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:

A 36-year-old G3P3 has the following pregnancy history: G1 t…

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?