By Jennifer Doorey, MD, MS
To listen to an audio podcast, mouse over the title and click Play. Open iTunes to download and subscribe to podcasts.
Email firstname.lastname@example.org or tweet @pimpedmed with comments, questions, and episode ideas. Pimped-Ob/Gyn is a podcast aimed at medical, PA, and NP students who are entering their clinical rotation in Ob/Gyn. It covers topics including Your Ob/Gyn Survival Guide-Tips and Tricks, Labor and Delivery, Vaginal deliveries, C-sections, Hysterectomies and more. Each podcast walks you through a portion of what you’ll experience during your clinical rotations, gives you tips for excelling, preps you for the Pimping that’ll occur and sets you up to overall Honor the rotation!
||CleanCancer Screening and Vaccinations (HCM)||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 ) Breas||8/15/2018||Free||View in iTunes|
||CleanSTIs||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||8/15/2018||Free||View in iTunes|
||CleanBefore Your First: Colposcopy and LEEP||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 abnor||2/13/2018||Free||View in iTunes|
||CleanReturn OB Visits||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||2/11/2018||Free||View in iTunes|
||CleanFirst Prenatal Visit||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)||2/8/2018||Free||View in iTunes|
||CleanBefore Your First: Hysteroscopy||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 c||1/10/2018||Free||View in iTunes|
||CleanPeripartum Fevers||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 intraamnio||1/7/2018||Free||View in iTunes|
||CleanPostpartum Hemorrhage||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) Throm||12/13/2017||Free||View in iTunes|
||CleanWho’s that collar?||Hello from Addison and Lundy.||12/13/2017||Free||View in iTunes|
||CleanPreterm Labor and PPROM||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||12/13/2017||Free||View in iTunes|
||CleanIndications for a c-section during labor||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 m||12/3/2017||Free||View in iTunes|
||CleanBirth Control||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||12/3/2017||Free||View in iTunes|
||CleanBefore Your First: Hysterectomy||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 car||11/20/2017||Free||View in iTunes|
||CleanBefore Your First: Laparoscopy||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 Bein||11/19/2017||Free||View in iTunes|
||CleanHypertension in Pregnancy||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, Elevate||11/19/2017||Free||View in iTunes|
||CleanBefore Your First: Cesarean Section||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 tone||11/14/2017||Free||View in iTunes|
||CleanBefore Your First: Vaginal Delivery||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 ank||10/29/2017||Free||View in iTunes|
||CleanLabor and Delivery Triage||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 bl||10/29/2017||Free||View in iTunes|
||CleanYour Ob/Gyn Survival Guide: Tips and Tricks||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 GoodR||10/23/2017||Free||View in iTunes|
Love this podcast!
Very informative yet concise. I am currently a Physician Assistant that is transferring from an outpatient OB/GYN office into an inpatient setting on L&D and this is a great review. Thank you and keep those episodes coming!
This podcast is a great resource for M3! The information is concise, organized, and engaging. I shared this with my fellow students during my OBGYN rotation and used the Pimped flashcard app as well. Thank you!
Perfect for MS3
Concise, to the point. Excellent coverage of important topics with the bonus of covering pimp questions as well. This is by far the best podcast I have found for ANY clerkship. Associated resources are also excellent.