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Blueprints Clinical Cases in Obstetrics and Gynecology, Second Edition offers third-and fourth-year medical students valuable preparation for clerkships and the USMLE Steps 2 and 3. The book features 60 clinical cases, 10 new to this edition and 50 revised and updated from the first edition. Each case consists of a clinical vignette followed by thought questions and discussion, and ends with a question-and-answer review and a listing of suggested additional reading. A question-and-answer section at the end of the book contains 100 USMLE-format multiple-choice questions and detailed answer explanations.

Dedication

v

Preface

vii

Reviewers

xi

Abbreviations/Acronyms

xvii

I. Early Pregnancy

1

(70)

First Prenatal Visit

3

(6)

Screening Tests in Pregnancy

9

(7)

Vaginal Bleeding in Pregnancy I--With Associated Cramping

16

(5)

Nausea and Vomiting of Pregnancy

21

(6)

Pregnant at the Age of 40

27

(6)

Vaginal Bleeding in Pregnancy II--With Left Lower Quadrant Pain

33

(6)

Heart Palpitations and Fatigue in Pregnancy

39

(4)

Low-Risk Aneuploidy Screening

43

(5)

Elevated MSAFP

48

(6)

Genetic Sonogram

54

(5)

Multiple Gestations

59

(5)

Rh D-Negative Alloimmunization

64

(7)

II. Third Trimester of Pregnancy

71

(54)

Elevated Glucose Loading Test

73

(6)

Preterm Contractions

79

(5)

Antepartum Fever

84

(5)

Leaking Fluid I

89

(5)

Size Less Than Dates

94

(5)

Size Greater Than Dates

99

(5)

Decreased Fetal Movement

104

(5)

Abdominal Pain Associated with High Blood Pressure in Pregnancy

109

(6)

Itch in the Third Trimester

115

(5)

Vaginal Bleeding in Pregnancy III--Third Trimester

120

(5)

III. Labor and Delivery

125

(32)

Leaking Fluid II--Epidemiology and Biostatistics

127

(7)

Postterm Pregnancy

134

(6)

Poor Progress During Labor

140

(6)

Nonreassuring Fetal Testing--Fetal Heart Rate Decelerations

146

(6)

Prior Cesarean Section in Labor

152

(5)

IV. Postpartum Period

157

(18)

Postpartum Vaginal Bleeding

159

(5)

Postpartum Fever

164

(5)

Desires Contraception

169

(6)

V. General Gynecology

175

(76)

Acute Abdominal Pain

177

(6)

Acute Pelvic Pain I

183

(5)

Vaginal Discharge

188

(5)

Sexual Assault

193

(5)

Vulvar Lump

198

(5)

Acute Vulvodynia

203

(5)

Acute Pelvic Pain II

208

(4)

Menorrhagia

212

(5)

Metrorrhagia

217

(5)

Intermenstrual Vaginal Bleeding

222

(7)

Painful Periods

229

(5)

Abdominal Pain and Fullness Associated with Amenorrhea

234

(5)

Chronic Pelvic Pain

239

(5)

Abnormal Pap Smear

244

(7)

VI. Reproductive Endocrinology

251

(34)

Amenorrhea I

253

(5)

Infertility I

258

(5)

Hirsutism

263

(6)

Amenorrhea II

269

(5)

Infertility II

274

(5)

Irregular Menses and Mood Swings

279

(6)

VII. Pelvic Relaxation

285

(12)

Incontinence

287

(5)

Vaginal Mass

292

(5)

VIII. Gynecologic Oncology and Breast Disease

297

(46)

Vulvar Pruritus

299

(4)

Vaginal Spotting/Routine Gynecologic Exam

303

(5)

Postmenopausal Vaginal Bleeding

308

(6)

Abdominal Distension

314

(6)

Painless Vaginal Bleeding

320

(7)

Family History of Breast and Ovarian Cancer

327

(5)

Vaginal Bleeding and Family History of Colorectal and Endometrial Cancer

332

(5)

Breast Lump

337

(6)

IV. Review Q&A

343

(2)

Questions

345

(2)

Answers and Explanations

347

(60)

Index

407

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