UltraSounds: Recent Episodes
ObGyn Delivered
Join the team at ObGyn Delivered as they review clinical vignettes, journal articles, and ObGyn-related current events to keep you ready for the wards and boards!
Rachel and Sanaya chat with Dr. Helen Morgan about the residency application process.
APGO Resources
00:46 Dr. Morgan Bio
01:27 Overview of Application Process
03:39 Understanding what you want in a program
07:17 Signaling
10:18 Equity in application process
13:12 What makes an applicant stand out
16:06 New application platform
17:33 Final advice
Transcript: bit.ly/UltraSounds_ResApp
Asavari and Rachel speak with Olivia de Bear, MPAS, PA-C about her journey to becoming an inpatient PA within the field of gynecology oncology.
00:38: Olivia de Bear Bio
Transcript:bit.ly/ultrasounds_PA
Asavari and Rachel discuss common postop complications, workup, and management with Olivia de Bear, MPAS, PA-C.
0:30: Olivia de Bear Bio
1:01 Case 1: 52yo woman s/p TLH and bilateral salpingectomy with low urine output
11:06 Case 2: 58yo woman s/p ex lap, TAH, BSO, pelvic mass removal, and staging procedures for ovarian cancer with intolerance of PO intake, nausea, and emesis
20:11 Case 3: 62yo with newly diagnosed endometrial cancer s/p TLH, BSO, and sentinel lymph nodes with new-onset dyspnea
Transcript: bit.ly/gynpostop
References:
Postop oliguria differential
Brackmann voiding trial
Acute abdominal series
Review of postop fever w's
MD Calc Caprini Score
ACOG Practice Bulletin no. 232: Prevention of Venous Thromboembolism in Gynecologic Surgery
Enhanced recovery after surgery (ERAS®) society guidelines for gynecologic oncology: Addressing implementation challenges - 2023 update
Jourdan and Sanaya talk with Dr. K about her research and career path in epidemiology and public health examining sex differences through menopause and pregnancy.
00:48 Bio
01:45 To start, could you tell us a little bit about your educational trajectory and how you ended up teaching at the school of public health?
10:01 Now we’d love to hear a little about your current research projects, the lab you run through SPH as well how you began working in this discipline.
19:06 With that, what are some specific considerations individuals interested in women’s health research should be mindful of?
21:37 How do you recommend that medical practitioners or medical students who are interested in your research get involved?
24:07 In light of this, how do you see epidemiology transforming the medical field in the next 10 years?
25:54 Our last question for you Dr. K, what would you say is your favorite part of your work?
Mid Life Science
SWAN Study
School of Public Health Epidemiology
NIA Biobank
Transcript: https://bit.ly/Ultrasounds_Research_K
Asavari and Rachel discuss endometrial cancer risk factors, diagnosis, workup, and management with Dr. Katelyn Tondo-Steele.
00:30: Dr. Tondo-Steele Bio
01:32: Endometrial Cancer Overview
05:00 Case 1: 28yo G0 woman with EIN
14:00 Case 2: 59yo G3P2 postmenopausal woman with AUB
22:23 Case 3: 73yo G2P2 with postmenopausal bleeding, dyspnea, pelvic pain, and other systemic symptoms
Transcript: https://bit.ly/Ultrasounds_endocancer
Resources:
ACOG Practice Bulletin 149: Endometrial Cancer
ACOG Clinical Consensus Number 5: Management of Endometrial Intraepithelial Neoplasia or Atypical Endometrial Hyperplasia
NEJM Endometrial Cancer Review Article
NCCN Endometrial Cancer Guidelines
ACOG Committee Opinion Number 734: The Role of Transvaginal Ultrasonography in Evaluating the Endometrium of Women with Postmenopausal Bleeding
American Cancer Society: Ket Statistics for Endometrial Cancer
AAFP Endometrial Biopsy
Asavari and Rachel discuss what it’s like to be a midwife and Joanne’s personal career journey.
Transcript: bit.ly/Ultrasounds_midwifery
Rachel and Asavari discuss routine prenatal care with midwife Joanne Bailey.
00:40: Joanne’s Bio
01:10 Case 1: Preconception Visit
05:48 Case 2: First Trimester Visit
17:21 Case 3: Second Trimester Visit
19:58 Case 4: Third Trimester Visit
Transcript: bit.ly/Ultrasounds_prenatal
References:
Michigan Medicine Prenatal Care Guidelines
ACOG Birth Plan Tool
Asavari and Rachel discuss contraception counseling while utilizing a reproductive justice framework with Dr. Starr.
00:31: Dr. Starr Bio
01:15: Introduction to Contraception and Reproductive Justice Definition
02:22 Case 1: 36yo G1P1 woman with contraindications to estrogen-containing contraceptive methods
11:39 Case 2: 24yo G3P2 needing to discuss postpartum contraception
21:49 Case 3: 31yo G0 interested in emergency contraception
Transcript: https://bit.ly/ultrasounds_contraception
References:
ACOG Committee Statement no. 1: Patient Centered Contraception Counseling
ACOG Infographic: Effectiveness of Birth Control Methods
Bedsider Birth Control
ACOG Postpartum Contraception & Breastfeeding
MDHHS Informed Consent for Sterilization
UC Davis Emergency Contraception Infographic
ACOG Practice Bulletin no. 152: Emergency Contraception
ACOG Committee Opinion no. 707: Access to Emergency Contraception
Planned Parenthood: What type of emergency contraception should I use?
Rachel and Brittany discuss reproductive justice with Dr. Charisse Loder.
Transcript: https://bit.ly/UltraSounds_RJ
References
RJ Med Ed Project
Loder, Charisse MD; et al. Is Perceived Discrimination Associated With Contraceptive Method Use in a National Sample of Women? Obstetrics & Gynecology 129(5):p 67S, May 2017.
Finkbeiner, Chelsea; et al. Changing Obstetrics and Gynecology Residency Education to Combat Reproductive Injustice: A Call to Action. Obstetrics & Gynecology 137(4):p 717-722, April 2021.
