Blueprints Clinical Cases in Obstetrics and Gynecology

I Early Pregnancy 1
CASE 1 First Prenatal Visit 3
CASE 2 Screening Tests in Pregnancy 9
CASE 3 Vaginal Bleeding in Pregnancy I-- With Associated Cramping 16
CASE 4 Nausea and Vomiting of Pregnancy 21
CASE 5 Pregnant at the Age of 40 27
CASE 6 Vaginal Bleeding in Pregnancy II-- With Left Lower Quadrant Pain 33
CASE 7 Heart Palpitations and Fatigue in Pregnancy 39
CASE 8 Low-Risk Aneuploidy Screening 43
CASE 9 Elevated MSAFP 48
CASE 10 Genetic Sonogram 54
CASE 11 Multiple Gestations 59
CASE 12 Rh D-Negative Alloimmunization 64

II Third Trimester of Pregnancy 71
CASE 13 Elevated Glucose Loading Test 73
CASE 14 Preterm Contractions 79
CASE 15 Antepartum Fever 84
CASE 16 Leaking Fluid I 89
CASE 17 Size Less Than Dates 94
CASE 18 Size Greater Than Dates 99
CASE 19 Decreased Fetal Movement 104
CASE 20 Abdominal Pain Associated with High Blood Pressure in Pregnancy 109
CASE 21 Itch in the Third Trimester 115
CASE 22 Vaginal Bleeding in Pregnancy III-- Third Trimester 120

III Labor and Delivery 125
CASE 23 Leaking Fluid II--Epidemiology and Biostatistics 127
CASE 24 Postterm Pregnancy 134
CASE 25 Poor Progress During Labor 140
CASE 26 Nonreassuring Fetal Testing--Fetal Heart Rate Decelerations 146
CASE 27 Prior Cesarean Section in Labor 152

IV Postpartum Period 157
CASE 28 Postpartum Vaginal Bleeding 159
CASE 29 Postpartum Fever 164
CASE 30 Desires Contraception 169

V General Gynecology 175
CASE 31 Acute Abdominal Pain 177
CASE 32 Acute Pelvic Pain I 183
CASE 33 Vaginal Discharge 188
CASE 34 Sexual Assault 193
CASE 35 Vulvar Lump 198
CASE 36 Acute Vulvodynia 203
CASE 37 Acute Pelvic Pain II 208
CASE 38 Menorrhagia 212
CASE 39 Metrorrhagia 217
CASE 40 Intermenstrual Vaginal Bleeding 222
CASE 41 Painful Periods 229
CASE 42 Abdominal Pain and Fullness Associated with Amenorrhea 234
CASE 43 Chronic Pelvic Pain 239
CASE 44 Abnormal Pap Smear 244

VI Reproductive Endocrinology 251
CASE 45 Amenorrhea I 253
CASE 46 Infertility I 258
CASE 47 Hirsutism 263
CASE 48 Amenorrhea II 269
CASE 49 Infertility II 274
CASE 50 Irregular Menses and Mood Swings 279

VII Pelvic Relaxation 285
CASE 51 Incontinence 287
CASE 52 Vaginal Mass 292

VIII Gynecologic Oncology and Breast Disease 297
CASE 53 Vulvar Pruritus 299
CASE 54 Vaginal Spotting/Routine Gynecologic Exam 303
CASE 55 Postmenopausal Vaginal Bleeding 308
CASE 56 Abdominal Distension 314
CASE 57 Painless Vaginal Bleeding 320
CASE 58 Family History of Breast and Ovarian Cancer 327
CASE 59 Vaginal Bleeding and Family History of Colorectal and Endometrial Cancer 332
CASE 60 Breast Lump 337

IX Review Q&A 343
Questions 345
Answers and Explanations 347
Index 407