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

UNCOMMON CAUSES Morbidly Adherent Placenta Normally, placental villi invade only the superficial layers of ...

OB TRIAD Abnormal Placental Invasion Accreta: deeper layers decidua basalis Increta: myometrium not complete Perc ...

Figure I-6-3. Placenta Accreta Vasa Previa A 21-year-old primigravida at 38 weeks’ gestation is admitted to t ...

OB TRIAD Vasa Previa Vasa previa is present when fetal vessels traverse the fetal membranes over the int ...

Figure I-6-4. Vasa Previa Uterine Rupture http://ebookobgyne.net http://ebookobgyne.net ...

A 27-year-old G2 P1 woman comes to the maternity unit for evaluation for regular uterine contractions at 34 ...

OB TRIAD Uterine Rupture Uterine rupture is complete separation of the wall of the pregnant uterus with or witho ...

Management. Treatment is surgical. Immediate delivery of the fetus is imperative. Uterine repair is indicated i ...

PERINATAL INFECTIONS http://ebookobgyne.net http://ebookobgyne.net ...

LEARNING OBJECTIVES Describe the route of transmission and common complications of perinatal infections includi ...

OB TRIAD GBS Neonatal Sepsis Newborn sepsis Within hours of birth Bilateral diffuse pneumonia http://ebookobgyne.net h ...

NONSEXUALLY TRANSMITTED GROUP B β-HEMOLYTIC STREPTOCOCCI A 20-year-old woman G2 P1 is admitted to the birthing ...

Prevention is to decrease early-onset infection only. Intrapartum antibiotic prophylaxis of neonatal GBS sepsis i ...

TOXOPLASMOSIS A 26-year-old primigravida was admitted to the birthing unit at 39 weeks’ gestation in active ...

OB TRIAD Congenital Toxoplasmosis Chorioretinitis Intracranial calcifications Symmetrical IUGR http://ebookobgyne.net http: ...

NOTE Remember to distinguish between intracranial calcifications with Toxoplasma and periventricular calcifications ...

Treatment. Pyrimethamine and sulfadiazine for known infections; spiramycin to prevent vertical transmission from ...

VARICELLA A 29-year-old woman (G2 P1) is at 34 weeks’ gestation. She complains of uterine contractions every 5 ...

OB TRIAD Congenital Varicella Varicella zoster (VZV) is a DNA virus that is the causative agent of chicken ...

(Varivax III) can be administered to nonpregnant or postpartum to varicella IgG- antibody-negative women. Trea ...