Demonstration of Pregnancy on Mannequin

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DEMONSTRATION OF PREGNANCY ON MANNEQUIN OSCE OBSTETRIC AND GYNECOLOGY

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Transcript of Demonstration of Pregnancy on Mannequin

DEMONSTRATION OF PREGNANCY ON MANNEQUINOSCEOBSTETRIC AND GYNECOLOGYA 24 years old para 2 ae!ds a!e!aal "l#!#" as s"$ed%ledINSTRUCTION FOR CANDIDATE &Per'or( o)ser#" a)do(#!al *a!e!aal+ e,a(#!a#o! o! $#s (a!!e-%#!Yo% are e,pe"ed o de(o!srae .#$ "o((e!ary o' $e "orre" e"$!#-%e %sed o "o!/r( $e l#e0prese!a#o!0 a!d pos##o! o' $e 'e%sT$e e,a(#!er (ay as1 yo% a -%es#o! a $e e!dCASE SCENARIOT$#s sa#o! #s a es o' $e e"$!#-%es #! e,a(#!a#o! o' a pre2!a! .o(e!T$e "a!d#dae #s e,pe"ed o &oE,pla#! $e rele3a! 2e!eral p$ys#"al e,a(#!a#o! $a #s per'or(ed #! !or(al pre2!a!"yoEl#"# s#2!s o' a 2ra3#d %er%soCo!/r( $e l#e0 prese!a#o! a!d pos##o! o' $e 'e%soS%( %p $e /!d#!2s #! a "o(pre$e!s#3e (a!!eroO4er s%#a)le e,pla!a#o!s a!d 5%s#/"a#o! 'or ea"$ /!d#!2oSae $a a 3a2#!al e,a(#!a#o! #s !o #!d#"aed as a par o' $#s p$ys#"al e,a(#!a#o! a $#s po#!OB6ECTI7EST$e 2#3e! pa#e! $as a !or(al pre2!a!"y a 84 .ee1s 2esa#o!F#!d#!2s &A)do(e! #s d#se!ded .#$ 2ra3#d %er%s as e3#de!"ed )y $e prese!"e o' l#!ea !#2ra a!d sr#ae 2ra3#dar%(T$e a)do(e! #s so' a!d %er%s #s rela,edT$e sy(p$yseal9'%!dal $e#2$ "orrespo!ds o 84"(T$e l#e #s lo!2#%d#!al .#$ "ep$al#" 3ere, prese!a#o! .$#"$ #s !o e!2a2ed0 a!d ly#!2 #! LOA pos##o!: T$ere #s !o o$er or2a!o(e2aly: Noes o! $e "ase &COMPONENTS*MAR;ING SCPECTED RESPONSES+PROFESSIONALISM*4 (ar1s+PROFESSIONALISM*4 (ar1s+INSPECTION*8 (ar1s+INSPECTION*8 (ar1s+GENERAL E>AMINATION*4 (ar1s+GENERAL E>AMINATION*4 (ar1s+OBSTETRICAL E>AMINATIONOBSTETRICAL E>AMINATIONPALPATION*? (ar1s+PALPATION*? (ar1s+AUSCULTATION*4 (ar1s+AUSCULTATION*4 (ar1s+Greespa#e!I!rod%"es sel'E,pla#! $e p%rpose@seps o' e,a(#!a#o! a!d o)a#!s "o!se! 'ro( pa#e! *3er)ally+E,pla#! o $e pa#e! a!d see1s ass#sa!"e o' "$apero!e o e,pose a)do(e! 'ro( )e.ee! $e sy(p$ys#s p%)#s a!d $e ,#p$#ser!%(*E,pla#! o $e e,a(#!er $a 'or preser3#!2 (odesy o' $e pa#e!0 $#s (%"$ o' e,pos%re #s s%A"#e! o "arry o% "l#!#"al e,a(#!a#o !eeded o )e do!e+Bas$ $a!ds )e'ore sar#!2 e,a(#!a#o! *a!d e!s%res $ey are .ar(+PROFESSIONALISM4 marksGOOD E>POSURE FOR DOING TAMINATIONCCCarry o% $e 2e!eral p$ys#"al e,a(#!a#o! #! $e %s%al (a!!erMa1e !oes o! $e le3el o' "o('or o' $e pa#e!0 $er pos##o!