USMLE Step 2 CK Lecture Notes 2019: Obstetrics/Gynecology (Kaplan Test Prep)

Figure I-8-7. Four Categories of Term Pregnancy With post-term pregnancy, perinatal mortality is increased tw ...

Table I-8-4. Bishop Scoring Method Parameter\Score 0 1 2 3 Position Posterior Intermediate Anterior - Consistency Firm Inter ...

Table I-8-5. Placental Function in Post-term Pregnancy Maintained Deteriorates Macrosomia (80%) Dysmaturity (20%) Diff ...

Figure I-8-8. Diagnosis and Management for Post-Dates Pregnancy to perform it. Suctioning of fetal nose and pharynx ma ...

HYPERTENSIVE COMPLICATIONS ...

LEARNING OBJECTIVES Differentiate between gestational hypertension, preeclampsia, eclampsia, and chronic hypertension ...

HYPERTENSION IN PREGNANCY Systolic and diastolic BP both decline early in the first trimester, reaching a ...

GESTATIONAL HYPERTENSION A 19-year-old primigravida is seen in the outpatient prenatal clinic for routine visit ...

OB TRIAD Gestational Hypertension Gestational hypertension is diagnosed with sustained elevation of BP ≥140/90 m ...

PREECLAMPSIA A 21-year-old primigravida without severe features is seen in the outpatient prenatal clinic for ...

OB TRIAD Preeclampsia Preeclampsia is sustained BP elevation in pregnancy after 20 weeks’ gestation in the abs ...

Differential Diagnosis. Chronic hypertension should always be ruled out. Diagnosis is made with the diagnos ...

Complications can include progression from preeclampsia without severe features to preeclampsia with severe f ...

PREECLAMPSIA WITH SEVERE FEATURES A 21-year-old primigravida is seen in the outpatient prenatal clinic for a ...

NOTE Preeclampsia with severe features has many presentations. ...

NOTE Quantification of proteinuria (e.g., ≥5 g on a 24 h urine collection) is no longer used as a finding ...

OB TRIAD Preeclampsia with Severe Features The pathophysiology of preeclampsia with severe features is the s ...

Lab abnormalities include the following: Evidence of hemoconcentration will be more severe. Proteinuria is describ ...

NOTE Because IUGR is managed similarly with and without preeclampsia, it has been removed as a finding indicatin ...

ECLAMPSIA A 21-year-old primigravida is brought to the emergency department after suffering from a generalized ...