Brittany and Rachel discuss evidence based abortion care with Dr. Charisse Loder.
01:23 Dr. Loder Bio
02:00 Case 1: 27 year old G1P0 with positive pregnancy test
07:59 Case 2: 31 year old G2P1 nonbinary patient with undesired pregnancy
14:02 Case 3: 29 year old G3P2 at 20w4d with fetal anomaly
Transcript: https://bit.ly/UltraSounds_abortioncare
References
ACOG Practice Bulletin 225. Medication Abortion Up to 70 Days Gestation.
ACOG Practice Bulletin 135. Second Trimester Abortion.
PEW Research Center. What the data says about abortion in the U.S.
Guttmacher Institute. Interactive Map: US Abortion Policies and Access After Roe
Asavari and Rachel review three patient cases and the infertility workup for each case with Dr. Moravek.
00:38: Dr. Moravek Bio
01:43: Infertility Introduction and Definitions
03:24 Case 1: 29yo G0 woman with irregular periods, acne, and weight gain
11:26 Case 2: 32yo G0 woman with a history of a sexually transmitted infection
18:22 Case 3: 38yo G2P2 woman with difficulty becoming pregnant
Transcript: https://bit.ly/ultrasounds_infertility
References:
ACOG committee opinion, number 781: Infertility workup for the women’s health specialist
AAFP Diagnosis and Treatment of Polycystic Ovarian Syndrome
AAFP Polycystic Ovarian Syndrome Common Questions and Answers
AAFP Pelvic Inflammatory Disease: Diagnosis, Management, and Prevention
ASRM Ovarian Reserve (predicting fertility potential in women)
Michigan Medicine OB/GYN Infections Guidelines
The Normal Menstrual Cycle and the Control of Ovulation
Khan Academy Ovarian Cycle Video
Additional Resources for LGBTQ+ Health and Infertility:
ACOG committee opinion no. 749: Marriage and Family building Equality for Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, Asexual, and Gender Nonconforming Individuals
ASRM Access to Fertility Services by Transgender and Nonbinary persons: an Ethics Committee Opinion
Since this podcast was recorded, ASRM has expanded the definition of infertility to be more inclusive. Infertility includes any of the following factors: 1) the inability to achieve a successful pregnancy based on a patient’s medical, sexual, and reproductive history, age, physical findings, diagnostic testing, or any combination of those factors OR 2) the need for medical intervention, including, but not limited to, the use of donor gametes or donor embryos in order to achieve a successful pregnancy either as an individual or with a partner, OR 3) in patients having regular, unprotected intercourse and without any known etiology for either partner suggestive of impaired reproductive ability, evaluation should be initiated at 12 months when the female partner is under 35 years of age and at 6 months when the female partner is 35 years of age or older.
Rachel and Asavari speak with Dr. McEvoy about her career working with adolescents at the Corner Health Clinic.
Transcript: https://bit.ly/UltraSounds_CornerHealth
Corner Health Center
Asavari and Rachel discuss adolescent reproductive healthcare with Dr. Anna McEvoy.
00:30 Dr. McEvoy Bio
01:07 Case 1: 15 year old seeking contraception
10:13 Case 2: 16 year old with foul-smelling vaginal discharge
15:20 Case 3: 17 year old with late period
Transcript:https://bit.ly/UltraSounds_teens
Resources:
Guttmacher Institute
ACOG committee opinion no. 710: counseling adolescents about contraception
Bridgercare’s 4 most popular birth control methods
ACOG committee opinion no. 803: Confidentiality in adolescent health care
Mott Children's Hospital, Contraception for Teens
CDC STI Treatment Guidelines
Corner Health Center
Rachel and Brittany discuss Dr. Kalwani's career path including her experiencing SOAPing into family medicine after applying to OBGYN.
Transcript: https://bit.ly/UltraSounds_careers
Brittany and Rachel discuss sexual functioning with Dr. Shubham Kalwani.
00:22 Dr. Kalwani Bio
01:46 Case 1: 40 year old woman with low libido
11:47 Case 2: 57 year old woman with dyspareunia
Transcript: https://bit.ly/UltraSounds_sexualfunc
Resources:
Practice Bulletin 213: Female Sexual Dysfunction. ACOG. July 2019.
Sarena and Theresa discuss their experiences applying to OBGYN residency in the 2023 Match.
01:46 Any advice on how to start writing your personal statement or what gave you inspiration for your personal statement?09:42 How did you prepare for interviews? Is there anything you would have done differently?
22:40 What do you wish you would have known when you were applying/starting the application process?
Transcript: https://tinyurl.com/UltrasoundsPostMatch
Sarena and Theresa discuss normal labor with Dr. David Marzano.
00:34 Dr. Marzano Biography
02:44 Case 1: 26yo G2P1 at 39w3d presenting to triage with contractions
09:20 Case 2: 32yo G3P2 at 39w6d is admitted to L&D in spontaneous labor
17:52 Case 3: 38yo G2P1 at 40w5d delivers a healthy baby boy
Transcript: https://bit.ly/Ultrasounds_Labor
Resources:
Mark B., Landon et al. 2021. Gabbe's Obstetrics: Normal and Problem Pregnancies. Philadelphia, PA, Elsevier.
Approaches to limit intervention during labor and birth. ACOG Committee Opinion No. 766. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;133:e164–73.
Brittany and Jordan continue their discussion with Dr. Mahela Ashraf on perinatal mood disorders.
00:46 Case 1: A 31 year old G2P2 comes in to clinic for her 6 week postpartum visit.
08:50 Case 2: The patient in the previous vignette is interested in starting an SSRI to treat her anxiety.
Transcript: https://tinyurl.com/UltrasoundsPerinatalMH2
Berens, Pamela. “Overview of the Postpartum Period: Disorders and Complications.” Edited by Charles Lockwood and Vanessa Barss, UpToDate, 6 Sept. 2022, https://www.uptodate.com/contents/overview-of-the-postpartum-period-disorders-and-complications?search=postpartum+anxiety&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H352546182.
