OBGYN Quick Notes

Table of Contents
1 CARDIOLOGY ……………………………………………………………………………………………………………………………………4
1.1 Cardiomyopathy ………………………………………………………………………………………………………………………….4
1.2 Pregnancy-Induced Hypertension ………………………………………………………………………………………………….6
1.3 Deep Venous Thrombosis …………………………………………………………………………………………………………….6
2 PULMONOLOGY ………………………………………………………………………………………………………………………………..8
2.1 Pulmonary Embolism……………………………………………………………………………………………………………………8
3 ENDOCRINOLOGY …………………………………………………………………………………………………………………………..10
3.1 Gestational Diabetes ………………………………………………………………………………………………………………….10
3.2 Polycystic Ovarian Syndrome………………………………………………………………………………………………………10
3.3 Thyroiditis …………………………………………………………………………………………………………………………………11
4 GASTROENTEROLOGY ……………………………………………………………………………………………………………………13
4.1 Hyperemesis Gravidarum ……………………………………………………………………………………………………………13
5 GENITOURINARY …………………………………………………………………………………………………………………………….14
5.1 Dysfunctional Uterine Bleeding…………………………………………………………………………………………………….14
5.2 Endometriosis & Adenomyosis …………………………………………………………………………………………………….14
5.3 Cervicitis …………………………………………………………………………………………………………………………………..16
5.4 Cervical Dysplasia ……………………………………………………………………………………………………………………..16
5.5 Incompetent Cervix (Cervical Insufficiency)……………………………………………………………………………………19
5.6 Vaginitis……………………………………………………………………………………………………………………………………20
5.7 Dysmenorrhea …………………………………………………………………………………………………………………………..21
5.8 Breast Cancer……………………………………………………………………………………………………………………………22
5.9 Fibroadenoma …………………………………………………………………………………………………………………………..24
5.10 Vulvar Neoplasia ……………………………………………………………………………………………………………………….24
5.11 Leiomyomas (Uterine Fibroids)…………………………………………………………………………………………………….25
5.12 Ovarian Neoplasia ……………………………………………………………………………………………………………………..26
5.13 Endometrial Neoplasia………………………………………………………………………………………………………………..27
5.14 Menopause……………………………………………………………………………………………………………………………….28
5.15 Amenorrhea………………………………………………………………………………………………………………………………29
5.16 Premenstrual Syndrome……………………………………………………………………………………………………………..30
5.17 Fibrocystic Breasts …………………………………………………………………………………………………………………….30
5.18 Pelvic Inflammatory Disease ……………………………………………………………………………………………………….31
5.19 Mastitis …………………………………………………………………………………………………………………………………….31
5.20 Contraceptive Methods……………………………………………………………………………………………………………….32
5.21 Infertility ……………………………………………………………………………………………………………………………………38
5.22 Normal Labor & Delivery……………………………………………………………………………………………………………..39
5.23 Abruptio Placentae (Placental Abruption)………………………………………………………………………………………40
5.24 Placenta Previa …………………………………………………………………………………………………………………………41
5.25 Ectopic Pregnancy……………………………………………………………………………………………………………………..42
5.26 Molar Pregnancy (Hydatiform Mole) and Gestational Trophoblastic Disease (PROM)………………………….43
5.27 Preterm Labor……………………………………………………………………………………………………………………………43
5.28 Rh Incompatibility ………………………………………………………………………………………………………………………44
5.29 Induced Abortion ……………………………………………………………………………………………………………………….45
5.30 Prenatal Care ……………………………………………………………………………………………………………………………46
5.31 Spontaneous Abortion ………………………………………………………………………………………………………………..49
5.32 Shoulder Dystocia ……………………………………………………………………………………………………………………..50
5.33 Fetal Distress…………………………………………………………………………………………………………………………….51
5.34 Labor Dystocia…………………………………………………………………………………………………………………………..51
5.35 Postpartum Hemorrhage …………………………………………………………………………………………………………….51
5.36 Intrauterine Growth Restriction …………………………………………………………………………………………………….52
5.37 Preeclampsia (Toxemia) & Eclampsia…………………………………………………………………………………………..53
6 MUSCULOSKELETAL ……………………………………………………………………………………………………………………….55
6.1 Osteoporosis …………………………………………………………………………………………………………………………….55
7 PSYCHIATRY …………………………………………………………………………………………………………………………………..57
7.1 Intimate Partner Violence (Domestic Violence) ………………………………………………………………………………57
7.2 Postpartum Depression ………………………………………………………………………………………………………………57
8 DERMATOLOGY ………………………………………………………………………………………………………………………………59
8.1 Melasma…………………………………………………………………………………………………………………………………..59
9 HEMATOLOGY…………………………………………………………………………………………………………………………………60
9.1 Normocytic Anemia…………………………………………………………………………………………………………………….60
10 INFECTIOUS DISEASE ……………………………………………………………………………………………………………………..62
10.1 Chlamydia…………………………………………………………………………………………………………………………………62
10.2 Gonorrhea ………………………………………………………………………………………………………………………………..62
10.3 Toxoplasmosis…………………………………………………………………………………………………………………………..63
10.4 Syphilis …………………………………………………………………………………………………………………………………….63
10.5 Human Papilloma Virus ………………………………………………………………………………………………………………64
10.6 Herpes Simplex …………………………………………………………………………………………………………………………65
11 Obstetrics Exam Notes……………………………………………………………………………………………………………………….66
11.1 Infertility ……………………………………………………………………………………………………………………………………66
11.2 Pregnancy Genetics Counseling ………………………………………………………………………………………………….67
11.3 Normal Pregnancy……………………………………………………………………………………………………………………..71
11.4 First Prenatal Visit & Ongoing Care………………………………………………………………………………………………73
11.5 Early and Mid-Trimester Complications…………………………………………………………………………………………81
11.6 Later Complications of Pregnancy………………………………………………………………………………………………..86
11.7 Preterm Labor & PROM………………………………………………………………………………………………………………88
11.8 Hemorrhage………………………………………………………………………………………………………………………………91
11.9 Labor & Delivery, Complications, and Postterm Pregnancy ……………………………………………………………..94
11.10 Infections in Pregnancy……………………………………………………………………………………………………….99
11.11 Postpartum Care………………………………………………………………………………………………………………101
11.12 Postpartum Mood Disorders ………………………………………………………………………………………………103