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Compounding Problems: • Embarrassment leads to silence • Time constraints lead to inadequate attention • Knowledge limits lead to patients accepting • Technology limits lead to inadequate investigation • Resource limits lead to inadequate access

In this educational tutorial, a patient had a diagnostic laparoscopy done by an inexperienced laparoscopist. When the patient presented, she had multiple sinuses around the umbilicus and was taking antibiotics without any benefit.

Presentation by Galal Lotfi, MD, MRCOG, professor of obstetrics and gynecology for Suez Canal University in Egypt.

In a recent study published in the American Journal of Obstetrics and Gynecology, Dr Strand and colleagues found that behavioral interviewing techniques may be useful in predicting success of a candidate in residency. Here, Dr Strand shares some tips for graduating medical students who are preparing for residency interviews.

Learning Objectives At the end of this presentation you should: 1-Enumerate the problems a woman affected with celiac disease may encounter during her life 2-Be aware of the methods of diagnosis of celiac disease 3-Describe effective control for the disease to minimize symptoms and long term sequelae of the disease

DEFINE Any deviation in normal frequency, duration or amount of menstration in women of reproductive age. NORMAL MENSES Frequency: 21-35 d Duration: 3-7 d Volume: 30-80 ml

PCOS: An Epidemic • An epidemic in developing countries (ED & PCOS!!!). • About 20% of reproductive age women demostrate the ultrasound picture of polycystic ovaries. • About 5-10% have clinical or biochemical signs of Anovulation and androgen excess. (These date were collected prior to Rotterdam diagnostic consensus).