Medicine Decoded

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When to take an I-pill? 💊#contraceptive #ipill #emergencycontraceptive
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Is it possible to get pregnant with sex during periods? @medicinedecoded. #sexinperiods
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45 year old multiparous woman presents with h/o heavy menstrual bleeding & severe dysmenorrhea for 4 years. On exam, the uterus is uniformly enlarged to 14 weeks size, is tender, B/L adnexa free. USG shows presence of myometrial cysts. What is the next step in management ?

17 year old primigravida presents at 30 weeks of gestation with painful uterine contractions. She is getting regular contractions every 3 min. Pelvic exam shows that the cervix is 2cm dilated, 50% effaced, membranes are intact. Maternal vitals are stable. USG shows a healthy fetus in cephalic presentation with placenta in the upper segment. What should be done next ?

19 year old primigravida, 12 weeks POG, c/o excessive nausea & vomiting & irregular vaginal bleeding for past 1 week. UPT positive at home. PR 100/min & BP is 110/70 mm Hg, cardioresp exam is normal & no c/o breathlessness or tremors. P/A exam - uterus enlarged to 20 weeks size, fetal parts not palpable, FHS not heard. P/S exam - os closed, no active bleeding. What is the most likely diagnosis ?

36 year old woman with IVF conceived twin pregnancy is seen at 12 weeks of gestation. In her 1st pregnancy which was 10 years ago, she had preeclampsia in the third trimester. Her current BP is 110/70 mm Hg, Urine protein negative. What can be done for prevention of preeclampsia in this woman ?