Obstetrics & Gynecology

2022-03-17 21:08:46 A 32-year-old woman comes to the emergency department due to abdominal pain and nausea that began 2 days earlier but has become increasingly severe over the last 3 hours. The patient has passed several vaginal blood clots in the last hour. She has a history of irregular menstrual cycles and is not sure of the date of her last period. She was diagnosed with a bicornuate uterus 2 years ago during an infertility evaluation. The patient has no other medical conditions and has had no surgeries. BMI is 28 kg/m2. Blood pressure is 90/56 mm Hg and pulse is 120/min. Abdominal examination shows guarding with decreased bowel sounds. Speculum examination shows moderate bleeding with clots from the cervix. A urine pregnancy test is positive. Transvaginal ultrasound reveals a gestational sac at the upper left uterine cornu and free fluid in the posterior cul-de-sac of the pelvis. Which of the following is the best next step in management of this patient? Open / Comment

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2022-03-11 10:22:52 Antiphospholipid-antibody syndrome (APS) is a prothrombotic autoimmune disorder that can present with recurrent pregnancy losses, arterial or venous thrombosis, and mild thrombocytopenia. Patients with APS require anticoagulation (eg, low-molecular-weight heparin in pregnant patients) to decrease the risk of complications. Open / Comment

2022-03-11 00:12:37 Open / Comment

2022-03-11 00:11:32 A 25-year-old woman, gravida 3 para 0 aborta 2, at 6 weeks gestation comes to the office for a routine prenatal visit. The patient says she feels fine except for mild nausea; she takes no medications other than a prenatal vitamin. Her 2 prior pregnancies… Open / Comment

2022-03-11 00:10:50 A 25-year-old woman, gravida 3 para 0 aborta 2, at 6 weeks gestation comes to the office for a routine prenatal visit. The patient says she feels fine except for mild nausea; she takes no medications other than a prenatal vitamin. Her 2 prior pregnancies ended in first-trimester spontaneous abortions. Prior to this pregnancy, the patient drank alcohol on social occasions, and she does not use tobacco or illicit drugs. She is in a monogamous relationship and has never been diagnosed with or treated for a sexually transmitted infection. Laboratory results are as follows: Open / Comment

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2022-03-02 04:48:29 Free UWORLD 2022 step 1 and 2


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