Hello! From our 3rd Year ObGyn Med Students!
Just something fun to break up the monotony.
Dec 19, 2018•56 sec
Dr. Chapa’s Clinical Pearls.
Relevant, evidence based, and practical information for medical students, residents, and practicing healthcare providers regarding all things women’s healthcare! This podcast is intended to be clinically relevant, engaging, and FUN, because medical education should NOT be boring! Welcome...to Clinical Pearls.
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Episodes
Vulvar Lichen Planus
Lichen Planus is a chronic inflammatory mucocutaneous disorder that can affect the mouth, vulva, vagina, and anus. Wickham’s Striae are characteristic of mucosal involvement. Biopsy is often needed to confirm the diagnosis and rule out other neoplastic conditions. The more afflicting type of Lichen Planus is erosive lichen planus. In this session, we will review the presentation, pathophysiology, diagnosis, and treatment of vulvar Lichen Planus. (Reference: ACOG expert series CME edition on vulv...
Dec 19, 2018•6 min
Vulvar Lichen Simplex Chronicus (2018 Update)
Vulvar Lichen Simplex Chronicus is a non-scarring, chronic inflammatory disease of the skin characterized by intense itching. 65% to 75% of patients have a history of allergic conditions including asthma or childhood dermatitis. In this session, we will review the presentation, diagnosis, and medical care of vulvar Lichen Simplex Chronicus. (Reference: ACOG clinical expert series, CME edition, “Diagnosis and Treatment of Vulvar Dermatosis“ ; 2018)
Dec 19, 2018•5 min
Vulvar Lichen Sclerosus (2018 Update)
Vulvar Lichen Sclerosus is a chronic inflammatory vulvar dermatosis. There is an association between this condition and various systemic autoimmune conditions (e.g., thyroid dysfunction, vitiligo). Additionally, patients with this condition have a 4-5% risk of vulvar cancer in the future! In this session, we will discuss the pathophysiology, diagnosis, and management options for this condition. (Reference: CME Series on “Diagnosis and Treatment of Vulvar Dermatosis”, 2018; Obstet Gynecol)
Dec 18, 2018•8 min
Ulipristal for NEXPLANON Bleeding?
The etonogestrel contraceptive implant is a type of LARC with proven high efficacy. Yet, similar to all progestin only contraception, abnormal bleeding can become bothersome to the patient- especially in the first 3 to 6 months of use. Ulipristal, a progesterone receptor modulator, has shown promise as a new medical agent to help relieve bothersome bleeding in these patients. In this podcast, we will review the latest data from a randomized controlled trial (Oct 2018) on ulipristal for bleeding ...
Dec 18, 2018•11 min
ACOG Practice UPDATE! 17OHP IM vs 17OHP SQ
On December 15, 2018, the ACOG released a Practice Update regarding subcutaneous use of 17OHP rather than IM 17OHP for preterm birth prevention. Weekly IM injections of 17OHP were endorsed by the ACOG after the 2003 MEIS MFM Network clinical study demonstrated a reduced risk of preterm birth in women with prior preterm birth, with its use. In this podcast, we will review the ACOG practice update regarding subcutaneous rather than IM 17 OHP for preterm birth prevention.
Dec 16, 2018•8 min
Nipple Discharge
Nipple discharge is a common breast symptom. Keys and clues to stratify patients as either low risk or high-risk include: the patient’s age, unilateral or bilateral discharge, single duct or multi duct, whether a mass is also present in the breast, and the color of the discharge. Most nipple discharge thankfully is benign, but some require more attention. In this session, we will review the ACOG practice bulletin number 164 regarding nipple discharge.
Dec 16, 2018•8 min
Let us hear from YOU!
Let us hear from you! Thanks for being a part of our podcast family! Did you know, you can send us feedback and recommendations/suggestions for future episodes? Here’s how…
Dec 15, 2018•1 min
Sex During Pregnancy
Pregnant women and their partners often ask whether or not sex is allowed in pregnancy and what possible consequences may occur. Does sex cause preterm labor? Is PID possible during pregnancy? Is oral sex allowed? Does sex induced labor? Let’s take a look at these questions... and provide answers!