Lanza di Scalea T, Wisner KL. Antidepressant medication use during breastfeeding. Clin Obstet Gynecol. 2009 Sep;52(3):483-97. doi: 10.1097/GRF.0b013e3181b52bd6. PMID: 19661763; PMCID: PMC2902256.
Use of psychiatric medications during pregnancy and lactation. ACOG Practice Bulletin No. 92. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;111:1001–20.
Survey: https://bit.ly/feedback_UltraSounds
Brittany and Jordan discuss perinatal mood disorders with Dr. Mahela Ashraf.
00:43 Dr. Ashraf Biography
02:16 Case: 23 year old G1P1 comes into clinic for her 6 week postpartum visit
Transcript: https://tinyurl.com/UltrasoundsPerinatalMH
Berens, Pamela. “Overview of the Postpartum Period: Disorders and Complications.” Edited by Charles Lockwood and Vanessa Barss, UpToDate, 6 Sept. 2022, https://www.uptodate.com/contents/overview-of-the-postpartum-period-disorders-and-complications?search=postpartum+anxiety&source=search_result&selectedTitle=2~150&usage_type=default&display_rank=2#H352546182.
Lanza di Scalea T, Wisner KL. Antidepressant medication use during breastfeeding. Clin Obstet Gynecol. 2009 Sep;52(3):483-97. doi: 10.1097/GRF.0b013e3181b52bd6. PMID: 19661763; PMCID: PMC2902256.
Use of psychiatric medications during pregnancy and lactation. ACOG Practice Bulletin No. 92. American College of Obstetricians and Gynecologists. Obstet Gynecol 2008;111:1001–20.
Survey: https://bit.ly/feedback_UltraSounds
Sarena and Theresa discuss multifetal pregnancies and potential complications with Dr. Alissa Carver.
0:33 Dr. Carver Bio
2:54 25 year old G1P0 at 27 weeks with a risk of cord entanglement
10:38 36 year old G2P1 at 8 weeks with twins at first ultrasounds
21:34 28 year old G1P0 at 9 weeks with di-di twins
Transcript: bit.ly/Ultrasounds_multiplesAmerican College of Obstetricians and Gynecologists’ Committee on Practice Bulletins—Obstetrics, Society for Maternal-Fetal Medicine. Multifetal Gestations: Twin, Triplet, and Higher-Order Multifetal Pregnancies: ACOG Practice Bulletin, Number 231. Obstet Gynecol. 2021 Jun 1;137(6):e145-e162.
American Society for Reproductive Medicine, Multiple Pregnancy and Birth: Twins, Triplets, and High Order Multiples
Borse V, Shanks AL. Twin-To-Twin Transfusion Syndrome. 2022 Oct 10. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan.
Survey: https://bit.ly/feedback_UltraSounds
Sarena and Brittany talk with Dr. Emma Lawrence about her career in Global Health from undergrad to being an Attending. They also discuss how to optimize international rotations as a medical student.
Dr. Lawrence Bio
Transcript: https://tinyurl.com/UltrasoundsGlobalHealth
Survey: https://bit.ly/feedback_UltraSounds
Sanaya and Regina discuss ethical considerations of managing opioid use disorder in pregnancy with Dr. Townsel.
0:54 Dr. Townsel Bio
1:43 Partnering for the Futures Clinic
4:30 Criminalization of SUD in pregnancy
8:49 Role of Child Protective Services
Transcript: bit.ly/Ultrasounds_OUD2
Price HR, Collier AC, Wright TE. Screening Pregnant Women and Their Neonates for Illicit Drug Use: Consideration of the Integrated Technical, Medical, Ethical, Legal, and Social Issues. Front Pharmacol. 2018 Aug 28;9:961.
Pulatie, K. The Legality of Drug-Testing Procedures for Pregnant Women. AMA J Ethics. 2008;10(1):41-44.
Simon R, Giroux J, Chor J. Effects of Substance Use Disorder Criminalization on American Indian Pregnant Individuals. AMA J Ethics. 2020;22(10).Opposition to criminalization of individuals during pregnancy and the postpartum period. ACOG. (2020, December). Retrieved November 14, 2022.
Survey: https://bit.ly/feedback_UltraSounds
Sanaya and Regina discuss the management of opioid use disorder in pregnancy with Dr. Townsel.
0:44 Dr. Townsel Bio
1:25 Case 1: 29 year old at 6 weeks pregnant inquiring about oxycodone use
4:12 Case 2: 29 year old on buprenorphine treatment during pregnancy
6:24 Case 3: Neonate with tremors, fever after delivery
Transcript: bit.ly/Ultrasounds_OUD1
Jansson, L. M., & Wilkie, L. (2022, April 29). Neonatal Abstinence Syndrome. UpToDate. Retrieved November 14, 2022.
Opioid use and opioid use disorder in pregnancy. Committee Opinion No. 711. American College of Obstetricians and Gynecologists. Obstet Gynecol 2017;130:e81–94.
Centers for Disease Control and Prevention. (2021, July 21). Treatment for opioid use disorder before, during, and after pregnancy. Centers for Disease Control and Prevention.
Seligman, N. S., Rosenthal, E., & Berghella, V. (2021, November 10). Overview of management of opioid use disorder during pregnancy. UpToDate.
Whelan PJ, Remski K. Buprenorphine vs methadone treatment: A review of evidence in both developed and developing worlds. J Neurosci Rural Pract. 2012 Jan;3(1):45-50.
Inspira Health. “The EAT, Sleep, Console Method for Infants with Neonatal Abstinence Syndrome.” Inspira Health, 20 Apr. 2022.
Survey: https://bit.ly/feedback_UltraSounds
Theresa and Rachel discuss postpartum hemorrhage with Dr. Luke Burns.
00:30 Dr. Burns Biography
01:50 Case 1: 35 year old G4P4 with polyhydramnios, boggy uterus
09:17 Case 2: 35 year old G4P4 with postpartum hemorrhage and chronic hypertension
16:53 Case 3: hemodynamically unstable 35 year old G4P4 with postpartum hemorrhage
23:59 Case 4: 35 year old G4P4 with no return of menstruation
Transcript: https://bit.ly/Ultrasounds_PPH
Trends in maternal mortality: 2000 to 2017: estimates by WHO, UNICEF, UNFPA, World Bank Group and the United Nations Population Division. Geneva: World Health Organization; 2019.
