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

Table I-7-2 HBV in  Pregnancy

Group   β   beta

streptococcus

Colonization Penicillin G Vaginal

Toxoplasmosis Immunity Pyrimethamine

sulfadiazine

Vaginal

Rubella Immunity None Vaginal

Cytomegalovirus Latency Ganciclovir Vaginal

Varicella/HSV Latency Acyclovir Cesarean    section if  active

HSV

HIV Latency Triple  Rx  antivirals Cesarean section if  high    viral

load

Findings Findings

*Associated with IUGR
+Transplacental vertical transmission
ΔVaginal delivery vertical transmission

Toxoplasmosis*+ Intracranial    calcifications Chorioretinitis

Varicella+ Zig  zag lesions Small   eyes

Rubella*+ Deafness Congenital   heart   disease

Cytomegalovirus*+ Petechiae Enlarged    liver,  spleen

Syphilis+ Hydrops Macerated skin

HSV,    HIV,    HBVΔ None