What Would I Do Now? PEP
From May 2020, I Got The Gout!For patients who present to the urgent care with exposure to a person who may have HIV an assessment of risk should be performed, the route and type of exposure should be documented, and a decision on medication prophylaxis should be recommended and decided in discussion with the patient. •
26min 43Mike Weinstock, MD and Matthieu DeClerck, MD
Pediatric Ovarian Torsion
From May 2020, I Got The Gout!Sol sits down with pediatric emergency doctor Debbie Liu to explore the minefield that is ovarian torsion and reviews risk factors of who gets it, how to diagnose it, and the limitations of ultrasound in making this tricky diagnosis. •
16min 41Debbie Liu, MD and Solomon Behar, MD
Mythbusting: Pregnancy Do's and Don'ts
From May 2020, I Got The Gout!There is a significant amount of confusion regarding which activities are safe and appropriate during pregnancy. Nicole Battaglioli walks us through the Do’s and Don'ts of pregnancy. •
20min 13Matthew DeLaney, MD, Matthieu DeClerck, MD, and Nicole Battaglioli, MD
Fast Track Pearls
From January 2020, Mainlining MadnessThere are a variety of techniques that can be used to treat a bartholin cyst. Traditionally Word catheters have been the first line of treatment but marsupialization and silver nitrate can be used and have had similar rates of success and complications.
16min 54Tarlan Hedayati, MD and Matthieu DeClerck, MD
Pre & Post Menopausal Vaginal Bleeding
From November 2019, Who's The Black Sheep?Neda sits down with Megan Jones, high risk OB/GYN who you’ve heard on our shows before. She’s a fantastic educator and breaks down the algorithmic approach for the pre vs. post menopausal vaginal bleeding to know what to do in the urgent phase versus what can be worked up by Gynecology.
18min 48Megan Jones, MD and Neda Frayha, MD
Management of Sexual Assault
From August 2019, Disabilities MatterKari Sampsel MD reviews how to recognize and manage sexual assault from a medical perspective and also social support that patients warrant.
16min 21Kari Sampsel and Mizuho Morrison, DO
First Trimester Vaginal Bleeding
From August 2019, Disabilities MatterVaginal bleeding in the first trimester of pregnancy is one of those topics that seems straightforward but is actually pretty complex. Dr. Jenny Beck-Esmay speaks with our own Dr. Neda Frayha about how to approach first-trimester bleeding in a logical, organized, evidence-based way that’s easy to …
28min 14Neda Frayha, MD and Jenny Beck-Esmay, MD
Postpartum Mood Disorders
From June 2019, ID KillersPostpartum depression is estimated to affect 1 in 7 women. Despite how common PPD and PPMD are, there is still not a great understanding among many providers of the range of symptoms, how to screen and how we can help these patients. •
18min 11Nicole Battaglioli, MD, Matthieu DeClerck, MD, and Matthew DeLaney, MD
Pelvic Inflammatory Disease
From April 2019, April Showers, Syncope & SprainsOne million cases of PID per year in the US with long term sequelae include infertility, increased risk of ectopic pregnancy, chronic pain. Risk factors include multiple sexual partners, history of STDs, and IUD use.
24min 27Jenny Beck-Esmay, MD and Mike Weinstock, MD
What Would I Do Next? | Ectopic Pregnancy
From March 2019, Bun (Not) In The OvenEctopic pregnancy is a life-threatening diagnosis if missed. Mike sits down with Dr.Jenny Beck-Esmay to discuss its prevalence, risk factors, and classic presentation. They also decipher between ruptured versus unruptured ectopic...it’s a segment you won’t want to miss. •
20min 28Mike Weinstock, MD and Jenny Beck-Esmay, MD
Mastitis
From December 2018, Head, Shoulders, Knees and ToesMiz sits down with Dr.Katherine Harter to discuss diagnosis and treatment of mastitis. Although relatively common, there are complications associated that we also need to be aware of.
19min 39Mizuho Morrison, DO and katherine Harter, MD
Nitrofurantoin in Pregnancy
From November 2018, Breaking Bad - Insulin Pumps and MandiblesRick does a deep dive on the literature surrounding the use of nitrofurantoin (macrobid) in the first trimester of pregnancy, and finds that the literature does not support ACOG recommendations. When risks of resistant organisms are high, Rick advocates for the routine use of nitrofurantoin for …
10min 17Rick Pescatore, DO and Jessica Pescatore, DO
Abortion Complications
From August 2018, Avoiding BurnoutWhen performed in an appropriate medical setting the overall rate of significant complication following abortions is low. When the procedure happens under sub-optimal conditions the risk to the patient increases significantly. In the first hours following the procedure bleeding poses the biggest …
12min 45Matthew DeLaney, MD
Hyperemesis Gravidarum
From June 2018, TRAUMAramaMiz and Jenny discuss diagnosis and management of hyperemesis gravidarum. Given recent concerns raised about the safety profile for Ondansetron in both maternal and fetal health, Miz and Jenny review the most recent ACOG guidelines for treatment regimens as well as referral indications.
20min 26Mizuho Morrison, DO and Jenny Beck-Esmay, MD