ACOG Practice Bulletin No. 183: Postpartum Hemorrhage. Obstet Gynecol 2017, 30(4).
Wormer KC, Jamil RT, Bryant SB. Acute Postpartum Hemorrhage. StatPearls Publishing; 2022 Jan.
ACOG Committee Opinion No. 794: Quantitative blood loss in obstetric hemorrhage. American College of Obstetricians and Gynecologists. Obstet Gynecol 2019;134.
Bell, S. F., et al (2020). Incidence of postpartum haemorrhage defined by quantitative blood loss measurement: a national cohort. BMC pregnancy and childbirth, 20(1), 271.
Parry Smith WR, et al. Uterotonic agents for first‐line treatment of postpartum haemorrhage: a network meta‐analysis. Cochrane Database of Systematic Reviews 2020, Issue 11.
Vogel JP, et al. WHO recommendations on uterotonics for postpartum haemorrhage prevention: what works, and which one? BMJ Global Health 2019.
A. Borovac-Pinheiro, et al. (2018). Postpartum hemorrhage: new insights for definition and diagnosis. American Journal of Obstetrics and Gynecology, 219(2):162-8.
A. Leleu, et al. (2021). Intrauterine balloon tamponade in the management of severe postpartum haemorrhage after vaginal delivery: Is the failure early predictable?. European Journal of Obstetrics & Gynecology and Reproductive Biology, 258:317-323.
Schury MP, Adigun R. Sheehan Syndrome. StatPearls Publishing; 2022 Jan.
Survey: https://bit.ly/feedback_UltraSounds
Theresa and Rachel discuss the placenta accreta spectrum with Dr. Luke Burns.
00:37 Dr. Burns Biography
02:17 Case 1: 29 year old G6P3 at 21w3d with 2 prior C sections
09:55 Case 2: 29 year old G6P3 at 39w3d with difficult placenta delivery during C section
15:05 Case 3: 29 year old G6P3 placenta pathology report
Transcript: https://bit.ly/ultrasounds_PAS
References:
Society of Gynecologic Oncology, American College of Obstetricians and Gynecologists and the Society for Maternal–Fetal Medicine, Cahill, A. G., Beigi, R., Heine, R. P., Silver, R. M., & Wax, J. R. (2018). Placenta Accreta Spectrum. American journal of obstetrics and gynecology, 219(6), B2–B16.
Obstetric Care Consensus No. 7 Summary: Placenta Accreta Spectrum. (2018). Obstetrics and gynecology, 132(6), 1519–1521.
Zuckerwise, L. C., Craig, A. M., Newton, J. M., Zhao, S., Bennett, K. A., & Crispens, M. A. (2020). Outcomes following a clinical algorithm allowing for delayed hysterectomy in the management of severe placenta accreta spectrum. American journal of obstetrics and gynecology, 222(2), 179.e1–179.e9.
Jauniaux, E., Collins, S., & Burton, G. J. (2018). Placenta accreta spectrum: pathophysiology and evidence-based anatomy for prenatal ultrasound imaging. American journal of obstetrics and gynecology, 218(1), 75–87.
Silver, R. M., & Barbour, K. D. (2015). Placenta accreta spectrum: accreta, increta, and percreta. Obstetrics and gynecology clinics of North America, 42(2), 381–402.
Margherita Y. Turco, Ashley Moffett; Development of the human placenta. Development 15 November 2019; 146 (22).
Survey: Fill out our feedback survey for a chance to win a $50 Amazon Giftcard:https://tinyurl.com/ultrasounds-survey
Summary: Brittany and Sarena chat with other medical students while in Kumasi, Ghana. They discuss how their gender identities have shaped their medical training in their respective countries of Ghana, Sweden, Brazil, and the United States. They are joined by Enam Abra Seyki, Mwini-Numbu Nacauley, Lovisa Waagaard, Delice Wallin, and Maria Guadalupe.
Schools represented include: Kwame Nkrumah University of Science and Technology in Ghana (Enam and Mwini), Linköping University in Sweden (Lovisa), Göteborgs University in Sweden (Delice), Faculdade de Medicina de Jundiaí in Brazil (Maria) and the University of Michigan (Brittany and Sarena).
Thank you to Enam and Mwini for hosting the rest of us at Komfo Anokye Teaching Hospital in Kumasi, Ghana!
Transcript: https://tinyurl.com/UltrasoundsInternational2
Disclosures/Disclaimers: The OBGYN Delivered team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution of organization.
Survey: https://tinyurl.com/ultrasounds-survey
Summary: Brittany and Sarena chat with other medical students while in Kumasi, Ghana about the differences in physician training in Ghana, Sweden, Brazil, and the United States. They are joined by Enam Abra Seyki, Mwini-Numbu Nacauley, Lovisa Waagaard, Delice Wallin, and Maria Guadalupe.
Schools represented include: Kwame Nkrumah University of Science and Technology in Ghana (Enam and Mwini), Linköping University in Sweden (Lovisa), Göteborgs University in Sweden (Delice), Faculdade de Medicina de Jundiaí in Brazil (Maria) and the University of Michigan (Brittany and Sarena).
Thank you to Enam and Mwini for hosting the rest of us at Komfo Anokye Teaching Hospital in Kumasi, Ghana!
Transcript: https://tinyurl.com/ultrasoundsinternational1
Disclosures/Disclaimers: The OBGYN delivered team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution of organization.
SURVEY LINK: https://bit.ly/feedback_UltraSounds
SUMMARY: Theresa and Rachel discuss 3 clinical vignettes regarding pediatric gyn issues.
