USMLE Step 1 Review/Reproductive
COMPLICATIONS of PREGNANCY[edit | edit source]
MINOR:
Morning sickness occurs in 2/3; usually resolves spontaneously by 12 weeks
Heartburn often relieved by MOM (do not use bicarb)
Shortness of breath
Constipation often relieved by MOM
Hemorrhoids
Pelvic “fullness”
Backache
Varicose Veins
Edema
Gestation diabetes
Urinary frequency and urgency
MAJOR: Pre-eclampsia
Symptoms: [often of sudden onset]
loss of appetite
vomiting
headache
malaise “feeling sick”
epigastric pain
visual disturbances [dimness, spots, blurring]
jaundice
cyanosis
dyspnea
Physical Exam:
Elevated B/P
Protein in urine
Increased weight {>3 lb per week]
PRE-DISPOSING FACTORS:
Nulliparty
Multi-gestational (twins)
Extremes of age for pregnancy
Family history
Diabetes
Hypertension
ROOT CAUSES OF DISEASE[edit | edit source]
Inflammatory
---Infectious
---Non-infectious
---Allergic
Metabolic
---Endocrine
---Hepatic
---Renal
---Gonadal
Cardio-vascular
Degenerative
Trauma
Toxins
Nutritional
Tumor
Pyscho-somatic
WBC Count[edit | edit source]
Never Let Monkeys Eat Bananas
"Never Let Mom Eat Beans" and "60, 30, 6, 3, 1"
"Nice Ladies Make Easter Bread" and "60, 30, 6, 3, 1"
- Neutrophils 60%
- Lymphocytes 30%
- Monocytes 6%
- Eosinophils 3%
- Basophils 1%