Dec 15, 2018•13 min
“POI” in Young Women
Premature Ovarian Insufficiency (POI) has replaced the previous term of “premature ovarian failure” or “premature menopause”. POI is a stressful and emotional taxing diagnosis for any woman, especially the adolescent and young patient. Other endocrinopathies may be present in patients with POI including thyroid abnormalities and adrenal insufficiency. In this session, we will review the last ACOG Committee Opinion on POI in adolescents and young women (CO 605).
Dec 14, 2018•13 min
Does Progestin Birth Control Cause Depression?
Progestin only contraceptive options include the subdermal implant, Injection, IUS, and pills. Progestin based LARCs provide HIGHLY effective contraception. A common perception in the public community is that these options may result in depression! Do they? Let’s take a look at a systematic review from 2018 on the subject.
Dec 13, 2018•7 min
“Your name is Mudd!” How “Duty to Treat” ruined a physician’s life.
Dr. Samuel A. Mudd. Although few in modern times are aware of this physician, many have heard of the unwelcoming statement, “Your name is Mudd!“. In this brief “medicine in history” segment, we will cover the incredible story of Dr. Mudd.
Dec 11, 2018•4 min
Talc Before Panties? A look at the curious & controversial data on talc and female cancer.
Talc Before Panties? A look at the curious & controversial data on talc and female cancer... The controversy between the use of talc in the female genital area and risk of ovarian cancer dates back to the 1970s. This decades long conundrum still persists with more questions than answers. Recently, Health Canada issued a health advisory warning on the potential development of ovarian cancer after repeated exposure of the female genital area to talc. In this podcast, we will review the ever co...
Dec 11, 2018•11 min
Risk Reduction Salpingectomy
An evolving burden of evidence supports the theory that a large majority of high-risk ovarian epithelial cancers have a tubal origin. RRS is growing in practice as the preferred option at time of benign Gyn surgery and sterilization. Although RRSO is still preferred in high-risk women (germline mutation carriers), RRS is a possible alternative option, with delayed oophorectomy after age 40. In this podcast, we will review the pathophysiology of epithelial ovarian cancer, its tubal origin, and th...
Dec 09, 2018•15 min
The “Big O”: Female Orgasm- The How, Why, and What of the BIG O!
The “BIG O”!! This podcast will cover the biology of, purpose of, and surprising health benefits of... female orgasm. (Yep...Oh, the topics we cover all in the name of SCIENCE!)
Dec 08, 2018•16 min
PRES: Posterior Reversible Encephalopathy Syndrome
PRES may be associated with Preeclampsia and Eclampsia. The condition is theorized to result from dys-autoregulation of posterior cerebral perfusion. In this session, we will cover the pathophysiology, presentation, workup, and prognosis of PRES.
Dec 07, 2018•12 min
Ovarian Torsion
Ovarian torsion is considered a gynecological emergency. Ovarian torsion can also occur in pregnancy. Recent data has confirmed the feasibility of ovarian conservation at time of laparoscopic surgery. In this session, we will review the pathophysiology, clinical presentation, work-up, and management of this condition.
Dec 05, 2018•12 min
The PALM-COEIN System for AUB
In 2011, the FIGO adopted a new nomenclature to characterize abnormal uterine bleeding in the reproductive age patient. ACOG subsequently adopted the system. Terms like menorrhagia, metrorrhagia, and dysfunctional uterine bleeding, were abandoned. In this session, we will review the PALM-COEIN nomenclature.
Dec 04, 2018•13 min
Diagnosis and management of palpable breast masses
Fibroadenomas are the most common cause of breast masses in adolescent girls and young women. Nonetheless, it is important to remember that the palpable breast mass is still the most common finding of symptomatic breast cancer. In this podcast, we will review the diagnosis and management of the palpable breast mass, according to the ACOG practice bulletin 164. We will also review the BI-RADS classification system.
