USMLE Step 1 Review/Reproductive

COMPLICATIONS of PREGNANCY 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 Inflammatory ---Infectious ---Non-infectious ---Allergic Metabolic ---Endocrine ---Hepatic ---Renal ---Gonadal Cardio-vascular Degenerative Trauma Toxins Nutritional Tumor Pyscho-somatic WBC Count 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% Useful Websites Memorable Medicine: Free Learning Resources and Forums