TIMESTAMPS:
00:49 Dr. Rosen Biography
01:32 Case 1: 4 year old girl with vaginal bleeding
07:11 Case 2: 4 year old girl with foul smelling discharge
10:30 Case 3: 14 year old girl with pelvic pain and bulging hymen
14:23 Case 4: 14 year old girl with pelvic pain
19:49 Case 5: 3 year old girl with vaginal bleeding and belly pain
21:12 Wrap-up
LINKS:
Rosen, MW, Quint, EH. Managing Genital and Pelvic Pain in Young Adults. Contemp Ob/Gyn. 2022;67(6).
Rosen, MW, Quint, EH. Have no fear! Premenarchal vaginal bleeding. Contemp Ob/Gyn. 2022;67(5).
Lee KH et al. Imperforate hymen: a comprehensive systematic review. J Clin Med. 2019;8(1):56.
Berenson AB, et al. Appearance of the hymen in prepubertal girls. Pediatrics. 1992;89(3):387-394.
Strickland AL, Fadare O. Pediatric vulvar malignancies: rare but important to know. Semin Diagn Pathol. 2021;38(1):99-109.
Pommert, BW. Pediatric gynecologic cancers. Curr Oncol Rep. 2017;19(7):44.
Triarico S, et al. Gynecological cancer among adolescents and young adults (AYA). Ann Transl Med. 2020;8(6):397.
Nayak S, Witchel SF, Sanfilippo JS. Vaginal foreign body: a delayed diagnosis. J Pediatr Adolesc Gynecol. 2014;27(6):e127-129.
Shurtless, BT, Barone JG. Urethral Prolapse: Four Quadrant Excisional Technique. J Ped Adolesc Gyn. 2002;15(4):209-211.
Fernandes ET, et al. Urethral prolapse in children. Urology. 1993;41(3):240-242.
TRANSCRIPT: https://bit.ly/ultrasounds_PAGs
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SURVEY LINK: https://bit.ly/feedback_UltraSounds
SUMMARY: Theresa and Rachel discuss 3 clinical vignettes regarding gyn care for adolescents and girls with disabilities.
TIMESTAMPS:
00:53 Dr. Monica Rosen Biography
02:06 Case 1: 13 year old girl with a history of cerebral palsy presenting with concerns about menstruation
08:57 Case 2: 21 year old woman with a history of spina bifida presenting for gynecologic exam
12:08 Case 3: 8 year old girl with a history of trisomy 21 presenting with concerns about menarche and puberty
18:52 Wrap-up
LINKS:
Reimers, Arne, et al. “Ethinyl Estradiol, Not Progestogens, Reduces Lamotrigine Serum Concentrations.” Epilepsia. 2005;46(9):1414–1417.
Curtis, Tepper, Jatlaoui, et al. U.S. Medical Eligibility Criteria for Contraceptive Use, 2016.; 2016.
Daunov M et al. Prevalence of VTE in Ambulatory and Non-Ambulatory Patients with Cerebral Palsy. Pathophysiology of Thrombosis.
2019;134(1):2428.
ACOG Committee Opinion, No. 651. Menstruation in girls and Adolescents: Using the Menstrual Cycle as a Vital Sign. Obstet Gynecol. 2015;126(6).
Cutler G. The role of estrogen in bone growth and maturation during childhood and adolescence. J Steroid Biochem Mol Biol. 1997;61(3-6):141-144.
Frances YF et al. Satisfaction With Hormonal Treatment for Menstrual Suppression in Adolescents and Young Women With Disabilities. J Adolesc Health. 2021;69(3):482-488.
Quint, EH. Adolescents with Special Needs: Clinical Challenges in Reproductive Health Care. J Pediatr Adolesc Gynecol. 2016;21(1):2-6.
Fei YF, Ernst SD, Dendrinos ML, Quint EH. Preparing for Puberty in Girls With Special Needs: A Cohort Study of Caregiver Concerns and Patient Outcomes. J Pediatr Adolesc Gynecol. 2021;34(4):471-476.
Enujioke SC, Leland B, Munson E, et al. Sexuality Among Adolescents With Intellectual Disability: Balancing Autonomy and Protection. Pediatrics. 2021;148(5).
TRANSCRIPT: https://bit.ly/ultrasounds_PAGs_disabilities
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SURVEY LINK: https://bit.ly/feedback_UltraSounds
SUMMARY: Rachel and Sanaya discuss 3 clinical vignettes regarding cancer genetics with Dr. Versha Pleasant, MD, MPH.
TIMESTAMPS:
00:41 Dr. Versha Pleasant Biography
02:18 Case 1: 42-year-old woman presents to establishcare
11:01 Case 2: 34-year-old woman presents to discuss risk reducing surgery for breast cancer.
07:35 Case 3: 47-year-old patient with abnormal uterine bleeding on Tamoxifen.
24:12 Wrap-up
LINKS:
Practice Bulletin No 182: Hereditary Breast and Ovarian Cancer Syndrome, Obstetrics & Gynecology: September 2017 - Volume 130 - Issue 3 - p e110-e126 doi: 10.1097/AOG.0000000000002296
Daly MB, Pal T, Berry MP, et al. Genetic/Familial High-Risk Assessment: Breast, Ovarian, and Pancreatic, Version 2.2021, NCCN Clinical Practice Guidelines in Oncology. J Natl Compr Canc Netw. 2021;19(1):77-102. doi:10.6004/jnccn.2021.0001
Pleasant VA, Griggs JJ. Contemporary Residential Segregation and Cancer Disparities. J Clin Oncol. 2021 Sept;39(25):2739-2741. DOI: 10.1200/JCO.21.01328
Schneider K, Zelley K, Nichols KE, et al. Li-Fraumeni Syndrome. 1999 Jan 19 [Updated 2019 Nov 21]. In: Adam MP, Mirzaa GM, Pagon RA, et al., editors. GeneReviews® [Internet]. Seattle (WA): University of Washington, Seattle; 1993-2022. Available from: https://www.ncbi.nlm.nih.gov/books/NBK1311/
Kumamoto T, Yamazaki F, Nakano Y, et al. Correction to: Medical guidelines for Li-Fraumeni syndrome 2019, version 1.1. Int J Clin Oncol. 2022;27(1):262-263. doi:10.1007/s10147-021-02086-5
Idos G, Valle L. Lynch Syndrome. In: Adam MP, Mirzaa GM, Pagon RA, et al., eds. GeneReviews®. Seattle (WA): University of Washington, Seattle; February 5, 2004.