Dec 03, 2018•18 min
Dysmenorrhea and Endometriosis in the Adolescent Patient
This podcast is a review of the ACOG Committee Opinion 760 from December 2018. Dysmenorrhea, or menstrual pain, is the most common menstrual symptom among adolescent girls and young women. Most adolescents with menstrual pain will have primary dysmenorrhea, but secondary dysmenorrhea (endometriosis) may also occur. This podcast will review symptoms, work-up, and therapy of both primary and secondary dysmenorrhea in the adolescent patient.
Dec 02, 2018•15 min
Septic Pelvic Thrombophlebitis
Septic pelvic thrombophlebitis can occur in the deep pelvic vessels alone or may involve the ovarian vein. Ovarian vein thrombosis is most frequent on the right side. This podcast will over the current data on presentation, workup, and use of anticoagulation in SPT cases.
Dec 02, 2018•16 min
Thank you!! Danke! Gracias!
Our mission is to educate, train, and develop healthcare professionals in women’s healthcare. Our podcast has hit a milestone!! This podcast, which is an independent, non-industry sponsored educational platform, has hit 50,000 1st time plays! Thank you for listening, and being a part of Clinical Pearls!!
Nov 27, 2018•50 sec
Immediate Postpartum LARCs
Immediate postpartum LARCs are endorsed by the ACOG. This podcast will summarize the ACOG committee opinion 670, and review the new data (October 2018) regarding IUD expulsion rates based on timing of insertion, route of delivery, and IUD types.
Nov 27, 2018•9 min
Pregestational Diabetes Mellitus
This podcast will quickly summarize the ACOG practice bulletin number 201 on pre-gestational diabetes mellitus. This ACOG practice bulletin is set to be released December 2018.
Nov 22, 2018•12 min
Are “routine“ pelvic examination going extinct? Let’s take a look at the data.
Traditionally, a well-woman visit has included a pelvic examination defined as external genitalia inspection, speculum examination, and bimanual exam. However, the collective body of evidence is actually limited in support or rejection of the routine performance of the pelvic exam in an asymptomatic woman. This podcast will cover the ACOG committee opinion number 754 from the Fall of 2018 discussing the matter.
Nov 17, 2018•8 min
Elagolix: Indications, Data, and Dosing.
Endometriosis related pelvic pain affects approximately 8% of reproductive age women. Recently, the FDA approved a new oral GnRH antagonist for treatment of endometriosis related pelvic pain. This podcast will review the indication, data, and dosage options for this new novel medication. This podcast does not represent a specific endorsement of elagolix, and was produced without industry affiliation.
Nov 11, 2018•10 min
Migraine with Aura and Estrogen Containing Birth Control: What’s the Data on Risk?
Traditionally, migraines with aura were considered contraindicated for estrogen containing birth control. However, that recommendation was made in the 1960s and 1970s when the dose of estrogen in birth control pills was much higher than dosages used today. The risk of stroke is directly related to the amount of estrogen in birth control, and recent clinical opinions have suggested that ultra-low dose combination contraception is allowable. In this podcast, we will review the latest data and clin...
Nov 09, 2018•9 min
Opthalmia Neonatorum
Neonatal opthalmia refers to conjunctivitis of any cause occurring within the first 4 weeks of newborn life. Gonorrhea now accounts for less than 1% of the condition, however chlamydia is responsible for 2% to 40% of cases. Ocular prophylaxis is not effective against chlamydial conjunctivitis. In this podcast we will review this potentially devastating newborn ocular condition.
Nov 03, 2018•7 min
Asymptomatic microscopic hematuria in women
In this podcast, we will cover the combined committee opinion from the ACOG and AUGS regarding asymptomatic microscopic hematuria in women. The ACOG deviates from the American Urological Association recommendation for evaluation of asymptomatic microscopic hematuria in women over age 35, as the risk of any urological malignancy is very low. Data taken from the ACOG committee opinion 703, June 2017.
Oct 29, 2018•9 min
“The Savior of Women”: Ignaz Semmelweis
In this brief historical profile, we will cover the inspiring tale of Dr. Ignaz Semmelweis. The story begins in the year 1846. Dr. Semmelweis was the first to investigate childbed fever and proposed handwashing as a way to prevent maternal death. His story is one of research, revelation, and an untimely tragic end.
Oct 26, 2018•8 min
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