Ob/Gyn

A Homemade, Cost-Effective, Realistic Pelvic Exam Model

Jessie Godsey, MD*, Ilya Kott, MD*, Adrienne Payden* and Patricia Ward*

DOI: https://doi.org/10.21980/J8HM0F Issue 8:3[mrp_rating_result]
After utilizing this pelvic examination model, the learner will be able to: 1) demonstrate ability to perform a pelvic examination comfortably and safely, 2) demonstrate ability to obtain a cervical swab on female patients, and 3) show proficient understanding of female anatomy.
ProceduresInnovationsOb/Gyn

Peripartum Cardiomyopathy

Victoria L Morris, MD*, Carolina Mendoza, MD*, Gowri S Stevens, MD*, Jessica L Wilson, MD*and Adeola A Kosoko, MD*

DOI: https://doi.org/10.21980/J8ZS9M Issue 8:2[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) initiate a workup of a pregnant patient who presents with syncope, 2) accurately diagnose peripartum cardiomyopathy, 3) demonstrate care of a gravid patient in respiratory distress due to peripartum cardiomyopathy, 4) appropriately manage cardiogenic shock due to peripartum cardiomyopathy.
Cardiology/VascularOb/GynSimulation
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Point-of-Care Ultrasound to Diagnose Molar Pregnancy: A Case Report

Katherine Wietecha, MD*, Caitlin A Williams, MS^ and Valori Slane, MD*

DOI: https://doi.org/10.21980/J82W7T Issue 7:2[mrp_rating_result]
A transabdominal point-of-care ultrasound (POCUS) was initiated to determine whether an abnormality to the pregnancy could be identified. Curvilinear probe was used. Our transabdominal POCUS, in the transverse plane, showed a heterogenous mass with multiple anechoic areas in the uterus. The white arrow on the ultrasound identifies these findings. The classic “snowstorm” appearance was concerning for molar pregnancy.
Ob/GynVisual EM

Syncope Due to a Ruptured Ectopic Pregnancy

Derek JC Hunt, DO*, Kevin McLendon, DO* and Jodi Conrad, DO*

DOI: https://doi.org/10.21980/J86M0N Issue 7:1[mrp_rating_result]
At the conclusion of this simulation, the learner will be able to: 1) review the initial management of syncope; 2) utilize laboratory and imaging techniques to diagnose a ruptured ectopic pregnancy; and 3) demonstrate the ability to resuscitate and disposition an unstable ruptured ectopic pregnancy.
Ob/GynSimulation
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Ovarian Juvenile Granulosa Cell Tumor Case Report

Jasmine Lemmons, MD*, Kim Little-Wienert, MD, MEd* and Alia Hamad, MD*

DOI: https://doi.org/10.21980/J8035H Issue 7:1[mrp_rating_result]
A focused assessment with sonography in trauma (FAST) exam was performed initially to evaluate for intra-abdominal injury given the clinical picture. A phased-array ultrasound transducer was placed in sagittal orientation along the patient’s right and left flank, demonstrating extensive heterogenous fluid collections in Morrison’s pouch (red arrow), subphrenic space (solid green arrow), and splenorenal recess (dashed green arrow). To further evaluate, a phased-array transducer was placed over her pelvic area in transverse orientation, demonstrating, a large, heterogeneous mass (outlined in yellow arrows). The surgical team was promptly consulted and blood products were ordered. Although there was concern for impending hemorrhagic shock due to patient’s presenting tachycardia, the patient was hemodynamically stable enough for a CT scan of her chest, abdomen, and pelvis. The CT scan showed large-volume ascites, which exerted mass effect on all abdominal organs with centralization of bowel loops. Additionally, there was a large, 6.4 x 6.8 x 10.9-centimeter, midline pelvic mass (outlined in blue arrows).
Ob/GynVisual EM

Eclampsia

Thomas J Yang, MD*, Rohit B Sangal, MD, MBA* and Lauren W Conlon, MD^

DOI: https://doi.org/10.21980/J8PS8R Issue 6:3[mrp_rating_result]
By the end of this simulation session, learners will be able to: 1) demonstrate care of a gravid patient with altered mental status; 2) demonstrate care of a gravid patient with seizures; 3) recognize care involved in assessment of fetal status; 4) execute appropriate subspecialty consultation; 5) recognize the clinical signs and symptoms of eclampsia; 6) distinguish different treatment options for eclampsia; 7) identify magnesium toxicity and reversal agent; and 8) differentiate the spectrum of preeclampsia.
Ob/GynSimulation

Eclampsia

Patrick G Meloy, MD*, Megan C Henn, MD*, Daniel Rutz, MD^ and Amit Bhambri, MD†

DOI: https://doi.org/10.21980/J8M93D Issue 5:3[mrp_rating_result]
At the end of this oral boards session, examinees will: 1) Demonstrate ability to obtain a complete medical history including a detailed obstetric history. 2) Demonstrate the ability to perform a detailed physical examination in a postpartum female patient who presents with a seizure. 3) Investigate the broad differential diagnoses which include electrolyte imbalances, brain tumor, meningitis or encephalitis, hemolysis, elevated liver enzymes, low platelets (HELLP) syndrome and eclampsia. 4) List the appropriate laboratory and imaging studies to differentiate eclampsia from other diagnoses (complete blood count, comprehensive metabolic panel, magnesium level, pregnancy testing, urinalysis, and computed tomography [CT] scan of the head). 5) Identify a postpartum eclampsia patient and manage appropriately (administer IV magnesium therapy, administer IV antihypertensive therapy, emergent consultation with an obstetrician). 6) Provide appropriate disposition to the intensive care unit after consulting with an obstetrician.
Ob/GynCertifying Exam Cases
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Fitz Hugh Curtis Case Report

Savannah Loehr, BS* and Cindy Bitter, MD, MPH, MA^

DOI: https://doi.org/10.21980/J82K9G Issue 5:2[mrp_rating_result]
A sagittal view from computed tomography (CT) of the abdomen and pelvis demonstrated fat stranding beneath the inferior margin of the liver (outlined in red). The axial view showed fat stranding adjacent to the ascending colon without significant colon wall thickening (arrow). Fat stranding can occur as a hazy increased attenuation (brightness) or a more distinct reticular pattern.
Ob/GynInfectious DiseaseVisual EM