@pos%re #! )edRe"ord $er p%lse0 resp#raory rae0 )lood press%reO)ser3es #' $er )ody e(pera%re #s !or(al o o%"$Loo1 'or pallor0 pedal oede(a .#$ #s le3el a!d spreadGENERAL E>AMINATION4 marksINSPECTION &Do!e 'ro( $e 'oo e!d o' $e pa#e!Ds )edNo#"es $e o)3#o%s d#se!s#o! o' $e a)do(e! %p o $e r#) "a2eDes"r#)e $e s$ape o' $#s d#se!ded a)do(e! *o3al@o)lo!2+Co((e!s #' $e Ea!1s are !or(al@'%llCo((e!s a)o% $e %()#l#"%s0 prese!"e o' sr#ae d#se!sae0 p#2(e!ary "$a!2es o' $e s1#!Ta1e !oes o' o$er 3#s#)le (ar1s@s%r2#"al s"arsCo((e!s o! 3#s#)le 'oeal (o3e(e! *#' !o#"ed+OBSTETRICAL E>AMINATION3 marksTa1es "orre" pos##o! o! $e r#2$ s#de o' $e pa#e! *s##!2 o! "$a#r@2e#!2 o le3el o' $e a)do(e!+As1s #' $ere are a!y po#!s o' e!der!essUses $e "orre" $a!d o e,a(#!e * r#2$ $a!d +Do s%per/"#al palpa#o!0 o el#"# #' a!y area o' e!der!ess a!d deer(#!es .$e$er %er%s #s "o!ra"#!2@rela,#!2 %!der $e e,a(#!#!2 $a!d:PALPATIONMeas%re $e sy(p$yseal9'%!dal $e#2$ #! $e pres"r#)ed (a!!er a!d !oes #: *'ro( sy(p$ys#s p%)#s o $e '%!d%s+Pro"eeds o deep palpa#o! o as"era#! $e l#e0 prese!a#o! a!d pos##o! o' $e 'e%s #! %ero %s#!2 $e 3ar#o%s o)ser#"al 2r#ps FLeopoldDs Ma!oe%3resGEl#"#s p$ys#"al "$ara"er#s#"s o' $e 3ar#o%s 'eal pars o "o!/r( a!d "o((e! o! $e(:E!-%#res #' a!y e,a(#!a#o!"a%ses d#s"o('or@pa#!Co((e!s #' a!y o$er (ass #s 'el8 marksAssess '%!dal $e#2$Fundal height (in cm) approximates weeks of gestation applicable after 20th week of gestation only.Assess 'oeal l#eLongitudinal, transerse or obli!ue.Assess 'oeal prese!a#o!"reech#ephalic ( $ertex or face )Assess 'oeal 3ere, pos##o! H )y deer(#!#!2 $e pos##o! o' 'oeal o""#p% #! rela#o! o $e 'o%r -%adra!s o' (aer!al pel3#sL%L,L%&,L%',(%L,(%&,(%'Assess 'eal des"e!)s ertex engaged*Fo"%sed areas 'or a)do(#!al palpa#o!A%s"%laes 'or $e 'eal $ear so%!dsB$e$er "a! o4er 5%s#/"a#o! 'or $e l#1ely s#e o lo"ae 'eal $ear so%!dA%s"%laes $e "$es 'or $ear so%!ds a!d )rea$e so%!dsT$a!1s $e pa#e! a!d pro3#des pr#3a"y 'or $er o sele $er dressAUSCULTATION4 marksEl#"#s "orre" e"$!#-%e o' o)ser#"s e,a(#!a#o! a!d s%((ar#ses $e /!d#!2s .#$ 5%s#/"a#o!s .$ere3er appl#"a)leLAST BUT NOT LEAST2 marksTOTAL : 25 MarksNo de(o!sra#!2 pro'ess#o!al pra"#"eFo"%s#!2 o!ly o! $e a)do(#!al /!d#!2s a!d (#ssed o do a "o(plee 2e!eral e,a(#!a#o! *e2 & loo1#!2 'or pallor0 depe!de! oede(a0 e" +Fa#l#!2 o $a!1 $e pa#e! a $e e!d o' $e e,a(#!a#o!Co((o! p#'alls &THANK YOU