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

Figure II-4-9. Submucosal Leiomyoma Changes in size are dependent on the reproductive life stage of the woman. ...

Diagnosis. Degeneration: During times of rapid growth, myomas may outgrow their blood supply, resulting in ischemi ...

Figure II-4-10. Saline Ultrasonography Demonstrating an Intracavitary Leiomyoma Management. Most leiomyomas can be mana ...

Table II-4-2. Management of Leiomyomas Management Clinical effect/Method of Treatment Observation Most Serial pelvic ex ...

ADENOMYOSIS A 42-year-old woman complains of increasing pain with her menstrual periods for the past 8 months ...

The majority of women are asymptomatic. The most common symptoms are secondary dysmenorrhea and menorrhagia. ...

ENDOMETRIAL NEOPLASIA POSTMENOPAUSAL BLEEDING A 65-year-old patient complains of vaginal bleeding for three months ...

replacement therapy. Although the most common cause of postmenopausal bleeding is vaginal or endometrial atrop ...

Figure II-4-11. Ultrasonography Demonstrating Normal Endometrial Stripe (<5 mm) Staging Staging is surgical and utili ...

Table II-4-4. Management of Endometrial Carcinoma TAH-BSO: Basic Treatment for All Stages Stage I TAH BSO Lymph n ...

Figure II-4-12. Management of Endometrial Hyperplasia Postmenopausal women taking estrogen replacement therapy must ...

DISORDERS OF THE OVARIES AND OVIDUCTS ...

LEARNING OBJECTIVES Differentiate between physiologic enlargement of the adnexa and abnormal enlargement or painful adne ...

PHYSIOLOGIC ENLARGEMENT FUNCTIONAL CYSTS A 22-year-old woman comes for an annual examination and requests oral co ...

GYN TRIAD Functional Ovarian Cyst In the reproductive age years, the most common cause of a simple cystic mass ...

Figure II-5-1. Ultrasonographic Appearance of a Functional Cyst Management. Most functional cysts can be managed exp ...

contraception. Physiologic cysts do not usually get >7 cm in diameter. Functional cysts should not form if the ...

POLYCYSTIC OVARIAN SYNDROME The ovaries are bilaterally enlarged with multiple peripheral cysts (20–100 in each ...

OVARIAN HYPERTHECOSIS In ovarian hyperthecosis, nests of luteinized theca cells are scattered in the ovarian stroma ...

LUTEOMA OF PREGNANCY Luteoma of pregnancy is a rare, non-neoplastic tumor-like mass of the ovary that emerges ...