Obstetrics and Gynaecology

A 32-year-old woman at 10 weeks’ gestation presents with four days of almost no sleep, excessive spending and increasingly intrusive plans to start several busi…

A 27-year-old woman attends for a travel health consultation. She has never had cervical screening despite two invitation letters from the National Cancer Scree…

A 31-year-old woman presents six weeks after the birth of her first child. She tearfully describes vivid, unwanted images of smothering the baby with a pillow t…

A 51-year-old woman presents with eight months of frequent hot flushes and drenching night sweats that wake her four to five times each night and are affecting…

A 58-year-old woman presents after a single episode of light vaginal bleeding one week ago. Her last menstrual period was at age 51 and she has never used menop…

A 31-year-old primigravida at 33 weeks gestation reports one week of intense generalised itching that is worst at night and most severe over her palms and the s…

A 26-year-old primigravida presents at 11 weeks gestation by dates with two weeks of persistent vomiting and one day of light vaginal bleeding. Her blood pressu…

A 31-year-old woman presents with two days of right iliac fossa pain and light vaginal spotting. Her last menstrual period was six weeks ago and a home pregnanc…

A 27-year-old nulliparous woman requests reliable long-term contraception. Several times a year she has severe unilateral throbbing headaches that are preceded…

A 28-year-old primigravida gives birth vaginally at 38 weeks gestation. During labour she was commenced on oral labetalol for blood pressure readings of 160/108…

A 29-year-old woman, gravida 2 para 1, is in spontaneous labour at 39 weeks gestation. One hour after her cervix was 5 cm dilated, the membranes rupture spontan…

A 34-year-old woman, gravida 3 para 2, presents at 34 weeks gestation with two hours of constant severe abdominal pain and a small amount of dark red vaginal bl…

A 34-year-old woman attends her general practitioner eight weeks after the vaginal birth of her first child. Her pregnancy was complicated by gestational diabet…

A 29-year-old woman presents ten days after an uncomplicated vaginal delivery under epidural analgesia with four days of worsening headache, which she says is w…

A 31-year-old woman at 18 weeks' gestation presents with sudden left flank pain and microscopic haematuria. She is afebrile, her blood pressure is 126/74 mmHg a…

A 26-year-old woman who is 9 weeks pregnant is planning a 3-week trip to rural areas of Papua New Guinea. She will stay in local villages and has no psychiatric…

A 10-week pregnant woman is found to be non-immune to rubella during antenatal screening. She has no symptoms and has never had an immediate hypersensitivity re…

A 31-year-old woman attends for routine care and has never had cervical screening. She has no abnormal bleeding, pelvic pain or visible cervical lesion. A self-…

A 32-year-old woman wants highly effective contraception and would prefer predictable light bleeding. She does not want a method requiring daily action and has…

A 27-year-old woman presents with 2 days of lower abdominal pain and deep dyspareunia. She has purulent cervical discharge, a temperature of 38.1 °C and marked…