McGarrity TJ, Amos CI, Baker MJ. Peutz-Jeghers Syndrome. In: Adam MP, MirzaaGM, Pagon RA, et al., eds. GeneReviews®. Seattle (WA): University of Washington, Seattle; February 23, 2001.
TRANSCRIPT: https://bit.ly/ultrasounds_CancerGenetics
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SURVEY LINK:https://bit.ly/feedback_UltraSounds
SUMMARY:Brittany and Jourdan discuss five clinical vignettes regarding cervical cancer screening with Dr. Elizabeth Campbell, MD.
TIMESTAMPS:
00:30: Intro
00:43: Dr. Campbell Bio
01:09: Case 1: 27 year old with LSIL
03:52: Case 2: 34 year old with a history of atypical squamous cells of unknown significance
06:14: Case 3: 44 year old presenting with post-coital vaginal bleeding
09:12: Case 4: 67 year old with considerations for screening
12:21: Case 5: 16 year old unvaccinated against HPV
16:23: Wrap-up
LINKS:
Recommendation: Cervical Cancer: Screening. US Preventive Services Taskforce, 21 Aug. 2018.
HPV Vaccination. American College of Obstetricians & Gynecologists
Abnormal Cervical Cancer Screening Test Results. American College of Obstetricians & Gynecologists
American College of Obstetricians and Gynecologists. Updated guidelines for management of cervical cancer screening abnormalities. Practice Advisory. Washington, DC: American College of Obstetricians and Gynecologists; 2021.
Fontham, Elizabeth T., et al. “Cervical Cancer Screening for Individuals at Average Risk: 2020 Guideline Update from the American Cancer Society.”
Khan, Michelle J. et al. “ASCCP Colposcopy Standards: Role of Colposcopy, Benefits, Potential Harms, and Terminology for Colposcopic Practice.”
Cervical Intraepithelial Neoplasia Management, Up to Date
Colposcopy, Up to Date
Cervical Cancer Screening Management, Up to Date
HPV Vaccination Recommendations. Centers for Disease Control and Prevention
TRANSCRIPT: https://bit.ly/ultrasounds_CervicalCancerScreen
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution.
SURVEY LINK:https://bit.ly/feedback_UltraSounds
SUMMARY:Rachel and Jourdan discuss three clinical vignettes regarding pelvic floor disorders with Dr. Dee Fenner, MD.
TIMESTAMPS:
00:30: Intro
00:44: Dr. Fenner Bio
01:24: Case 1: 60-year-old with vaginal discomfort and feeling of fullness
07:16: Case 2: 53-year-old with incomplete bowel voiding
11:49: Case 3: 63-year-old with foul smelling vaginal discharge
16:18: Case 4: 39-year-old with fecal incontinence
20:40: Wrap-up
LINKS:
Berger MB, Khandwala N, Fenner DE, Burney RE. Colovaginal Fistulas: Presentation, Evaluation, and Management. Female Pelvic Med Reconstr Surg. 2016;22(5):355-358. doi:10.1097/SPV.0000000000000289
Mayo Clinic: Fecal Incontinence
Grimes WR, Stratton M. Pelvic Floor Dysfunction. In: StatPearls. Treasure Island, FL: StatPears Publishing; 2022 Jan-. Available from https://www.ncbi.nlm.nih.gov/books/NBK559246/
UChicago: Pelvic Floor Disorders
TRANSCRIPT: https://bit.ly/ultrasounds_PelvicFloor
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SURVEY LINK:https://bit.ly/survey_UltraSounds
SUMMARY:Rachel and Jourdan discuss three vignettes on urinary incontinence with Dr. Dee Fenner, MD.
TIMESTAMPS:
00:30: Intro
00:57: Dr. Fenner Bio
02:19: Case 1: 59-year-old leaking urine during exercise
09:05: Case 2: 65-year-old with diabetes and nearly constant urinary leakage
16:18: Case 3: 43-year-old with intermittent sudden urge to urinate
23:47: Patient impact
26:52: Wrap-up
LINKS:
Berger MB, Khandwala N, Fenner DE, Burney RE. Colovaginal Fistulas: Presentation, Evaluation, and Management. Female Pelvic Med Reconstr Surg. 2016;22(5):355-358. doi:10.1097/SPV.0000000000000289
Mayo Clinic: Fecal Incontinence
Grimes WR, Stratton M. Pelvic Floor Dysfunction. In: StatPearls. Treasure Island, FL: StatPears Publishing; 2022 Jan-. Available from https://www.ncbi.nlm.nih.gov/books/NBK559246/
UChicago: Pelvic Floor Disorders
UChicago: Overactive Bladder
TRANSCRIPT: https://bit.ly/ultrasounds_incontinence
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
Kavya and Brittany discuss the changes made to the ObGyn Residency Match process with Dr. Maya Hammoud, MD, MBA.
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
TIMESTAMPS:
0:21: Introduction
2:30: Dr. Hammoud’s interest in MedEd and the Match Process
3:43: Details about the APGO RRR Program
5:55: How ObGyn is paving the way for a more equitable Match process
12:32: Standardized Letters of Evaluation and other LoRs
14:43: Interview invitation and response anxiety
15:58: How programs perceive signals
17:53: Virtual interviews for the 2023 cycle
20:28: Getting to know programs despite virtual interviews
22:50: How students can get involved
24:29: Biggest piece of advice and take away for applicants
25:51: Feedback survey info
LINKS:
https://apgo.org/page/rrrprogram
Would you like the chance to win a $50 Amazon gift card? Fill out our feedback survey linked below! Participation in this survey is voluntary and responses will be used to better Ultrasounds for audience members, like you. The survey takes less than 5 minutes to complete and will invite you to enter into a raffle for a $50 gift card upon your submission. ObGyn Delivered appreciates your feedback!
