Abnormal Uterine BleedingFrom June 2018, A Hyperthyroid Fetus
Rick is joined by his wife Jessica Pescatore, an OB/GYN, to review the diagnosis of abnormal uterine bleeding. The temporization of massive vaginal bleeding as well as the outpatient treatment of AUB are discussed.14min 31Jessica Pescatore, DO and Rick Pescatore, DO
Paper Chase #2 | Transdermal Estrogen Keeps the Sex Drive AliveFrom January 2018, A Feverish Frenzy!
The paper Taylor et al compared the effectiveness of oral vs transdermal estrogen in the management of decreased libido in post-menopausal women. Transdermal estrogen appears to be superior in the studied population.6min 58Andrew Buelt, DO and Joe Weatherly, DO
Ectopic PregnancyFrom January 2018, A Feverish Frenzy!
Matt, Miz and Sam discuss the spectrum of presentation for ectopic pregnancy. Everything from minor vaginal bleeding to ruptured ectopic. This is a DO NOT miss diagnosis, and one that depending on your urgent care’s resources, must be not be misappropriately handled.20min 58Sam Ashoo, MD, Matthew DeLaney, MD, FACEP, FAAEM, and Mizuho Morrison, DO
Ondansetron: Autobot or Decepticon?From June 2017, Legions of Lesions
Dr. Smith reviews the latest studies and guidelines concerning ondansetron in the treatment of hyperemsis gravidarum. Given potential, though unlikely, concerns about congenital cardiac malformations and maternal QT prolongation, it should be considered as a second line option, but definitely an …13min 54Clay Smith, MD and Mizuho Morrison, DO
PreeclampsiaFrom June 2017, Legions of Lesions
While is most commonly occurs in the prepartum period, preeclampsia can occur up to 6 wks postpartum. In this chapter, we review as case of pre-eclampsia that occurred 6 days post-partum. The etiology of pre-eclampsia is not well understood. Symptoms and signs include headache, vision changes …16min 53Sam Ashoo, MD and Mizuho Morrison, DO
Things I Do But Should I? Routine Urinalysis in PregnancyFrom March 2017, The Benzos & Fungus Among Us
Checking for proteinuria and glycosuria is standard of care in many institutions as a means to screen for pre-eclampsia and gestational diabetes. A review of the evidence suggests that we have other, much better screening tests (check blood pressure for pre-eclampsia and oral glucose tolerance …9min 7Vanessa Cardy, MD and Adrien Selim, MD
Things I Do But Should I: Post MiscarriageFrom October 2016, Running Toward Longevity
Discuss management of that patient who has suffered a spontaneous miscarriage with focus on confirming that the miscarriage has completed as well as how long patients should wait post miscarriage before attempting conception again.5min 9Vanessa Cardy, MD and Adrien Selim, MD
Paperchase 1: I Want to be Induced!From May 2015, Agony, Misery, and Torment. It’s a Pain Extravaganza!
Can induction of labor result in better maternal and fetal outcome?9min 5Joe Weatherly, MD and Andrew Buelt, MD
Paperchase 4: Goodbye Annual Pap Smears?From May 2015, Agony, Misery, and Torment. It’s a Pain Extravaganza!
Is the PAP smear fading into the sunset?5min 20Andrew Buelt, MD and Joe Weatherly, MD