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

ANTIPHOSPHOLIPID SYNDROME Antiphospholipid syndrome (APS) is an autoimmune disorder defined by both the presence ...

For all women with APS, the following general management is recommended: Antepartum: sono assessment of fetal ...

THROMBOEMBOLISM The mediating factor is frequently endothelial injury from traumatic delivery or cesarean secti ...

SUPERFICIAL THROMBOPHLEBITIS Superficial thrombophlebitis does not predispose to thromboembolism but may mimic more ...

DEEP VENOUS THROMBOSIS (DVT) DVT does predispose to thromboembolic disease. The site of thrombosis is typical ...

PULMONARY EMBOLUS Pulmonary embolus (PE) is a potentially fatal result of DVT in which emboli travel through t ...

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DISPROPORTIONATE FETAL GROWTH ...

LEARNING OBJECTIVES Demonstrate understanding of intrauterine growth restriction Answer questions about macrosomi ...

INTRAUTERINE GROWTH RESTRICTION The common definition of intrauterine growth restriction (IUGR) (also known as fetal ...

tobacco, alcohol, street drugs. These causes typically lead to asymmetric IUGR. ...

OB TRIAD Symmetric IUGR Head and abdomen both small Etiology: fetal (aneuploidy, infection, anomaly) Decreased ...

SYMMETRIC IUGR All ultrasound parameters (HC, BPD, AC, FL) are smaller than expected. Etiology is decreased g ...

OB TRIAD Asymmetric IUGR Head normal; abdomen small Etiology: maternal-fetal (inadequate nutritional substrates) Decreas ...

ASYMMETRIC IUGR Ultrasound parameters show head sparing, but abdomen is small. Etiology is decreased placenta ...

MACROSOMIA Macrosomia is a fetus with estimated fetal weight (EFW) >90−95th percentile for gestational ag ...

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ANTEPARTUM FETAL TESTING ...

LEARNING OBJECTIVES Describe the appropriate use of antepartum fetal testing including nonstress test, amniotic ...

OVERVIEW A 37-year-old multipara with systemic lupus erythematosus is at 31 weeks’ gestation. She has chronic ...