OB
Painless vaginal bleeding in 3rd trimester with a soft, non-tender uterus.
What is placenta previa?
Most common cause of abnormal uterine bleeding in adolescents.
What is anovulatory cycles (immature HPO axis)?
What is the treatment for a patient whoh presents with: thrombocytopenia, normal PT/PTT, mucocutaneous bleeding, and ↑ bleeding time.
hint: can occur after a virus or trauma
What is steroids or IVIG?
Child with bone pain, anemia, thrombocytopenia, and TdT+ lymphoblasts.
What is ALL?
Contralateral face and arm weakness > leg weakness; Broca aphasia if dominant hemisphere.
What is MCA stroke?
Pregnant woman with asymptomatic bacteriuria. Next step?
What is treat with antibiotics (fosfomycin, nitro)
Vulvar pruritus + white plaques that do not scrape off. Next step?
What is biopsy?
Patient presents with neurologic symptoms, renal injury, fever, and thrombocytopenia—normal coagulation studies.
What is TTP?
Older adult with lymphocytosis and smudge cells on smear.
What is CLL?
Improves with activity but worsens in the morning; antibodies against presynaptic Ca channels.
What is Lambert Eaton?
Postpartum fever + uterine tenderness + foul-smelling lochia.
What is endometritis?
Pap smear comes back LSIL. Next step?
What is colposcopy?
Prolonged PT and PTT with low fibrinogen and ↑ D-dimer in a septic patient.
What do you give them?
What is FFP or cryoprecipitate?
Electrolyte abnormalities after chemo: ↑K, ↑phosphate, ↑ uric acid, ↓Ca.
What is the diagnosis and treatment?
What is tumor lysis syndrome + IV fluids?
Absent reflexes + demyelination of peripheral nerves after GI symptoms 2 weeks ago. Next step?
What is lumbar puncture?
Management of preeclampsia with severe features at ≥34 weeks
What is immediate delivery?
Ectopic pregnancy with β-hCG below discriminatory zone and stable vitals.
What is serial β-hCG monitoring?
A hospitalized patient treated with heparin for 5 days develops a drop in platelet count from 250,000/mm³ to 110,000/mm³ and new unilateral leg swelling. PT/PTT are normal.
What test will be definitive for diagnosis?
What is serotonin release assay?
An adult with fatigue, massive splenomegaly, and markedly ↑ WBC. What is the treatment?
What is imatinib?
Demyelination after rapid correction of hyponatremia.
What is central pontine myelinosis?
A 32-year-old G3P2 at 39 weeks presents in active labor. She has a history of a prior low-transverse cesarean delivery. Fetal heart tracing is reassuring. She is fully dilated and begins pushing. Suddenly, she develops acute abdominal pain, loss of fetal station, vaginal bleeding, and fetal bradycardia.
What is uterine rupture?
A 24-year-old woman presents with progressive abdominal distension and pelvic discomfort. She also reports intermittent vaginal bleeding despite having regular menstrual cycles. Pelvic exam reveals a unilateral adnexal mass. Ultrasound shows a solid ovarian mass. Laboratory studies show elevated serum inhibin levels.
What is granulosa cell tumor?
OVARIAN TUMORS:
1. Serous (most common malignant)- Bilateral, papillary, ascites, peritoneal spread, ↑ CA-125, Psammoma bodies, BRCA
2. Mucinous- Very large multiloculated cyst,“Mucin jelly-like”
3. Granulosa cell- Estrogen → bleeding/precocious puberty,↑ Inhibin,Coffee-bean nuclei
4. Sertoli-Leydig- Androgens → virilization, ↑ Testosterone → hirsutism
5. Dysgerminoma- Young woman solid mass↑ LDH
6. Yolk sac tumor- Child, rapid growth, ↑ AFP, Schiller-Duval bodies
Fever and chills during transfusion without hemolysis. How could this have been prevented?
What is wash blood?
A 63-year-old woman with a longstanding history of smoking presents to the emergency department with 1 week of nausea, constipation, and confusion.
What is next best step?
What is IV fluids?
Hypercalcemia of malignancy
A 61-year-old man is brought in by his family due to progressive behavioral changes over 3 years. He has become socially inappropriate, makes impulsive purchases, and shows a marked loss of empathy. He now eats excessively and prefers sweet foods. Memory is relatively preserved early in the disease. Neurologic exam is otherwise normal.
MRI shows frontal and temporal lobe atrophy.
What is frontotemporal dementia?