أفضل بودكاسات Procedure Ready (2024)

1
STIs 13:06

6+ y ago13:06

13:06

Swab/Urine Chlamydia: usually asymptomatic. Screen routinely. Can cause infertility/PID and Fitz-hugh-curtis. Treat with Azithro x1 Gonorrhea: often asymptomatic. Screen routinely. Can cause infertility/PID. Treat with Ceftriaxone and Azithromycin Trich: frothy/watery discharge. “Strawberry cervix” Can see trich moving on wet mount. Treat Flagyl 2g…

1
Cancer Screening and Vaccinations (HCM) 12:07

6+ y ago12:07

12:07

Cancer Screening Cervical: Age 21-65 Cytology q3yrs, co-test q5 if normal. ASCCP guidelines (there is an app! Or PDF: http://www.asccp.org/Assets/51b17a58-7af9-4667-879a-3ff48472d6dc/635912165077730000/asccp-management-guidelines-august-2014-pdf ) Breast: ACOG: 40-75 annual mammogram Colon: Colonoscopy, FOBT, FIT. Begin at age 50. If first degree r…

1
Before Your First: Colposcopy and LEEP 14:50

7y ago14:50

14:50

Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio cells (aka abnormal cells) reflect more light and ap…

1
First Prenatal Visit 17:20

7y ago17:20

17:20

Planned/Desired Options counseling if needed Exam/pelvic/pap Ultrasound for dating Screening options: QUAD, Sequential, NIPS, invasive testing Pregnancy guidelines Weight: BMI under 18.5 should gain 28–40 pounds. Normal-weight women (BMI, 18.5–24.9) should aim for 25–35 Overweight women (BMI, 25–29.9) should aim for 15–25 Obese women (BMI, 30 or mo…

1
Return OB Visits 12:14

7y ago12:14

12:14

Every visit: Doptones, fundal height, vitals Four question: Vaginal bleeding, contractions, leaking fluid, fetal movement By Weeks: 20wks – get and review anatomy US 24wks – order glucola, cbc (check for anemia), discuss normal growing pains 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]…

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Before Your First: Hysteroscopy 10:15

7y ago10:15

10:15

Hysteroscopy = looking inside the uterus with a scope Steps: Dilate the cervix Distend the uterus with fluid Look around, identify pathology, identify tubal ostia, remove pathology if using an operative scope or Myosure or another resectoscope. Feared complication: Hyponatremia from excessive hypotonic fluid absorption.…

1
Peripartum Fevers 21:25

7y ago21:25

21:25

Intrapartum Differential diagnosis for Temp >38.0C Epidural fever (transient), DVT/PE (if prolonged IOL or limited mobility), UTI, Intraamniotic infection (with or without ROM), etc Chorioamnionitis aka IAI aka Triple-I (intrapartum intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C AND one or more risk factors Two temps >38.0C 30+ mins …

1
Postpartum Hemorrhage 17:55

7y ago17:55

17:55

Causes (Four T’s): Tone: Atony Pitocin Misoprostol: CI-allergy, SI-transient hyperthermia Methergine: CI-HTN, SE-HTN Hemabate: CI-asthma. SE-diarrhea Tamponade: bakri/utah balloons Trauma: Lacerations Tissue: Retained POC (placenta or membranes) Thrombin: Coagulopathy Other: Involutionبقلم Jennifer Doorey, MD, MS

1
Who’s that collar? 0:30

7y ago0:30

0:30

Hello from Addison and Lundy.بقلم Jennifer Doorey, MD, MS

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Preterm Labor and PPROM 20:57

7y ago20:57

20:57

ACOG Practice bulletin: # 171 PTL or TPTL: Preterm <37wks, cervical change Evaluation: SSE first: Collect GC/CT cultures, FFN (no gel, blood or semen), GBS, eval for rupture if needed SVE: Cervical change–can dilation or effacement changes FFN: Fetal fibronectin If tPTL: Magnesium for neuroprotection if <32wks, decrease CP rates Betamethasone for f…

1
Birth Control 19:32

7y ago19:32

19:32

Resources: https://www.bedsider.org/methods Table: http://www.womenscommunityclinic.org/wp-content/uploads/Bedsider-Birth-Control-Effectiveness-Poster.jpg Spanish: http://s3.amazonaws.com/providers/images/images/000/000/032/center/Spanish_tiers_of_effectiveness.png?1464661802بقلم Jennifer Doorey, MD, MS

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Indications for a c-section during labor 16:03

