USMLE Forum Archives - USMLE Step 3 - Obstetrics- hyperkeratotic papules
Obstetrics- hyperkeratotic papules
harry206 - 05-13-09 03:43
A 32-year-old gravida 3, para 1 Caucasian woman at 38 weeks of gestation is admitted to the labor and delivery unit after complaining of uterine contractions spaced ten minutes apart. Her medical records are not currently available, but the patient states she had a normal pregnancy without any complications. During her initial pelvic examination, several flesh-colored, hyperkeratotic papules are discovered on her posterior introitus, labia major, and labia minora. The papules range from 1-2 centimeters in diameter, have a smooth surface, and are sessile. The patient denies any awareness of the lesions and says she has no history of sexually transmitted diseases. Her cervix is 70% effaced and dilated to 3 centimeters. What is the next best step in managing this situation?
harry206 - 05-13-09 03:43
A 32-year-old gravida 3, para 1 Caucasian woman at 38 weeks of gestation is admitted to the labor and delivery unit after complaining of uterine contractions spaced ten minutes apart. Her medical records are not currently available, but the patient states she had a normal pregnancy without any complications. During her initial pelvic examination, several flesh-colored, hyperkeratotic papules are discovered on her posterior introitus, labia major, and labia minora. The papules range from 1-2 centimeters in diameter, have a smooth surface, and are sessile. The patient denies any awareness of the lesions and says she has no history of sexually transmitted diseases. Her cervix is 70% effaced and dilated to 3 centimeters. What is the next best step in managing this situation?
The correct answer and explanation will be available after you answer.
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#4
Re: Obstetrics- hyperkeratotic papules meduploader - 05-13-09 14:00 My answer is: a.
HPV is thought to be contracted by the infant in less than 1% of all
childbirths to women who have condylomas, no intervention is usually undertaken
#20
Re: Obstetrics- hyperkeratotic papules babbu5508 - 09-30-10 16:20 My answer is: a.
Allow labor to continue without any intervention..because HPV contracted from condyloma acuminata are very less
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