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

Complications can include intracerebral hemorrhage, with possible death. Table I-9-1. Preeclampsia–Eclampsia Spectrum ...

CHRONIC HYPERTENSION WITH OR WITHOUT SUPERIMPOSED PREECLAMPSIA A 35-year-old multigravida is seen in the outpa ...

OB TRIAD Chronic HTN Pathophysiology is vasospasm causing decreased end-organ perfusion, resulting in injury and dam ...

BP values >180/110 mm Hg Worst: Tenfold higher fetal loss rate if uncontrolled HTN (before conception or ...

OB TRIAD Chronic HTN with Superimposed Preeclampsia Pregnancy prognosis with chronic HTN with superimposed pree ...

Antihypertensive drug therapy issues include the following: Management. Conservative outpatient management for uncom ...

Aggressive prompt delivery for chronic HTN with superimposed preeclampsia at any gestational age. Complications ca ...

HELLP SYNDROME A 32-year-old multigravida is at 32 weeks’ gestation. At a routine prenatal visit her BP was note ...

OB TRIAD HELLP Syndrome HELLP syndrome occurs in 5–10% of preeclamptic patients and is characterized by hem ...

10 ...

MEDICAL COMPLICATIONS IN PREGNANCY ...

LEARNING OBJECTIVES Describe the risks and special management of co-occurring medical conditions in pregnancy, in ...

CARDIAC DISEASE A 30-year-old multigravida with a childhood history of rheumatic fever has echocardiography-d ...

Signs of heart disease include the following: Any diastolic or continuous heart murmur Any systolic murmur associ ...

MATERNAL MORTALITY RISK Low maternal mortality (<1% risk of death): ASD, VSD, patent ductus arteriosu ...

UNIQUE HIGH-RISK CONDITIONS Eisenmenger syndrome is characterized by pulmonary hypertension and a bidirectional ...

OB TRIAD Peripartum Cardiomyopathy Late pregnancy or postpartum Multiparity Biventricular cardiac failure ...

CLASSIFICATION OF HEART DISEASE IN PREGNANCY Following are the New York Heart Association (NYHA) functional classifi ...

SPECIFIC MANAGEMENT Table I-10-1. Heart Disease in Pregnancy Diagnosis Problems Management Rheumatic mitral stenosis ↓ d ...

THYROID DISEASE A 23-year-old primigravida is at 30 weeks’ gestation. She has lost 4 pounds during the past ...