Ob/Gyn

Placenta Previa

Angela Irene Carrick, DO^*

DOI: https://doi.org/10.21980/J8J911 Issue 2:4 No ratings yet.

By the end of this oral boards case, the learner will be able to: 1. List the potential causes of vaginal bleeding in pregnancy after 20 weeks including placental abruption, placenta previa and vasa previa. 2. Describe the bedside stabilization and evaluation in a pregnant patient with vaginal bleeding after 20 weeks. a) Stabilize the mother (patient) including placing two large bore intravenous (IV) lines, administer an IV fluid bolus, obtaining complete blood count (CBC), coagulation studies, and type & cross matching blood. b) Transvaginal ultrasound to determine the placental location. c) Sterile speculum examination. A digital or speculum pelvic examination should NOT be performed until a transvaginal ultrasound is performed to determine placental location. The resident should understand that performing a digital or speculum exam in a patient with placenta previa or vasa previa can cause or exacerbate hemorrhage. If these two conditions are not present on ultrasound, then a sterile speculum exam may be performed to further examine the bleeding. 3. Contrast the typical presentation of placenta previa with that of placental abruption. a) Placenta Previa usually causes painless vaginal bleeding. Part of the placenta is located near or over the internal cervical orifice. b) Placental Abruption usually causes painful vaginal bleeding. There is premature separation of the placenta from the uterine lining. 4) Describe the appropriate disposition of a patient with a pregnancy over 20 weeks with vaginal bleeding. After initial workup and stabilization these women are usually admitted for fetal monitoring, observation and consultation by the obstetrician (OB/gyn).

Oral Boards Ob/Gyn

Precipitous Birth

Jennifer Yee, DO^* and Andrew King, MD^*

DOI: https://doi.org/10.21980/J8192R Issue 2:4 No ratings yet.

By the end of this simulation session, the learner will be able to: 1) Recognize impending delivery, 2) identify abnormal maternal vital signs and potential associated pathologies (eg: hypertension in preeclampsia), 3) discuss the evaluation and management of postpartum bleeding, 4) discuss the principles of neonatal resuscitation, 5) appropriately disposition the patients, and 6) effectively communicate with team members and nursing staff during resuscitation of a critically ill patient.

Ob/Gyn Pediatrics Simulation

Point-of-care Ultrasound for the Diagnosis of Ectopic Pregnancy

Ahmed Farhat, BS^*, Jessica Hoffmann, MD^* and Maili Alvarado, MD^{^}

DOI: https://doi.org/10.21980/J8VK7VIssue 2:4 No ratings yet.

The transabdominal pelvic ultrasound shows an empty uterus (annotated) with free fluid and a right sided extrauterine gestational sac representing an ectopic pregnancy (red arrow).

Ob/Gyn Ultrasound Visual EM

Emergency Medicine Curriculum: Complications of Pregnancy Small Group Module

Linda L Herman, MD^* and Kunal Sukhija, MD^*

DOI: https://doi.org/10.21980/J8TS67 Issue 2:3 No ratings yet.

We aim to teach the presentation and management of pregnancy complications through interactive teaching during small group discussions concerning patient cases. This curriculum utilizes resources chosen by education faculty, study questions, actual experience, and small group discussions in place of a traditional lecture-based format. In doing so, a goal of the curriculum is to encourage self-directed learning, improve understanding and knowledge retention, improve the educational experience of our residents, and allow assessment by the faculty concerning the knowledge base and ability of the residents.

Ob/Gyn Curricula Small Group Learning

The Casserole Perimortem Caesarean Section Model

Nur-Ain Nadir, MD, MHPE^*, Clint Brian LeClair, MD^*, Ammar Ahmed, MD^* and Gregory Podolej, MD^*

DOI: https://doi.org/10.21980/J8FK8H Issue 2:3 No ratings yet.

At the end of this 1-hour activity learners will: 1) describe the indications, contraindications and complications of the PCS, and 2) demonstrate the performance of a PCS.

Innovations Ob/Gyn

Ruptured Ectopic Pregnancy

Valentina Park, BS^* and Shannon Toohey, MD, MA^*

DOI: https://doi.org/10.21980/J8SG6TIssue 1:2 No ratings yet.

The patient’s serum beta-hCG was 5,637 mIU/mL. The transvaginal ultrasound showed an empty uterus with free fluid posteriorly in the pelvis and Pouch of Douglas (00:00). A 4.5 cm heterogeneous mass was visible in the left adnexa concerning for an ectopic pregnancy (00:10).

Ob/Gyn Visual EM