USMLE Forum Archives - USMLE Step 3 - Obstetrics- Pruritis
Obstetrics- Pruritis
harry206 - 05-13-09 09:02
A 23-year-old Caucasian primigravida in her 36th week of gestation presents to your office with abdominal pruritus. She recalls having mild vulvar pruritis that spontaneously resolved early during her pregnancy. Her past medical history is insignificant and her pregnancy course has been uncomplicated. She takes iron and multivitamin supplements daily, and is physically active. She does not smoke or consume alcohol. She denies any contact with persons having fever, rash or pruritus. Physical examination reveals several linear excoriations on the abdominal wall. Prominent abdominal striae are observed, but the lesions do not seem to involve these.
Which of the following is the most likely diagnosis in this patient?
harry206 - 05-13-09 09:02
A 23-year-old Caucasian primigravida in her 36th week of gestation presents to your office with abdominal pruritus. She recalls having mild vulvar pruritis that spontaneously resolved early during her pregnancy. Her past medical history is insignificant and her pregnancy course has been uncomplicated. She takes iron and multivitamin supplements daily, and is physically active. She does not smoke or consume alcohol. She denies any contact with persons having fever, rash or pruritus. Physical examination reveals several linear excoriations on the abdominal wall. Prominent abdominal striae are observed, but the lesions do not seem to involve these.
Which of the following is the most likely diagnosis in this patient?
The correct answer and explanation will be available after you answer.
Page 1
#3
Re: Obstetrics- Pruritis meduploader - 05-13-09 13:54 My answer is: b.
herpes gestationalis is not caused by a viral infection, and is believed to
be an autoimmune disorder.
#19
Re: Obstetrics- Pruritis babbu5508 - 09-30-10 01:05 My answer is: e.
Physical examination reveals several linear excoriations on the abdominal wall....could be the scratches by nails...
Page 1