You are seeing a 34 year old G2P1001 at 11 weeks gestation f…

You are seeing a 34 year old G2P1001 at 11 weeks gestation for their initial OB visit. They report a long-standing history of generalized anxiety disorder that has been well-controlled on escitalopram (Lexapro) for the past 2 years. They want to know if they should stay on the medication during pregnancy. What is the best response?

A 32-year-old G2P2 was recently diagnosed with leiomyomas af…

A 32-year-old G2P2 was recently diagnosed with leiomyomas after having a transvaginal ultrasound.  The patient has returned for an appointment to review the imaging results and discuss a treatment plan.  The patient enquires as to why she now has leiomyomas when she never had any in her 20s.  Your best response is:  “The incident rate…

A 29-year-old G1P0 patient at 36 weeks reported itchy bumps…

A 29-year-old G1P0 patient at 36 weeks reported itchy bumps on the thighs and abdomen for the past week.  Now, all of the skin feels inflamed.  Physical examination revealed itchy small erythematous and edematous papules and plaques in the stretch marks with periumbili­cal sparing and across upper legs (see Figure).  What is the MOST likely diagnosis?       

A 39-year-old G3P2 patient at 27 weeks reported a 2-month ev…

A 39-year-old G3P2 patient at 27 weeks reported a 2-month evolution of pruritic papules on the lower back.  Physical examination revealed grouped erythematous papules, some of which were pustular, and others showed central crusts in the lumbar region (see figure).  What is the likely diagnosis?