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

Table II-7-2. Comparison of STDs with Ulcers LGV Groove sign Granuloma inguinale Beefy red; Donovan bodies Syphi ...

STDs WITHOUT ULCERS CONDYLOMA ACUMINATUM Condyloma acuminatum is caused by the human papilloma virus (HPV). It ...

Provider-administered local treatment: cryotherapy (liquid nitrogen or CryoProbe), podophyllin resin (not used i ...

TRICHOMONAS VAGINITIS Refer to Gynecology, Chapter 3, Disorders of the Vagina and Vulva. ...

CHLAMYDIA Chlamydia is caused by Chlamydia trachomatis, an obligatory intracellular bacterium. It is the most ...

GONORRHEA Gonorrhea is caused by Neisseria gonorrhoeae, a gram-negative diplococcus. The long-term sequelae a ...

HEPATITIS B VIRUS (HBV) Refer to Obstetrics, Chapter 7, Perinatal Infections. ...

HUMAN IMMUNODEFICIENCY VIRUS (HIV) Refer to Obstetrics, Chapter 7, Perinatal Infections. ...

PELVIC PAIN ...

LEARNING OBJECTIVES Differentiate primary and secondary dysmenorrhea Provide an overview of the diagnosis and trea ...

PELVIC INFLAMMATORY DISEASE A 19-year-old nulligravida presents to the emergency department with bilateral l ...

Risk Factors. The most common risk factor is female sexual activity in adolescence, with multiple p ...

CERVICITIS Often there are no symptoms except vaginal discharge. The most common finding is mucopurulent cervic ...

ACUTE SALPINGO-OOPHORITIS Bilateral lower abdominal-pelvic pain may be variable, ranging from minimal to sever ...

GYN TRIAD Acute Salpingo-Oophoritis On examination, mucopurulent cervical discharge, cervical-motion tenderness, an ...

Management is often based on a presumptive diagnosis. Empiric broad spectrum coverage need to include N. go ...

Figure II-8-1. Pelvic Inflammatory Disease ...

TUBO-OVARIAN ABSCESS Tubo-ovarian abscess (TOA) is the accumulation of pus in the adnexa forming an inflammatory ...

Management. Inpatient IV clindamycin and gentamicin should result in fever defervescence within 72 hours. If there ...

GYN TRIAD Chronic Salpingo-Oophoritis Bilateral abdominal/pelvic pain No cervical discharge Cervical motion tendern ...