A 24-year-old G2P0101 at 16 weeks gestation asks what they c…

A 24-year-old G2P0101 at 16 weeks gestation asks what they can do to quit smoking as they have tried “cold turkey,” but it is not working.  They do not want to do cognitive behavioral therapy (CBT) treatment.  What is the next line of treatment for someone who is pregnant?

A patient calls the provider on call at 6:00 p.m. to discuss…

A patient calls the provider on call at 6:00 p.m. to discuss decreased fetal movement at 36 weeks.  The patient notes that she has not felt the baby move as often as they normally do, even when she is at rest.  What is the best advice to give during a triage phone call?

A 39-year-old G3P2 patient at 27 weeks reported a 2-month ev…

A 39-year-old G3P2 patient at 27 weeks reported a 2-month evolution of pruritic papules on the lower back.  Physical examination revealed grouped erythematous papules, some of which were pustular, and others showed central crusts in the lumbar region (see figure).  What is the likely diagnosis?     

A pregnant patient presents to triage at 32 weeks gestation…

A pregnant patient presents to triage at 32 weeks gestation with vaginal bleeding for the past 6 hours, back pain, and irregular abdominal cramping pain.  Exam reveals diffuse abdominal tenderness and increased uterine tone.  The MOST likely diagnosis is: