Wet Mount

What clinical findings would you expect for the three different causes of vaginitis described in the video? (from the history, physical exam and other test)

Interpertation of NST

A 24 year old G2P1001 GDMA2 Diabetic is at 35 weeks in for routine prenatal visit and antenatal testing. She has no complaints, blood sugars are well controlled and her NST is noted below:



What are your recommendations to her and why? In your answer describe the tracing.


What if the week before her NST was as noted below - would that change your management? please explain your answer?

Interpertation of Diabetic Screen

28 year old G4p3002 with a history of intrauterine term fetal demise (39 wks) with last pregnancy in office for her first visit at 16 weeks gestation by LMP. She had no other prenatal complications or abnormal labs. The rest of her history is negative. Her physical exam is significant for a BMI = 28. She is 16 weeks confirmed by exam and ultrasound you performed in the office. Ultrasound demonstrated a viable singleton pregnancy. Your initial labs would include:
a. All routine prenatal labs, diabetic screen and genetic amniocentesis
b. All routine prenatal labs, diabetic screen and detailed anatomic survey ultrasound
c. All routine prenatal labs, diabetic screen and 2nd trimester genetic screen
d. All routine prenatal labs, diabetic screen and group b strep culture


http://depts.washington.edu/pdcweb/tests/Amnio.htm

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Interpretation of Diabetic Screen part 2

She returns and her 1 hour 50 gram Glucola screen result = 144mg/dl.

What are your recommendations to her?

How will you decide if she has or does not have gestational diabetes?

Interpetation of Cervical Cytology

24 year old G2P2002 in to discuss her cytology results.
Her previous result 1 year ago is:



This year her result is:

What are your recommendations to her and why?

Interperting Bone Density

63 year old African American G0P0 with stable hypertension on Diovan presented for her annual GYN visit. No medical changes noted. Family history is negative for all disorders except hypertension. Social hx - negative. Her physical exam was significant for BMI =22. Two weeks later you receive her Bone Density results as noted. What are your recommendations to her and why? If none when should she have another bone density?

Interperting Mammogram

Mammogram Lecture

45 yr G4P3013 was referred for a screening mammogram. Here is a copy of her films. What is your recommendation to her and why?