Dr. Chapa’s Clinical Pearls.
846 episodes - English - Latest episode: 10 days ago - ★★★★★ - 252 ratingsRelevant, 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
Chlamydial Infection in Women
July 12, 2018 02:51 - 12 minutes - 8.75 MBChlamydia Trachomatis is the most common bacterial STI. In this session, we will review screening recommendations, treatment, pregnancy considerations, and end with a quick recap and review of the microbiology of the organism.
PART 2: Chronic Hypertension in Pregnancy
July 11, 2018 15:46 - 3 minutes - 2.06 MBIn this short session, we will cover recommended delivery times for women with chronic hypertension as well as breast-feeding on antihypertensive medications.
Chronic Hypertension in Pregnancy
July 10, 2018 20:22 - 13 minutes - 9.22 MBChronic hypertension affects 3 to 5% of all pregnancies. In this session, we will cover the SMFM and ACOG bulletins on the subject. Which patients need treatment? What meds should be used? What are the risks of chronic hypertension in pregnancy? Answers to these questioms AND MORE will be covered.
Pre-labor rupture of membranes (PROM)
July 05, 2018 23:51 - 19 minutes - 13.3 MBIn January 2018, the ACOG changed the terminology for PROM, now referred to as pre-labor rupture of membranes. In this session, we will review practice bulletin 188 and discuss the clinical management of both term and preterm PROM.
Lactation
July 05, 2018 16:33 - 13 minutes - 9.42 MBIn this session, we will review the process of mammogenesis and lactogenesis as well as the process of lactation. Mastitis and breast abscess management will also be reviewed.
Managing fetal macrosomia
July 02, 2018 22:20 - 10 minutes - 8.04 MBFetal macrosomia predisposes both the mother and child to increased risks. In this review, a summary of the ACOG practice bulletin #173, we will review risk factors for fetal macrosomia, the diagnosis, and when a primary elective C-section should be considered for the condition.
Fetal Growth Restriction
July 02, 2018 01:37 - 15 minutes - 14.1 MBFetuses with an estimated fetal weight by ultrasound of less than the 10th percentile are labeled as growth restricted. These infants are at high risk for morbidity and even mortality. In this session, we will review the ACOG and SMFM practice bulletins on fetal growth restriction: wrist factors, diagnosis, monitoring, and delivery.
Stillbirth
June 28, 2018 04:01 - 11 minutes - 10.9 MBIn this session, we will review risk factors for Intrauterine Fetal Demise (stillbirth) and discuss the ACOG algorithm for stillbirth evaluation.
Update on Maternal Alloimmunization (Part 2)
June 25, 2018 23:28 - 10 minutes - 7.06 MBThis is part 2 of our series on maternal alloimmunization. In this session, we will review prevention of RH isoimmunization with a brief review on RhoGAM use according to the ACOG practice bulletin # 181.
Update on Maternal Alloimminization (Part 1).
June 25, 2018 20:28 - 11 minutes - 7.85 MBIn March 2018, the ACOG released an updated practice bulletin on the management of alloimmunization during pregnancy. The ability to determine genotype of an RH positive father and the use of middle cerebral artery Doppler ultrasound have revolutionized the care of alloimmunization. This is part one of a two-part series.
Multifetal Gestations
June 23, 2018 17:46 - 17 minutes - 14 MBMultifetal gestations are either dizygotic or monozygotic. The rate of monozygotic twins tends to be constant worldwide. Twin and triplet pregnancies are at risk of certain maternal and fetal complications. In this session, we will cover the ACOG practice bulletin on multifetal gestations as well as the SMFM bulletin on the topic.
Non-obstetrical surgical conditions in pregnancy
June 21, 2018 22:40 - 15 minutes - 12.4 MBIn this session we will cover general surgery comditiond in pregnancy. The three most common non-obstetrical surgical conditions in pregnancy are: appendicitis, gallbladder disease, and acute intestinal obstruction. In this session, we will cover the diagnostic evaluation and treatment of these non-obstetrical surgical conditions.
Cell free DNA for fetal aneuploidy screening
June 20, 2018 02:26 - 12 minutes - 8.84 MBCell free DNA screening evaluates short segments of DNA in a maternal serum and can be used to screen for fetal aneuploidy, fetal RH type, and sex chromosome abnormalities. In this session, we will review the data on cell free DNA screening from the ACOG practice bulletin number 163.
Spontaneous abortion (Early Preg Loss)
June 10, 2018 20:41 - 10 minutes - 8.8 MBIn this session, we will cover data from the ACOG practice bulletin number 150, on early pregnancy loss. We will cover etiology, diagnosis, and the three types of management: expectant management, medical management, and surgical management. We will end a podcast with a quick review of the different categories of spontaneous abortion (threatened, inevitable/incomplete, missed, blighted, septic).
Prenatal (Antepartum) Care: Part 3
June 09, 2018 17:56 - 5 minutes - 4.04 MBIn this final session, we will review RhoGAM use, GBS screening, and the ACOG update on vaccinations in pregnancy (Tdap).
