Villous oedemaLack of vesselsCircumferential trophoblastic hyperplasiaFjord-like outline of villiVessels present contain nucleated RBCsLess prominent trophoblastMaternally expressed gene product p57 is positiveSerum human hCGElevatedLess elevatedRisk of choriocarcinomaAbout 2%Rare hCG = human…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 27 Non-Hormonal Therapy in obstetrics and gynaecology Kevin Hayes Many conditions in pregnancy require prescribed medication and increasing numbers of women are on regular drugs…
Figure 21.1 The pathogenesis of varicella embryopathy Immunological evidence of in utero infection This may be by one of two ways: persistence of VZV-specific IgG at one year of age…
Figure 20.1 Gram-stain procedure Taxonomic classification of bacteria Gram-positive and Gram-negative bacteria can be further subdivided according to their morphological and biochemical characteristics. The principal subdivisions include: morphology (shape) on…
html xmlns=”http://www.w3.org/1999/xhtml” xmlns:mml=”http://www.w3.org/1998/Math/MathML” xmlns:epub=”http://www.idpf.org/2007/ops”> Chapter 7 Fluid and acid–base balance Mark Heining Fluid and electrolyte balance in pregnancy During the course of a normal pregnancy, extracellular fluid accumulates: plasma volume…
ORTHOPEDICS CASE 1: Carpal Tunnel Syndrome Setting: Office CC: “My hands hurt.” VS: Stable HPI: A 43-year-old woman presents with painful burning and tingling in both her hands. She works…
OPHTHALMOLOGY CASE 1: Open-Angle Glaucoma Setting: Office CC: “I have difficulty seeing.” VS: Stable HPI: A 76-year-old African American man presents for primary care evaluation. He has no complaints and…
BILIARY TRACT CASE 1: Biliary Colic Setting: Office CC: “My stomach hurts after eating pizza.” VS: Stable HPI: A 40-year-old obese woman with four kids presents with recurrent postprandial right…
ESOPHAGEAL DISORDERS CASE 1: Gastroesophageal Reflux Disease Setting: Office CC: “I feel like I am always sucking on pennies.” VS: BP, 131/67 mm Hg; R, 16 breaths/min; P, 77 beats/min;…
