Sacrospinous ligament converts greater sciatic notch into greater sciatic foramen. Sacrotuberous ligament and sacrospinous ligament converts lesser sciatic notch into lesser sciatic foramen. Pudendal canal is a fascial canal formed by splitting of the obturator fascia and is located on the lateral wall of ischiorectal fossa. Structures passing thorugh greater…
Tag: ObGyn
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Lymphatic drainage of Uterus and Cervix : Mnemonic
Lymphatic drainage of the uterus is via the iliac, sacral, aortic and inguinal lymph nodes. Mnemonic: USA ME LIES 1. Upper portion: Superficial inguinal and Aortic Fundus and superior uterine body: Aortic (Pre- and Para-aortic) lymph node Cornu: Superficial inguinal lymph node 2. Middle portion (Uterine body): External iliac nodes 3. Lower…
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An Unforgettable Night During Gyne/Obs Rotations
That night, I reported to the L&D floor just like any other night that week. It started off normally with the usual sign out with the residents and then checking the OR board to see if there were any cases to cover. I noticed a D&C up for grabs, so…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Gestational Trophoblastic Neoplasia (GTN) : Quick review
Follow-up protocol Post-Evacuation of Molar Pregnancy Weekly hCG measurements until hCG becomes undetectable Once hCG is undetectable, 2 further specimens should be obtained at weekly intervals Then monthly for 6 months and then Every 2 months for a further 6 months Diagnosis of GTN The diagnosis of GTN is made…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Pathology of Ovarian Tumors – Quick Review
The latest TNM and FIGO staging for Ovarian Cancer has been discussed earlier here. Here, we will discuss pathology of ovarian tumors in short and in a way thats easy to grasp. WHO Classification of Ovarian Tumors Cells of origin Surface coelomic epithelium Germ cells Sex cord, stromal cells Metastatic…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
TNM and FIGO Staging of Ovarian Carcinoma Simplified
FIGO has published a new classification for ovarian cancer. These new cancer staging rules will be incorporated into the 8th Edition of the UICC TNM Classification of Malignant Tumours, which is thought to be effective from 2017. Cancer of the ovary has 3 major stages (I, II and III) and…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Embryology Week 2: Rule of Twos
Starting from Day 8, blastocyst progressively invades into the endometrial stroma and there is formation of: 2 layers in Trophoblast: 1. Inner mononulcear Cytotrophoblast (Cellular) Mitotic figures are found in the cytotrophoblast – hence generate primary chorionic villi into the syncytiotrophoblast. 2. Outer multinucleated Syncytiotrophoblast (Syncytium – cells have fused) Mitotic…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Embryology Week 1: Cleavage to Implantation
Following events occur in the zygote formed in the week zero of development: Cleavage Approximately 24 hours after fertilization the zygote begins with the first cleavage division. Series of mitotic divisions of the zygote (occurs in fallopian tube) to form small daughter cells called blastomeres. Characteristics of cleavage in humans:…