DIP Ep 660: USMLE Step 2/3 Rapid Review Series 139 (Super HY Stuff)

Divine· Host0:00

All right. Welcome. Uh, my name is Divine. Uh, this is episode six hundred and sixty of the Divine Intervention podcast. And in today's podcast, we're gonna be continuing our s- uh, rapid review series for the USMLE Step Two CK and Step Three exams. Uh, this is actually gonna be series, uh, one hundred and thirty-nine, I believe. All right. So what if they give you a question about a thirty-one-year-old female, and you're told that she's, uh, gravida two para one, and she's at twenty weeks gestation. And then she-- they tell you that, uh, she has reported, you know, decreased fetal movement for the past two days. And that, you know, you're then told in the cue stem that in the office, um, a Doppler ultrasound is done, and it does not detect fetal heart tones, right? And then they tell you that, hey, you know, so you, you do an ultrason- ultrasonography, you don't see any cardiac activity with the fetus. And then they ask you, uh, which of the following is the most appropriate next step in management. Um, I'd really hope that you're choosing an answer that talks about, um, evacuation of the fetus, right? Um, because one thing that can certainly happen after an intrauterine fetal demise is, is DIC, right? That is something that we're really, really worried about, right? So obviously, maybe if you see an answer that talks about empathizing with the patient, that's something you wanna do first. But the thing is, after you empathize with the patient, you need to start making some kind of plan for evacuating that fetus, right? Because the thing is, whenever fetal tissue begins to die, you know, you have like necrotic fetal tissue, necrotic placental tissue, right? The thing is it-- that,