealth #surgery #medicine #cosmeticsurgery #meded #flashcards #revision #studygram #doctor #gynecologist #doctorintraining #medstudent #obgyntraining
"The diagnosis and management of LGA babies in the absence of diabetes remains an obstetric challenge. The limitations of USS-based EFW and the relatively weak evidence for obstetric interventions can make it difficult to convey this information in a practical and useful way. Shared decision making is key to providing individualised care, enabling patients to be involved in their care and improving relationships with healthcare professionals, resulting in a more positive experience for both parties. [...] A simple decision-making algorithm may help initiate dialogue leading to information sharing and eventual collaborative decision making in LGA babies." **not my image** Kahlon, G., Relph, S. and Yoong, W. (2023), Information sharing and communication in management of large for gestational age babies in non-diabetic mothers. Obstet Gynecol, 25: 282-290. https://doi.org/10.1111/tog.128 #mrcog #mrcog2 #mrcog3 #obgyn #obgyntraining #Obstetrics #obstetrician #pregnancy #womenshealth #bigbaby #medicaltraining #medicine #doctor #midwifery #nursing #meded #revision #studygram
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👶FGR diagnosed after 34 weeks’ gestation.👶 "For fetuses with an EFW <3rd centile diagnosed later in pregnancy birth should be initiated at 37+0 weeks’ gestation. If other risk factors are present, then involvement of a specialist fetal growth service or fetal medicine service is required to plan birth. In fetuses with an EFW between the 3rd and <10th centile, other risk factors must be present for birth to be recommended prior to 39 weeks.These are: 👶 reduced fetal movements, 👶🏻 any umbilical artery or MCA Doppler abnormality, 👶🏽 cCTG that does not meet criteria, 👶🏿 maternal hypertensive disease, 👶🏼 abnormal sFlt1: PlGF ratio/free PlGF 👶 reduced liquor volume. If FGR cannot be excluded, then birth after 37 weeks should be discussed with the mother and an ongoing management plan individualised." Saving babies’ lives version three: a care bundle for reducing perinatal mortality Document first published:31 May 2023Page updated:29 September 2023 #mrcog #mrcog2 #mrcog3 #obgyn #obstetrics #obstetrician #doctor #labouranddelivery #birth #anaesthesia #epidural #labourward #midwife #midwifery #nursing #intrapartumcare #medicine #pregnancy #womenshealth #meded #flashcards #revision #studygram #doctor #medstudent #obgyntraining
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A 67 year old man presents with a two month history of worsening left upper arm and shoulder pain. There is weakness of shoulder abduction and reduced sensation over the deltoid. You suspect cervcal radiculopathy. What level of the cervical spine is most likely to be affected? A C1 B C3 C C5 D C7 E C8 Don’t hesitate: Our team of Exam Counsellors is here to assist you +44 7307 237595 Sincerely & our dedication is to serve you, Med Recalls #MRCSstudents #MRCSExam #MedicalEducation #patientcare #medicalawareness #Medicine #HealthcareEducation #Doctors #medicalprofessionals #RCOG #MRCOG1 #MRCOG2 #MRCOG3 #oetpreparation #plabexam #healthcareprofessionals #medacademy #MRCP #MRCS #MRCPI #EBCOG #FCPS #MCPS #MRCPCH #FCPS #PLABWebinar #KeepPushing #NeverBackDown #MedicalDreams #Medrecalls
A 67 year old man presents with a two month history of worsening left upper arm and shoulder pain. There is weakness of shoulder abduction and reduced sensation over the deltoid. You suspect cervcal radiculopathy. What level of the cervical spine is most likely to be affected? A C1 B C3 C C5 D C7 E C8 Don't hesitate: Our team of Exam Counsellors is here to assist you +44 7307 237595 Follow us on Instagram for updates: https://instagram.com/med_instutors ?igshid=OGQ5ZDc2ODk2ZA Connect for professional networking: www.linkedin.com/in/med-instutors-b03039293 Like us on Facebook to stay in touch: https://www.facebook.com/profile.php? id=100044112052155&mibextid=LQQJ4d Sincerely & our dedication to serving you, Med Instutors #MRCSstudents #MRCSExam #MedicalEducation #patientcare #medicalawareness #Medicine #HealthcareEducation #Doctors #MedicalProfessionals #RCOG #MRCOG1 #MRCOG2 #MRCOG3 #oetpreparation #PLABexam #healthcareprofessionals #medacademy #MRCP #MRCS #MRCPI #EBCOG #FCPS #MCPS #MRCPCH #FCPS #MRCOG3 #MedicalEducation #medinstutors
"Vulvovaginitis presents as an acute-on-chronic condition with vulval erythema (82%), persistent vulval soreness (74%), vaginal discharge (62%) and pruritus (58%), with a peak age between 3 and 7 years old. Most cases (80%) are attributed to noninfectious causes, including dermatosis and chemical irritants. Infectious organisms commonly found in the gut or respiratory tract, such as Escherichia coli, Group A streptococcus, β-haemolytic streptococci and Haemophilus influenzae, have been isolated in the remaining cases.Vaginal yeast infections are mostly reported in immunocompromised or diabetic children. Vulval conditions in paediatric and adolescent patients are mostly managed with explanation, reassurance, topical treatments, advice on hygiene and bathing practices and offering follow-up to ensure resolution of symptoms. " Idle, S.A., Coles, H. and Johns, J. (2023), Vulval disorders in paediatric and adolescent patients and their management. Obstet Gynecol, 25: 272-281. https://doi.org/10.1111/tog.12891 #mrcog #mrcog2 #mrcog3 #obgyntraining #obgyn #gynecology #gynecologist #pediatrics #medicine #medicaltraining #doctor #doctorintraining #primarycare #familymedicine #womenshealth #meded #medstudent
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Dorsal nail pterygium: Dorsal nail pterygium is abnormal tissue growth over the fingernail, usually caused by trauma. Treatment involves trimming or surgically removing the excess tissue. Don’t hesitate: Our team of Exam Counsellors is here to assist you +44 7307 237595 Sincerely & our dedication is to serve you, Med Recalls #MRCSstudents #MRCSExam #MedicalEducation #patientcare #medicalawareness #Medicine #HealthcareEducation #Doctors #medicalprofessionals #RCOG #MRCOG1 #MRCOG2 #MRCOG3 #oetpreparation #plabexam #healthcareprofessionals #medacademy #MRCP #MRCS #MRCPI #EBCOG #FCPS #MCPS #MRCPCH #FCPS #PLABWebinar #KeepPushing #NeverBackDown #MedicalDreams #Medrecalls
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