7y ago16:03

16:03

Nonreassuring fetal heart tracing Category 2-remote from delivery Minimal/absent variability is most significant predictor of fetal acidemia Category 3 any time is emergent deliver Failed IOL Many different definitions: Most commonly 12-24hrs ruptured membranes on pitocin without active labor Arrest of dilation Can only meet criteria once in active…

1
Before Your First: Hysterectomy 20:39

7y ago20:39

20:39

What approach: Abdominal, laparoscopic, vaginal or combination Taking or leaving the tubes and ovaries? Tubes: What benefit do they provide? Risk? Ovaries: What benefit do ovaries provide? What about after menopause? Still have benefit for bones and cardiovascular health. 65yr old cut-off If it’s laparoscopic–listen to the LSC podcast for more deta…

1
Hypertension in Pregnancy 24:20

7y ago24:20

24:20

Hypertension in Pregnancy — One large spectrum Mild range: 140/90 Severe range 160/110 CHTN → SIPE gHTN → Pre-E BP meds: Methyldopa, labetalol, hydralazine, nifedipine Severe features: BPs Neurologic symptoms Lab findings: HELLP Hemolysis, Elevated Liver (enzymes), Low Platelets Eclampsia — Seizuresبقلم Jennifer Doorey, MD, MS

1
Before Your First: Laparoscopy 29:04

7y ago29:04

29:04

Review anatomy– you’ll be able to see well! Pimped- Youtube Channel videos for laparoscopic anatomy What case are you doing and why? Review common indications, steps to procedure and potential risks/complications Saying hi to the patient first Being helpful setting up — yellowfins or stirrups for lithotomy Scrubbing in — ask to grab your gown/glove…

1
Before Your First: Cesarean Section 24:41

7y ago24:41

24:41

Why? Scheduled: Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accrete, etc) malpresentation (not cephalic), multiple gestation In labor: arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy: Layers of anterior abdominal wall: skin, subcutaneous tissue, superficial fa…

1
Before Your First: Vaginal Delivery 22:41

7y ago22:41

22:41

Cardinal movements of labor: engagement, descent, flexion, internal rotation, extension, external rotation and expulsion Complete dilation, now station: Labor down vs push 2nd Stage of labor: Pushing Offer to help with maternal positioning—holding ankle/leg Delivery—downward traction on head, thumbs to nose, anterior shoulder, posterior shoulder, b…

1
Labor and Delivery Triage 22:34

7y ago22:34

22:34

The OB One-Liner: “This is a _ yr old G_ P_ @_ wks GA here for ____.” Ex: This is a 34yo G3P2002 @ 38wks3days GA here for contractions Triage: 4 essential questions to ask every pregnant woman in triage Contractions, leaking fluid, vaginal bleeding, fetal movement What is labor? Cervical change and contractions Evaluate […]…

1
Your Ob/Gyn Survival Guide: Tips and Tricks 15:45

7y ago15:45

15:45

High yield resources and tips for your Ob/Gyn clerkship. Youtube Playlist: http://bit.ly/pimped-ob Books: Netters Obstetrics and Gynecology by Beckmann Apps: Pimped App – Clinical questions to expect in the OR and on the wards Uptodate Epocrates GoodRx LactMed – medications safe in breastfeeding ASCCP: Cervical cancer screening CDC STI guidelines A…

المدونة الصوتية تستحق الاستماع

Procedure Ready بودكاست

المدونة الصوتية تستحق الاستماع

1
Procedure Ready: Ob/Gyn (fka Pimped Ob/Gyn)

Jennifer Doorey, MD, MS

1
STIs 13:06

1
Cancer Screening and Vaccinations (HCM) 12:07

1
Before Your First: Colposcopy and LEEP 14:50

1
First Prenatal Visit 17:20

1
Return OB Visits 12:14

1
Before Your First: Hysteroscopy 10:15

1
Peripartum Fevers 21:25

1
Postpartum Hemorrhage 17:55

1
Who’s that collar? 0:30

1
Preterm Labor and PPROM 20:57

1
Birth Control 19:32

1
Indications for a c-section during labor 16:03

1
Before Your First: Hysterectomy 20:39

1
Hypertension in Pregnancy 24:20

1
Before Your First: Laparoscopy 29:04

1
Before Your First: Cesarean Section 24:41

1
Before Your First: Vaginal Delivery 22:41

1
Labor and Delivery Triage 22:34

1
Your Ob/Gyn Survival Guide: Tips and Tricks 15:45

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