12. 16yo F with vaginal bleeding...not sure how HY this case is

Question 1

HEEADSSS Adolescent Interview

Answer 1

Home
    Education / Employment
    Eating
    Activities
    Drugs
    Sexuality
    Suicide / Depression
    Safety / Violence

Question 2

The USPSTF recommends screening for chlamydia infection in the following:

Answer 2

All sexually active non-pregnant young women aged 24 and younger
All non-pregnant women age 25 and older who are at increased risk

Question 3

Rho(D) Immune Globulin administered at appropriate times interrupts the maternal immunologic process. You can visualize this process by imagining the RhoGAM attaching to all of the fetal Rho-D antigenic load, making it immunologically “invisible” to the maternal immune system

Answer 3

When a mother with an intact immune system detects enough of the fetal Rho-D antigen, she forms antibodies to this antigen. This immune response is usually not robust enough to impact the first gestation, but subsequent gestations are at significant risk of an immune response. When this occurs, the maternal antibodies attack the fetus’ red blood cells, causing hemolytic anemia, which can lead to fetal hydrops and even fetal death.