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

TRICHOMONAS VAGINITIS Trichomonas vaginitis is the most common cause of vaginal complaints worldwide and the second ...

GYN TRIAD Trichomonas Vaginitis The most common patient complaint is vaginal discharge associated with itching, bur ...

CANDIDA (YEAST) VAGINITIS Candida (yeast) vaginitis is the second most common vaginal complaint in the United States ...

GYN TRIAD Candida (Yeast) Vaginitis Risk factors include diabetes mellitus, systemic antibiotics, pregnancy, obes ...

Figure II-3-3. Vaginal Discharge ...

PHYSIOLOGIC DISCHARGE Physiologic discharge is the result of the thin, watery cervical mucus discharge seen with ...

VULVAR DISEASES BENIGN VULVAR LESIONS Molluscum contagiosum. A common benign, viral skin infection. Most com ...

Figure II-3-4. Use of Word Catheter Figure II-3-5. Marsupialization ...

VULVAR LESION WITH PRURITUS/NEOPLASIA A 70-year-old woman complains of vulvar itching for a year. She has been tre ...

NOTE Vulvar dystrophies must also be considered in patients presenting with vulvar itching. Malignant vulvar ...

There is no screening test. Diagnosis. All vulvar lesions of uncertain etiology should be biopsied. Patient ...

Management. Table II-3-1. Management of Vulvar Carcinoma Radical vulvectomy Removes entire vulva (subcutaneous and fat ...

DISORDERS OF THE CERVIX AND UTERUS ...

LEARNING OBJECTIVES Explain the use of vaccination to prevent cervical dysplasia List the common findings and the ...

CERVICAL LESIONS CERVICAL POLYPS Cervical polyps are finger-like growths that start on the surface of the cervix or ...

Figure II-4-1. Cervical Polyps Management. Remove with gentle twisting or by tying a surgical string around th ...

NABOTHIAN CYSTS Nabothian cysts are mucus-filled cysts on the surface of the uterine cervix. The cervical canal ...

CERVICITIS Often with cervicitis, there are no symptoms except vaginal discharge. The most common finding is muco ...

CERVICAL NEOPLASIA ABNORMAL PAP SMEAR A 24-year-old woman is referred because of a Pap smear showing HSIL (high-gr ...

Figure II-4-2. Natural History of Cervical Dysplasia: Response to HPV Types Risk factors include early age of in ...