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First Aid for the USMLE Step 2 CK (10th Ed.)/
Obstetric Complications of PregnancyAce Your First Aid for the USMLE Step 2 CK (10th Ed.) Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Medicine (MD/DO) Students
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First Aid for the USMLE Step 2 CK (10th Ed.) | Medicine (MD/DO) School Study Aid
Ectopic Pregnancy
- Signs and Symptoms
- Lower Abdominal Pain
- Delayed Menses
- Abnormal Vaginal Bleeding
- Shock
- Referred Shoulder Pain
- Cullen Sign
- Considerations
- Methotrexate
- Surgery
- RhoGAM
2 mins
Placental Implantation Abnormalities
- Mechanism
- Placenta Adheres Directly to Myometrium
- Placenta Accreta
- Placenta Increta
- Placenta Percreta
- Caused by Scar Tissue
- Hemorrhage
- Diagnosis
- Ultrasound is First-line, then MRI
- Treatment
- C-section Delivery
- Artery Ligation or Embolization
2 mins
Abruptio Placentae
- Mechanism
- Premature Separation of Placenta
- Assessment
- Tearing Pain
- Bleeding (Often Concealed)
- Rigid Uterus
- Contractions
- Interventions
- Corticosteroids as Needed
- Emergent Delivery
- Considerations
- Increased Risks for Neonate
- Rh (Rhesus) Incompatibilities
- Increased Risk for Shock
- Monitor Fetal Heart Rate
3 mins
Placenta Previa
- Mechanism
- Placenta Covers Cervical Os
- Assessment
- Painless
- Bright Red Vaginal Bleeding
- Interventions
- Stable Fetus
- Bed Rest
- Observation
- Unstable Fetus
- C-section Delivery
- Considerations
- Risk for Shock
- Magnesium Sulfate
- Tocolysis
3 mins
Vasa Previa
- Characteristics
- Fetal Vessels Over Internal Cervical Os
- Risk Factors
- Velamentous Umbilical Cord Insertion
- Placental Abnormalities
- Multiparity
- Presentation
- Rupture of Membranes
- Painless Vaginal Bleeding
- Fetal Distress
- Diagnosis
- Doppler Ultrasound
- Treatment
- Emergency Cesarean Delivery
2 mins
Intrauterine Growth Restriction (IUGR)
- Pathophysiology
- Slowed Fetal Growth
- Symmetric Type
- Factors Early in Pregnancy
- Genetic (Chromosomal) Abnormalities
- Congenital Infections
- Asymmetric Type
- Preserved Head Circumference
- Factors Late in Pregnancy (2nd / 3rd trimester)
- Placental Insufficiency
- Diagnosis
- Ultrasound
- < 10th Percentile (for SGA)
- Decreased Fundal Height
- Complications
- Increased Perinatal (Fetal) Morbidity and Mortality
2 mins
Fetal Macrosomia
- Pathophysiology
- Increased Birth Weight
- > 4500 g
- Causes
- Maternal Obesity
- Gestational Diabetes
- Diagnosis
- Weigh Newborn at Birth
- Ultrasound
- Hadlock's Formula
- Complications
- Birth Canal Trauma
- Neonatal Hypoglycemia
- Shoulder Dystocia
- Treatment
- Planned Cesarean Section
2 mins
Polyhydramnios
- Pathophysiology
- Increased Amniotic Fluid
- Causes
- Duodenal Atresia (or Gastrointestinal Atresias)
- Maternal Diabetes
- Multiple Gestations
- Anencephaly
- Hydrops Fetalis
- Diagnosis
- Ultrasound
- Amniotic Fluid Index (AFI) > 25 cm
- Treatment
- Weekly Nonstress Test (NST) and Biophysical Profile (BPP)
- Amnioreduction
- Indomethacin
3 mins
Oligohydramnios
- Decreased Amniotic Fluid
- Etiologies
- Renal Agenesis (Fetal Urinary Tract Abnormalities)
- Uteroplacental Insufficiency
- Premature Rupture of Membranes (PROM)
- Diagnosis
- Ultrasound
- Amniotic Fluid Index (AFI) < 5 cm
- Complications
- Spontaneous Abortion
- Pulmonary Hypoplasia
- Musculoskeletal Abnormalities
- Intrauterine Growth Restriction (IUGR)
- Treatment
- Treat Underlying Cause
- Delivery (When Viable)
2 mins
Potter Sequence
- PATHOGENESIS
- Oligohydramnios
- clinical findings
- Limb Deformities
- Facial Anomalies
- Pulmonary Hypoplasia (Most Common Cause of Death)
- Etiologies
- Autosomal Recessive Polycystic Kidney Disease (ARPKD)
- Posterior Urethral Valves
- Chronic Placental Insufficiency
- Bilateral Renal Agenesis
3 mins
Rh Hemolytic Disease of the Fetus and Newborn
- Characteristics
- Rh (Rhesus) Incompatibilities
- Rh(D)- Mother and Rh(D)+ Fetus
- Anti-Rh(D) Antibodies
- Hemolytic Anemia
- Presentation
- Hydrops Fetalis
- Neonatal Jaundice
- Kernicterus
- Diagnosis
- Positive Coombs Test
- Ultrasound
- Management
- RhoGAM [Anti-Rh(D) Immunoglobulin]
- Intrauterine Blood Transfusion
- Phototherapy
- IVIG (Intravenous Immunoglobulin)
4 mins
ABO Hemolytic Disease of the Fetus and Newborn
- Characteristics
- ABO Incompatibilities
- Type O Mother and Type A/B Fetus
- Anti-A or Anti-B Antibodies
- Hemolytic Anemia
- Presentation
- Often Asymptomatic
- Neonatal Jaundice
- Diagnosis
- Negative Coombs Test
- Management
- Phototherapy
2 mins
Hydatidiform Mole (Molar Pregnancy)
- Cause/Mechanism
- Abnormal Fertilization
- Assessment
- Symptoms of Pregnancy
- Elevated hCG
- Vaginal Bleeding
- Inappropriate Uterine Growth
- No Fetal Heart Rate (FHR)
- Interventions
- Dilation and Curettage (D&C)
- Emotional Support
- Considerations
- No Pregnancy 1 Year
- Hysterectomy
3 mins
Complete Hydatidiform Mole
- Characteristics
- Gestational Trophoblastic Disease
- Fertilization of Enucleated Egg
- Diploid Fetal Karyotypes
- Hydropic Chorionic Villi
- Presentation
- Vaginal Bleeding
- Preeclampsia
- Diagnosis
- Increased Beta hCG
- "Snowstorm" / "Bunch of Grapes" Appearance
- Theca Lutein Cysts
- Considerations
- Dilation and Curettage (D&C)
- Methotrexate
- Increased Risk of Choriocarcinoma
3 mins
Choriocarcinoma
- Germ-cell tumor
- Trophoblastic tissue
- Hematogenous spread to lungs
- Malignant
- Theca-lutein cysts
- Hydatidiform Mole
- hCG
59 secs
Partial Hydatidiform Mole
- Characteristics
- Gestational Trophoblastic Disease
- Dual Fertilization of Haploid Egg
- Triploid Fetal Karyotypes
- Hydropic Chorionic Villi
- Presentation
- Vaginal Bleeding
- Diagnosis
- Increased Beta hCG
- Fetal Structures
- Considerations
- Dilation and Curettage (D&C)
- Methotrexate
2 mins
