General Gynaecology

At the end of this course, students should be able to: 1. describe the gross anatomy of the pelvis and specifically the female genital tract, their innervations and blood supply; 2. explain the chronological order of history taking; 3. demonstrate how to take history and carry out obstetrics and gynaecological examination; 4. describe how to use information from history to arrive at differential diagnosis; 5. enumerate the various physiological changes in all organs and systems in pregnancy; 6. discuss how the physiological changes affect pregnancy; 7. explain the concept of antenatal care; 8. enumerate the components of antenatal care; 9. discuss why various investigations are carried out on pregnant women during antenatal care; 112 10. elucidate how quality antenatal care leads to good pregnancy outcomes; 11. discuss the maternal mortality rate/ratio in different parts of the country; 12. enumerate the causes of maternal mortality; 13. explain the prevention of maternal mortality in Nigeria; 14. describe history taken from victims of sexual assault; 15. discuss physical examination of victims of sexual assault; 16. describe relevant investigations and sample collection; 17. discuss the physical, psychological, and emotional toll of rape; 18. explain who is affected by domestic violence; 19. illustrate the healthcare implications of domestic violence; 20. list common risk factors and lethality issues for domestic violence; 21. recognise the signs and symptoms of domestic violence; and 22. describe appropriate documentation in cases of suspected domestic violence.

Evaluation of the gynaecologic patient. Gynaecologic history, gynaecologic physical examination, common laboratory tests in gynaecology, imaging techniques, surgical evaluation in gynaecology. Paediatric gynaecology, congenital anomaly of the female genital tract, intersex disorders, acquired gynaecological disorders of childhood. Endometriosis and adenomyosis, chronic pelvic pain, genital tract injuries, dilatation and curettage, acquired gynaetresia, intermenstrual, post coital and post-menopausal bleeding, ectopic gestation, displacements of the female genitalia. Medical ethics in gynaecology-historical perspective of medical ethics, forensic medicine and litigation in gynaecology, informed consent, sick leave, death certificate, abortion, rape, incest and gender-based violence.