FEEDBACK SURVEY:https://umich.qualtrics.com/jfe/form/SV_1Sz5luzL9npMdsW
SUMMARY:Sarena and Kavya discuss vignettes on third trimester bleeding with Sam Kempner, MD.
TIMESTAMPS:
00:34 Dr. Sam Kempner Biography
03:35: Case 1: 37-year-old G1P0 at 39 weeks and 3 days gestation presenting with painless vaginal bleeding
06:35: Case 2: 34-year-old nonbinary patient at 26 weeks gestation coming to the office due to vaginal bleeding.
10:30: Case 3: 41-year-old G3P2 at 27 weeks gestation with Di di twins coming into the office because she noticed bright red blood on her toilet paper
12:45: Case 4: 35-year-old G1P0 at 26 weeks one day who comes to triage due to decreased fetal movement
15:30: Case 5: 37 year old G1P0 at 39w3d presents to triage with painless vaginal bleeding
21:20: Wrap-up
LINKS:
Dr. Sam Kempner Bio
ACOG Early Pregnancy Loss Practice Bulletin
Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.
Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.
Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.
ACOG Bleeding During Pregnancy FAQ
ACR Appropriateness Criteria Second and Third Trimester Bleeding
UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
TRANSCRIPT:https://bit.ly/ultrasounds_3rdTbleeding
DISCLAIMER: This episode was recorded on May 15, 2022. As of May 17, 2022, a judge has blocked enforcement of the 1931 Michigan law making abortion illegal that was mentioned in this episode.
SUMMARY: Rachel and Brittany discuss what abortion care may look like in the US if Roe v. Wade is overturned with Dr. Harris, MD, PhD.
TIMESTAMPS:
00:35 Dr. Lisa Harris Biography
01:55 Question 1: With a leaked draft opinion in the Dobbs v. Jackson Women Health Organization case, it appears Roe v. Wade is likely going to be overturned, which would leave decisions about the legality of abortion to the states. Can you give us a brief overview of what this might look like for patients across the country?
04:33 Question 2: So, we obviously know that losing abortion access will impact women and people as individuals, but we're curious about kind of what implications this might have for the broader healthcare system?
07:35 Question 3: Could go into a little more detail about how self-managed abortions might show up in the health care system as well as just more pregnancies continuing?
12:09 Question 4: How will changes in legislation change traveling for abortion care?
15:03 Question 5: Do you think certain groups of people will be disproportionately affected by losing abortion, access and do you know what this will look like?
LINKS:
Dr. Harris Bio
Guttmacher Institute Abortion Travel
Abortion Rates by Income
Michigan Judge Suspends an Abortion Ban From 1931
TRANSCRIPT:https://bit.ly/ultrasounds_abortioncare_Roe
DISCLOSURES:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SUMMARY: Sarena and Kavya discuss four vignettes on second trimester bleeding with Sam Kempner, MD.
TIMESTAMPS:
00:40 Dr. Sam Kempner Biography
02:42: Case 1: 23-year-old G3P0200 at 21 weeks gestation presenting with vaginal spotting.
05:40: Case 2: 36-year-old nonbinary patient at 26 weeks gestation coming to the office due to vaginal bleeding.
08:20: Case 3: 41-year-old G3P2 at 27 weeks gestation with Di di twins coming into the office because she noticed bright red blood on her toilet paper
10:06: Case 4: 35-year-old G1P0 at 26 weeks one day who comes to triage due to decreased fetal movement
12:56: Wrap-up
LINKS:
Dr. Sam Kempner Bio
ACOG Early Pregnancy Loss Practice Bulletin
Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.
Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.
Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.
ACOG Bleeding During Pregnancy FAQ
ACR Appropriateness Criteria Second and Third Trimester Bleeding
NHS Bleeding in the Second Trimester of Pregnancy
UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy
ACOG Second-Trimester Abortion Practice Bulletin
TRANSCRIPT:https://bit.ly/ultrasounds_2ndTbleeding
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
SUMMARY: Sarena and Kavya discuss five vignettes on first trimester bleeding with Dr. Sam Kempner, MD.
TIMESTAMPS:
00:37: Dr. Sam Kempner Bio
02:09: Case 1: 18-year-old woman with intense abdominal pain and vaginal bleeding.
05:06: Case 2: 37-year-old woman with vaginal bleeding and pelvic discomfort.
07:47: Case 3: 23-year-old transgender man with light vaginal bleeding.
10:25: Case 4: 29-year-old woman at 11 weeks 3 days gestation with cramping pain and vaginal bleeding.
14:25: Case 5: 35-year-old woman at 13 weeks 4 days with decreased fetal movement.
17:06: Wrap-up
LINKS:
Dr. Sam Kempner Bio
ACOG Early Pregnancy Loss Practice Bulletin
Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174.
Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing.
Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817.
ACOG Bleeding During Pregnancy FAQ
ACR Appropriateness Criteria Second and Third Trimester Bleeding
NHS Bleeding in the Second Trimester of Pregnancy
UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy
ACOG Second-Trimester Abortion Practice Bulletin
TRANSCRIPT:https://bit.ly/ultrasounds_1stTbleeding
DISCLOSURES/DISCLAIMERS:
The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
Theresa and Jourdan discuss six vignettes on vulvovaginal disease with the world-renowned expert, Dr. Hope Haefner, MD.
DISCLOSURES/DISCLAIMERS:
The OB/GYN Delivered student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.
TIMESTAMPS:
01:10: Dr. Hope Haefner Bio
04:05: Case 1: 50-year-old woman with hypopigmented atrophic plaques on the vulva.
10:29: Case 2: 50-year-old woman with rough, scaly, polygonal, violaceous plaques on the vulva.
19:42: Case 3: 50-year-old woman with erythematous, leathery skin on the vulva.
29:45: Case 4: 65-year-old woman with erythematous ulceration on the left labium minus.
35:41: Case 5: 30-year-old woman with red bumps on inguinal intertriginous region.
44:08: Case 6: 30-year-old woman with groin pain with sitting and sexual intercourse.
