PCOS
From January 2021, Welcome, 2021!Endocrinologist Dr. Rana Malek is back on Primary Care RAP, this time teaching Neda and Paul about the in’s and out’s of polycystic ovarian syndrome in her usual, chock-full-of-clinical-pearls way.
27min 5Rana Malek MD, Neda Frayha, MD, and Paul Simmons, MD
Preconception Counseling
From July 2018, All Risk, No RewardPreconception counseling is an important part of primary care visits and has been shown to improve maternal and fetal outcomes. In this segment, Neda Frayha and Molly Heublein discuss the importance of preconception counseling and the different components thereof so that we can best guide and treat …
21min 35Molly Heublein, MD and Neda Frayha, MD
Paper Chase #1 - Hormonal Contraception & Breast Cancer
From March 2018, What’s Your (Code) Status?The risk of breast cancer was higher in women who were currently or had recently used contemporary hormonal contraceptives when compared to women that never utilized hormonal contraception.
4min 42Andrew Buelt, DO and Joe Weatherly, DO
Endometriosis
From February 2018, The Tragically Sore HipEndometriosis is a common cause of pelvic pain in women of reproductive age. Despite its prevalence it can be difficult to diagnose may resemble a variety of other abdominal and pelvic conditions. In the urgent care setting providers should focus on ruling other other more acute causes of pain and …
17min 40Matthew DeLaney, MD, FACEP, FAAEM and Mizuho Morrison, DO
The Primary Care RAP Hot Sheet: February 2017
From February 2017, The Primary Care RAP Hot Sheet: February 2017Dr. Heidi James and Dr. Brandon Grove bring you a teen with cancer who starts a kindness revolution and the Brits kill what little joy there is in toast.
7min 47Heidi James, MD and Brandon Grove, MD
Things I Do But Should I: Post Miscarriage
From October 2016, Running Toward LongevityDiscuss 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
Paper Chase 5: Fluconazole During Pregnancy - Worth the Risk?
From August 2016, Feeling RestlessFluconazole use in pregnancy was associated with increased risk for cleft lip palate CLP and d-transposition of the great arteries. •
5min 12Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 4: Oral Fluconazole in Pregnancy? Still a Conundrum.
From May 2016, The Sexology of Radicular Back PainThink twice before prescribing oral fluconazole in pregnancy.
4min 18Andrew Buelt, DO and Joe Weatherly, DO
A Visit With the Sexologist
From May 2016, The Sexology of Radicular Back PainSometimes the only treatment needed for a sexual issue is talking about it. • Issue is to talk about it.
20min 24Danielle Duplassie MA, PhD and Heidi James, MD
Screening for Ovarian Cancer: Part 2
From April 2016, Hernias and OvariesEvidence suggests that screening asymptomatic, low risk women for ovarian cancer does not reduce the risk of cancer specific mortality. •
12min 46David Cohn, MD and Casey Parker, MD
Screening for Ovarian Cancer: Part 1
From April 2016, Hernias and OvariesEvidence suggests that screening asymptomatic, low risk women for ovarian cancer does not reduce the risk of cancer specific mortality. •
15min 47Casey Parker, MD and David Cohn, MD
Vaginitis Update
From January 2016, Palliative Cerumen EmergenciesWhen a patient says, “There’s something not right with my vagina,” what’s the first thing that comes to mind? Vaginitis is probably at or toward the top of the list. Heidi James sits down with women’s health specialist Amy Brennan for an immersive discussion on infectious and overgrowth …
19min 53Heidi James, MD and Amy Brennan, MD
Paper Chase 5: Vulvovaginal Swabs or Endocervical Swabs
From January 2016, Palliative Cerumen EmergenciesIn this study, vulvovaginal swabs were significantly better than endocervical swabs at detecting chlamydia in women with and without symptoms suggestive of sexually transmitted infections. •
5min 55Andrew Buelt, DO and Joe Weatherly, DO
Paper Chase 3: DCIS Treatment - It’s a Quandary
From December 2015, Mythbusting Eggs, Flu, and the CBCDiscuss findings from the article by Narod, Steven A., et al. "Breast Cancer Mortality After a Diagnosis of Ductal Carcinoma In Situ." JAMA oncology (2015). •
9min 3Andrew Buelt, DO and Joe Weatherly, DO
Polycystic Ovarian Syndrome
From October 2015, When You Say Dizzy, Do You Mean....PCOS can be found in up to 10% of the young female population. The physical and menstrual irregularities are well known, but depression is an under-recognized issue that can hamper long term health. •
23min 41Heidi James, MD and Tania Gallant, MD
Emergency Contraception
From August 2015, Emergency ContraceptionNothing is perfect, not even contraception. And sometimes, there’s no contraception to speak of. Preventing pregnancy, however, doesn’t need to be complicated. Copper IUDs and oral agents like ulipristal are effective and relatively easy methods of preventing unintended pregnancy. To help make …
7minJan Shoenberger, MD FAAEM and Stuart Swadron, MD FAAEM
Paperchase 2: Decreasing Discomfort in the Speculum Exam
From August 2015, Thinking About This Aneurysm is Keeping Me Awake!Do you use gel during speculum exams? If not, it may be that you were taught gel would interfere with Pap results. This paper suggests that is not the case.
5min 1Andrew Buelt, DO and Joe Weatherly, DO
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
IUD Part 1
From February 2015, Red, Hot and Achy!Aside from abstinence, IUDs are one of the most effective forms of contraception.
18min 3Heidi James, MD and Amy Brennan, MD
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