Purpose: Vaccinations during pregnancy aim to protect both the mother and the baby from serious infectious diseases. Maternal vaccination not only prevents complications during pregnancy but also provides passive immunity to the newborn through the placenta and breastmilk. Vaccinations are reviewed at the first prenatal visit. Ideally, a patient will be up to date on […]
Overview: Cesarean delivery, also known as elective cesarean section (C-section), is a critical intervention to reduce the risk of mother-to-child transmission (MTCT) of HIV, especially in cases where viral suppression is not achieved. In women with viral loads exceeding 1000 RNA copies/mL, scheduled cesarean (prior to labor or rupture of membranes) has been shown to […]
A 10 day-old male baby was brought to the emergency room because he was irritable, crying constantly, and had a seizure an hour ago. He did not have any fever. Last night blood was noted with stool in his diaper. The birth was an uncomplicated vaginal delivery at home. He was exclusively breast fed since […]
Question: What is hydrops fetalis? A.5 genes responsible for the synthesis of the alpha-globulin protein in hemoglobin are defective B.4 genes responsible for the synthesis of the alpha-globulin protein in hemoglobin are defective C.3 genes responsible for the synthesis of the alpha-globulin protein in hemoglobin are defective D.2 genes responsible for the synthesis of the […]
A 62 year-old male was about to be discharged from the hospital. He was diagnosed with a stroke and was started on medications. He regained some of his strength in both upper and lower extremities but still has a visual field defect with loss of vision on the same side of both eyes. He has […]
A 32 year-old female comes regularly to your office with symptoms of hypoglycemia. After a few visits, you’ve become suspicious of possible factitious insulin self-injections. Which of the following tests is most useful to detect factitious insulin injections? A.Serum insulin level B.C-peptide level C.serum glucose level D.serum albumin level E.serum bilirubin level Correct Answer is […]
Delusional Disorder A 24 year-old woman is brought to your office by her husband because her husband thinks she is delusional. Six weeks ago, one night they watched Tom Cruise’s movie Top Gun: Maverick. In one scene, Tom Cruise smiles at a coactor. The patient told her husband that Tom Cruise actually smiled at the […]
