Procedure Ready: Ob/Gyn

By Jennifer Doorey, MD, MSScience Medicine Health & Fitness Education Life Sciences

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Typical duration
21 min
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Based on Podcast App listening data

Procedure Ready: Ob/Gyn episodes

February 08, 2018 Before 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 abnormal Acetic Acid: exact mechanism unknown, the higher N:C ratio cells (aka abnormal cells) reflect more light and appear white. […]
15 min
February 01, 2018 Return 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 28wks – Tdap and Rhogam if needed, discuss kick counts 32wks – Discuss BCM, sign tubal papers if needed, […]
13 min
February 01, 2018 First 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) should aim for 25–35 Overweight women (BMI, 25–29.9) should aim for 15–25 Obese women (BMI, 30 or more) should gain only 11–20 Food: Avoid unpasteurized […]
18 min
January 10, 2018Before Your First: Hysteroscopy
Hysteroscopy lets you look directly inside the uterus to diagnose and treat intrauterine pathology. This episode covers the three basic steps of the procedure, the difference between diagnostic and operative hysteroscopy, and the most feared complication – hyponatremia from fluid overload.
Show Outline:
What Is Hysteroscopy? – Looking inside the uterus with a scope
Steps
Dilate the cervix
Distend the uterus with fluid
Look around – identify pathology and tubal ostia. Remove pathology if using an operative scope, Myosure, or another resectoscope.
Feared Complication – Hyponatremia from excessive hypotonic fluid absorption
About the Speaker:
Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.
Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.
11 min
January 08, 2018 Before 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 complication: Hyponatremia from excessive hypotonic fluid absorption.
11 min
January 07, 2018Peripartum Fevers
A fever during or after delivery triggers a critical differential. This episode covers the intrapartum workup – from epidural fevers to chorioamnionitis (Triple-I) – along with antibiotic regimens by PCN allergy status, and the postpartum fever mnemonic (the W's) to systematically identify the source.
Show Outline:
Intrapartum Fever Differential – Epidural fever (transient), DVT/PE (prolonged IOL or limited mobility), UTI, intraamniotic infection (with or without ROM)
Chorioamnionitis / Triple-I Criteria
One temp >39.0°C
One temp 38.0–39.0°C plus risk factors
Two temps >38.0°C 30+ mins apart
Treatment – Ampicillin/Gentamicin until delivery. Tylenol prn, IVF for tachycardia, cooling blanket as needed. Mild PCN allergy: Ancef/Gent. Severe: Gent/Clinda or Gent/Vanc.
After Vaginal Delivery – No evidence that continued abx postpartum provide benefit
After C-Section – Add clindamycin to Amp/Gent. Continue at least 1 dose postpartum; clinical judgment on duration.
Postpartum Fever Differential (The W's)
Wind – PNA, atelectasis, URI
Womb – Endomyometritis
Wound – Infection, cellulitis
Water – UTI, pyelo
Walking – DVT/PE
Weaning – Engorgement, mastitis
Wonder drugs
About the Speaker:
Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.
Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.
22 min
January 05, 2018 Peripartum 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 intraamniotic Infection) One temp >39.0C One temp 38.0C-39.0C AND one or more risk factors Two temps >38.0C 30+ mins apart Tx: the standard is […]
22 min
December 14, 2017 Postpartum 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) Thrombin: Coagulopathy Other: Involution
18 min
December 14, 2017 Who’s that collar?
Hello from Addison and Lundy.
1 min
December 13, 2017Postpartum Hemorrhage
Postpartum hemorrhage is one of the most critical obstetric emergencies. This episode organizes the causes using the "Four T's" framework, walks through the uterotonic medication options – including their contraindications and side effects – and covers mechanical interventions like intrauterine tamponade balloons.
Show Outline:
Causes – The Four T's
Tone (Atony) – Pitocin; Misoprostol (CI: allergy, SE: transient hyperthermia); Methergine (CI: HTN, SE: HTN); Hemabate (CI: asthma, SE: diarrhea); Tamponade (Bakri/Utah balloons)
Trauma – Lacerations
Tissue – Retained products of conception (placenta or membranes)
Thrombin – Coagulopathy
Other – Involution
About the Speaker:
Jennifer Doorey, MD, MS – Academic Ob/Gyn at The Johns Hopkins University School of Medicine. As the founder of MedReady, Dr. Doorey seeks to advance clinical medical education by developing resources for medical students and clinical educators.
Procedure Ready: Ob/Gyn is a podcast aimed at medical, PA, and NP students entering their clinical rotation in Ob/Gyn. The views expressed are the speaker's own and do not constitute medical advice.
25 min

About Procedure Ready: Ob/Gyn

From the publisher's feed

Procedure Ready: Ob/Gyn (formerly called 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.