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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 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:

What is the MOST common presentation of B19 Parvovirus?

What is one of the most common gynecological-related causes of chronic pelvic pain?

What can be offered as an evidenced based intervention for a patient with a history of a previous spontaneous preterm birth of a singleton fetus?

What is the definitive diagnostic technique for vulvar dermatoses?

A 36-year-old G3P3 has the following pregnancy history: G1 term, spontaneous vaginal delivery, boy, 8lbs 9oz, 2nd degree laceration repaired G2 term, forceps vaginal delivery, boy, 10lbs 6oz, episiotomy repaired G3 term, primary low transverse c-section for prolonged labor without dilation or descent, boy, 11lbs 10oz One year after the last pregnancy, the patient presents for chronic lower abdominal pain with the following concern:  “I’ve had pulling pain since 6 months postpartum that happens with walking.  It feels like something is pulling from deep inside my pelvis.  The pulling pain is dull but is always there.  With sudden movements or twisting, I have sharp pain that radiates from the middle of my pelvis to my right side.  Sometimes, when my bladder is full, I’ll feel a tugging when urinating.”   What is the most likely cause of this pain?  

All of the following are true of Incident to Billing EXCEPT:

How is secondary dysmenorrhea defined?

The following symptoms are common with pelvic floor dysfunction EXCEPT: