Bleeding in 14th week of pregnancy - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 04-17-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 27
Threads: 11
Thanked 30 Times in 11 Posts
Reputation: 40
ObGyn Bleeding in 14th week of pregnancy

A G1P0 28 year old Taiwanese woman presented with moderate vaginal bleeding during her 14th week of gestation. Fundal height was appropriate to date and pelvic examination was normal. Fetal heart sounds were not detected. Beta hCG level was 7523 mIU/ml. Transabdominal ultrasound is shown below. What is the next best step in the management?

Bleeding in 14th week of pregnancy-usuterus.jpg
click to enlarge

A- Chest X ray
B- Pelvic CT scan
C- D&C curettage
D- Pelvic radiotherapy
E- Transvaginal hysterectomy
Reply With Quote Quick reply to this message
The above post was thanked by:
ath.pantelis (04-18-2010), neuroguy (02-25-2011)



  #2  
Old 04-17-2010
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 3
Threads: 0
Thanked 3 Times in 1 Post
Reputation: 13
Default

i thinks its molar pregnancy.next stp would be chest xray to rule out chorioca. if suction and curettage is in optin it would be the rx of molar pregnancy
Reply With Quote Quick reply to this message
The above post was thanked by:
ath.pantelis (04-18-2010), seraevening (01-25-2011), Taiwan_Guy (05-19-2011)
  #3  
Old 04-18-2010
ath.pantelis's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 187
Threads: 4
Thanked 372 Times in 122 Posts
Reputation: 402
Default

(Sorry for being late, Dr. Farqad; during my first attempt to reply to this post I was interrupted & didn't manage to complete my thought.)

Where is the baby? (just kidding, though I shouldn't!)

Well, the differential should be between ectopic pregnancy & gestational trophoblastic disease. The absence of hypertension, normal-for-dates uterine size & relatively low hCG levels should draw us away from the diagnosis of GTN, however there is no 100% in Medicine. On the other hand, this pt's nationality is compatible with high prevalence of GTN. What is more, the U/S shows "snowstorm" pattern. So, before proceeding to any intervention, such as D&C, I would order a chest x-ray, just to be on the safe side (thanx Dr. ismail for your prompt reply!).

However, I am not convinced that I am correct. Dr. Farqad, please confirm (or discard!)
Reply With Quote Quick reply to this message
The above post was thanked by:
AkosuaBiopelo (04-18-2010), Farqad (04-18-2010), seraevening (01-25-2011)
 
  #4  
Old 04-18-2010
USMLE Forums Scout
 
Steps History: Step 1 Only
Posts: 27
Threads: 11
Thanked 30 Times in 11 Posts
Reputation: 40
Unhappy Again you are right

@ ath.pantelis

Once again you are absolutely right
I will keep bringing questions in the hope you miss one of them

You are USMLE superman
Reply With Quote Quick reply to this message
The above post was thanked by:
ath.pantelis (04-18-2010)
  #5  
Old 04-18-2010
ath.pantelis's Avatar
USMLE Forums Addict
 
Steps History: 1+CK+CS
Posts: 187
Threads: 4
Thanked 372 Times in 122 Posts
Reputation: 402
Default

Don't be so mean, Dr. Farqad, because I'll turn into Shrek .

I am not a superman, just a poor IMG chasing his future in Ob-Gyn!
Reply With Quote Quick reply to this message
  #6  
Old 05-07-2010
USMLE Forums Master
 
Steps History: 1+CK+CS+3
Posts: 742
Threads: 137
Thanked 2,462 Times in 441 Posts
Reputation: 2565
Smile Snowstorm as a buzzword

Speaking of snowstorm appearance that reminded me when patients with acute retinal detachment sees dozens of floaters (snowstorm floaters)
Reply With Quote Quick reply to this message
The above post was thanked by:
seraevening (01-25-2011), Taiwan_Guy (05-19-2011)



Reply

Tags
ObGyn-, Radiology-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
Postmenopausal Bleeding rasheed USMLE Step 1 Classic Clues 12 10-02-2016 05:29 PM
Bleeding after surgery Farazdaq USMLE Step 1 Forum 4 03-16-2012 01:49 AM
Bleeding Disorders Table lee-usmle USMLE Step 1 Bits & Pieces 1 05-04-2010 12:55 AM
healthy 3-week-old boy Seetal USMLE Step 1 Forum 9 04-18-2010 09:00 AM
Amazing Deal for Students This week only! BenMD USMLE Links & Free Ads 0 10-24-2009 02:26 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)