50:50: Wrap-up
LINKS:
Dr. Hope Haefner Bio
University of Michigan Center for Vulvar Diseases Provider Information
Ringel NE, Iglesia C. Common Benign Chronic Vulvar Disorders. Am Fam Physician. 2020 Nov 1;102(9):550-557. PMID: 33118795.
Maben-Feaster, Rosalyn Elizabeth. “Chronic Vulvar Lesions in a Woman in Her 30s.” Contemporary OB/GYN, MJH Life Sciences.
NCCN Vulvar Cancer Guidelines
Michalski BM, Pfeifer JD, Mutch D, Council ML. Cancer of the Vulva: A Review. Dermatol Surg. 2021 Feb 1;47(2):174-183. doi: 10.1097/DSS.0000000000002584. PMID: 32947298.
Margesson LJ, Danby FW. Hidradenitis suppurativa. Best Pract Res Clin Obstet Gynaecol. 2014 Oct;28(7):1013-27. doi: 10.1016/j.bpobgyn.2014.07.012. Epub 2014 Aug 1. PMID: 25214437.
UpToDate: Bartholin Gland Masses
TRANSCRIPT:https://bit.ly/ultrasounds_vulvar
Recorded on 4/25/2022.
Join Allison and Theresa as they discuss four clinical vignettes with faculty guest and reproductive infectious disease expert Dr. Okeoma Mmeje.
DISCLOSURES/DISCLAIMERS:
The OBGD student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only, and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real-life medical concerns. The statements made on this podcast are solely those of the OBGD hosts and guests and do not reflect the views of any specific institution or organization.
TIMESTAMPS:
01:23 - Dr. Mmeje Bio
02:35 - Case 1: 30-year-old female with burning during urination and clusters of fluid filled vesicles on the vulva that are painful to the touch
07:54 - Case 2: 30-year-old female with a painless 1-centimeter red, round, raised lesion with a regular boarder
11:39 - Case 3: 30-year-old female with a very painful well demarcated lesion with a grayish necrotic appearing base
15:43 - Case 4: 30-year-old female with vulvar itching and multiple painless pruritic lesions
27:36 - Wrap-up
LINKS:
Dr. Mmeje’s bio
CDC Sexually Transmitted Infections Treatment Guidelines
CDC HIV
ACOG HIV
TRANSCRIPT: https://bit.ly/ultrasounds_ulcers
Recorded 2/17/2022.
Allison and Theresa talk through four cases with faculty guest and reproductive infectious disease specialist - Dr. Okeoma Mmeje, MD, MPH.
Recorded 2/17/2022.
DISCLOSURES/DISCLAIMERS:
The OBGD student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only, and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real-life medical concerns. The statements made on this podcast are solely those of the OBGD hosts and guests and do not reflect the views of any specific institution or organization.
TIMESTAMPS:
01:06 - Dr. Mmeje Bio
02:21 - Case 1: 18-year-old sexually active woman with irregular discharge and pain with intercourse
04:21 - Case 2: 21-year-old sexually active woman with five days of yellow-green discharge
06:58 - Case 3: 73-year-old woman with increased milky-gray vaginal discharge
13:06 - Case 4: 46-year-old woman with clumpy white discharge and vulva itching
15:56 - Wrap-up
LINKS:
Dr. Mmeje’s bio
CDC Sexually Transmitted Infections Treatment Guidelines
ACOG Vaginitis in Nonpregnant Patients
TRANSCRIPT: https://bit.ly/ultrasounds_stis
Kavya and Sarena tackle five patient-based cases with insight from faculty expert, Dr. David Marzano, in the second part of our review of PALM COEIN, a mnemonic for abnormal uterine bleeding.
Recorded 12/10/2021.
TIMESTAMPS:
00:51 – Intro & Dr. Marzano’s bio
05:40 – Case 1: 17-year-old female with new heavy periods and lower abdominal pain
10:58 – Case 2: 17-year-old female with increasingly irregular periods
16:06 – Case 3: 17-year-old with chronic heavy and irregular periods
19:39 – Case 4: 17-year-old with new irregular spotting and recent IUD placement
22:49 – Case 5: 27-year-old female with irregular menses and other systemic bleeding issues
26:52 – Wrap up
LINKS:
Dr. Marzano’s bio
ACOG OBGYN Intern Guide for Abnormal Uterine Bleeding (with PALM COEIN)
ACOG Abnormal Uterine Bleeding Patient FAQ
TRANSCRIPT: https://bit.ly/ultrasounds_COEIN
Kavya and Sarena tackle four patient-based cases with insight from faculty expert, Dr. David Marzano, in the first part of our review of PALM COEIN, a mnemonic for abnormal uterine bleeding.
Recorded 12/10/2021.
TIMESTAMPS:
00:53 - Dr. Marzano’s Bio
02:40 - Overview of PALM COEIN mnemonic
07:05 - Case 1: 47-year-old woman with heavy menses & irregular uterus
10:07 - Case 2: 71-year-old G3P2 female with postcoital bleeding
14:24 - Case 3: 47-year-old woman with heavy menses & boggy uterus
17:23 - Case 4: 71-year-old woman with irregular spotting
21:07 - Wrap-up
LINKS:
Dr. Marzano’s bio
Dr. Marzano’s favorite podcast: The West Wing Weekly
ACOG OBGYN Intern Guide for Abnormal Uterine Bleeding (with PALM COEIN)
ACOG Abnormal Uterine Bleeding Patient FAQ
TRANSCRIPT: https://bit.ly/ultrasounds_palm
The OBGD Leadership team–Allison Milen (@allison_milen), Theresa Rager (@TheresaLRager), Sarena Gill (@gill_sarena), and Kavya Davuluri (@Kavya_Davuluri)–introduce UltraSounds and give a preview of what episodes are to come.
Contact us: obgynquestionsdelivered@gmail.com
Visit our website: https://www.obgyndelivered.com/
Tweet at us: @obgyn_delivered
View our Instagram: @obgyn_delivered
TRANSCRIPT: https://bit.ly/ultrasounds_trailer