By Aaron B. Caughey, Tamara L. Callahan
Blueprints Obstetrics and Gynecology presents scholars with a concise evaluate of content material for his or her ob/gyn rotations and the forums. each one bankruptcy is short and contains pedagogical positive factors resembling bolded key phrases, tables, figures, and Key issues. New positive factors during this variation contain a picture financial institution and a For The forums part, which offers four scientific vignettes with 3-5 sequential merchandise set-style questions on the finish of every bankruptcy. also, a hundred bonus board-format questions with solutions and rationales look on the finish of the ebook; one other 50 bonus questions are supplied on-line.
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Additional info for Blueprints Obstetrics and Gynecology (6th Edition)
The mesoderm forms the cardiovascular, musculoskeletal, and genitourinary systems. , hair, eyes, nose, and ears). , weeks 5 to 10 gestational age) and is the time when most of the major organ systems are formed. NEURAL TUBE DEFECTS The formation of the neural tube begins on days 22 to 23 after conception (week 4) in the region of the fourth and sixth somites. Fusion of the neural folds occurs in cranial and caudal directions. The anterior neuropore (future brain) closes by day 25 and the posterior pore (future spinal cord) closes by day 27.
Therefore, the next best step would be to ask the patient to return in 48 hours for a repeat β-hCG level. A β-hCG level of 1,300 mIU/mL is not above the discriminatory zone for detection of pregnancy and cannot rule out pregnancy. Repeating an ultrasound in 48 hours may not be necessary if the patient has a normal rise in β-hCG level and is not symptomatic. Returning in 1 week for laboratory tests and/or ultrasound would not be advised prior to determining whether the pregnancy is intrauterine or ectopic.
An incomplete abortion is partial expulsion of POCs prior to 20 weeks. This patient has not had any tissue expelled. A threatened abortion does present with vaginal bleeding, but in this type of abortion the patient does not have cervical dilation. This patient has an IUP as confirmed by an intrauterine gestational sac and yolk sac. An inevitable abortion is a pregnancy complicated by vaginal bleeding with a dilated cervix such that the pregnancy is unlikely to be viable. Vignette 4 Question 2 Answer a: Missed abortion is the death of an embryo with complete retention of all POCs.