By Matthew S. Kaufman, Jeane Simmons Holmes, Priti P. Schachel, Latha G. Stead

The obstetrics and gynecology clerkship survival advisor from the publishers of First reduction for the USMLE Step 1

This robust overview for the obstetrics and gynecology clerkship presents scientific scholars taking required rotations with a unmarried, concise, high-yield source for excelling at the forums and wards. thousands of high-yield evidence in line with the clerkship's center capabilities assessment every little thing scholars want to know for the clerkship. Margin notes spotlight universal examination and "pimp" inquiries to particularly support scholars shine. New to this variation, mini-cases are built-in all through to offer a medical "face" to ailment discussions. 4 new chapters conceal twinning, cervical dysplasia/HPV vaccine, breast affliction, and women's health and wellbeing upkeep. a piece of "classifieds" comprise scholarship and award possibilities.

Features

  • High-yield but finished overview of the main crucial issues focuses examine
  • NEW built-in mini-cases upload scientific relevance and get ready scholars for questions they'll see at the examination
  • Includes four NEW chapters
  • Exam tips and wards guidance aid scholars shine at the shelf examination and provoke attendings
  • Written through scholars who aced the clerkship and in accordance with the clerkship's middle skills
  • Edited and reviewed via ob/gyn college

Content you must excel at the clerkship:
part I. information for the Ob/Gyn Clerkship; part II. High-Yield proof in Obstetrics; general Anatomy, analysis of being pregnant, body structure of being pregnant, Antepartum, Intrapartum, Postpartum, health conditions in being pregnant, issues of being pregnant, Infections in being pregnant, Twins, Abortions and Fetal death, Ectopic being pregnant, part III. High-Yield evidence in Gynecology; birth control, Menstruation, Premenstrual Syndrome/Premenstrual Dysphoric sickness, Infertility, Amenorrhea, Hyperandrogenism, Hyperprolactemia/Galactorrhea, irregular Uterine Bleeding, Pelvic soreness, Endometriosis/Adenomyosis, Cervical Dysplasia/HPV Vaccine, Cervical melanoma, Endometrial melanoma, Ovarian melanoma, Vulvar Dysplasia and melanoma, Vulvar Dystrophies, Gestational Trophoblastic Neoplasia, Sexually Transmitted Infections/Vaginitis, Breast disorder, Womens’ health and wellbeing upkeep, Menopause, Pelvic leisure, Urinary Incontinence, part IV. labeled, possibilities for scientific scholars, sites of Interest

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Additional resources for First Aid Obstetrics and Gynecology Clerkship

Sample text

HEMOGLOBIN Ⅲ Fetal Hgb (HbF) concentration increases 1 to 2% during pregnancy, secondary to an increase in the number of RBCs with HbF ERYTHROCYTE SEDIMENTATION RATE WHITE BLOOD CELLS Progesterone increases Na+ excretion, but its increase is balanced by effects of increased aldosterone, mineralocorticoids, and prostaglandins. Neutrophils Ⅲ Neutrophil count increases in T1 and continues to rise until 30 weeks. Ⅲ Neutrophilic metabolic activity and phagocytic function increases. Lymphocytes Counts remain unchanged, but function is suppressed.

Half of all antigens in a fetus come from the father, and half come from the mother. The Problem with Rh Sensitization The parental combination you must worry about: Mother Rh− and father Rh+. Ⅲ If the pregnant female is Rh− and her fetus is Rh+, then she may become sensitized to the Rh antigen and develop antibodies (Figure 5-2). Ⅲ These antibodies cross the placenta and attack the fetal RBCs → fetal RBC hemolysis. Sensitization Hemolytic disease of the newborn/fetal hydrops occurs when the mother lacks an antigen present in the fetus → fetal RBCs trigger an immune response when they reach the mother’s circulation → maternal antibodies cause fetal RBC hemolysis and anemia → fetal hyperbilirubinemia → kernicterus → heart failure, edema, ascites, pericardial effusion.

During T3, low estradiol levels are associated with poor obstetrical outcomes. Progesterone Source: Ⅲ Corpus luteum before 6 weeks’ gestational age Ⅲ Thereafter, the placenta produces progesterone from circulating maternal low-density lipoprotein (LDL) cholesterol. Function: Ⅲ Affects tubal motility, the endometrium, uterine vasculature, and parturition Ⅲ Inhibits T lymphocyte–mediated tissue rejection Cortisol Source: Decidual tissue Function: Suppresses the maternal immune rejection response of the implanted conceptus 39 Abortion will occur in 80% of women with progesterone levels under 10 ng/mL.

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