Prenatal (Antepartum) Care: Part 2
June 09, 2018 15:05 - 18 minutes - 15.2 MBThis is part 2 of our 3 part series on antepartum care. In this session, we will cover ultrasound use, screens for aneuploidy, screening for inherited genetic conditions, and gestational diabetes screening.
Antepartum (Prenatal) Care: Part 1
June 08, 2018 22:29 - 5 minutes - 4.47 MBIn this session, we will review the ACOG guidelines regarding specific screening tests, monitoring, and interventions during routine prenatal/antepartum care. This is part 1 of the podcast set.
Preconception Care
June 08, 2018 02:15 - 12 minutes - 10.2 MBIn this session, we will review guidelines for pre-conception care based on the ACOG current commentary.
The Obsolete Friedman Curve
June 05, 2018 12:09 - 8 minutes - 6.58 MB1955, Emmanuel Friedman described the labor progress of 500 nulliparous wowen. That curve became the standard for labor management for 60 years. However, in 2014, the ACOG revised the definitions of the active phase of labor and re-defined the second stage of labor. In this session, we will review these labor guidelines.
Mechanism of normal labor: the passenger and the pelvis
June 03, 2018 16:29 - 13 minutes - 9.56 MBIn this session, we will cover specifics of the mechanisms of labor. We will cover details on the fetus (lie, attitude, presentation, and position) and attributes of the maternal pelvis. We will cover the powers of labor (uterine contractions strength and the revised Friedman curve) in another session.
Intimate partner violence
June 02, 2018 23:34 - 6 minutes - 4.92 MBIn this session, we will review intimate partner violence which was presented in the American College of OB/GYN committee opinion #518.
Maternal physiologic respiratory changes in pregnancy
June 02, 2018 15:17 - 6 minutes - 5.57 MBIn this session we will cover the maternal physiological changes which occurr during pregnancy.
HPV!
May 26, 2018 19:26 - 10 minutes - 8.12 MBIn this session, we will review the pathophysiology of human papillomavirus infections. We will also cover HPV immunization, and contrast primary screening for cervical cancer ACOG recommendations with the recommendations of the US preventative services task force.
Sexual Assault
May 25, 2018 16:44 - 17 minutes - 11.9 MBIn this session, we will review the ACOG committee opinion (592) on sexual assault as well as the CDC algorithm for post exposure prophylaxis following sexual assault.
PCOS
May 16, 2018 16:56 - 6 minutes - 4.15 MBIn this session, we will cover polycystic ovarian syndrome. Although the etiology is not clearly understood, there are set diagnostic criteria for PCOS. Management of the condition depends on the patient's desire for immediate fertility as well as consideration of metabolic derangements.
Hyperprolactinemia
May 10, 2018 18:46 - 5 minutes - 3.98 MBHyperprolactinemia may be physiological, pharmacological, or pathological. In this session, we will review possible causes of, and workup for, an elevated prolactin. Information taken from the American Society of Reproductive Medicine.
Primary Amenorrhea
May 08, 2018 17:41 - 5 minutes - 4.02 MBIn this session, we will review the diagnostic algorithm for primary amenorrhea based on the American Society of Reproductive Medicine (ASRM). Primary amenorrhea is much less common than secondary amenorrhea. Primary amenorrhea occurs in less in <1% of adolescent gynecology.
Methods for estimating pregnancy due date.
May 05, 2018 20:31 - 7 minutes - 5.87 MBThis is a brief review of the ACOG committee opinion number 700, Methods for Establishing the Due Date. We will review discrepancies between first, second, and third trimester ultrasound and the last menstrual period.
TXA for Postpartum Hemorrhage
April 30, 2018 19:59 - 2 minutes - 1.9 MBTranexamic acid is ACOG endorsed for the treatment of established postpartum hemorrhage. Postpartum hemorrhage is now defined as greater or equal to 1000mls estimated blood loss regardless of mode of delivery. In this brief session, we will review the dosing regimen for TXA for established PPH.
The "4th Trimester"!
April 28, 2018 16:30 - 8 minutes - 6.97 MBIn this session, we will cover the May 2018 new Committee Opinion from the ACOG on optimizing postpartum care. The postpartum interval, referred to as "the 4th Trimester", can pose unique health challanges to the mother. In an effort to better identify and treat postpartum complications, the ACOG has released new guidelines reviewed here.
Intrahepatic cholestasis of pregnancy
April 25, 2018 02:51 - 9 minutes - 8.7 MBIn this session, we will cover intrahepatic cholestasis of pregnancy. We will cover background, work-up, and management options for this condition.
Common Gallbladder Issues in Pregnancy
April 24, 2018 21:01 - 9 minutes - 6.28 MBIn this session, we will cover cholelithiasis and cholecystitis in pregnancy. Data taken from the society of maternal fetal medicine and the American College of OB/GYN.
Emergent therapy for acute onset, severe hypertension during pregnancy and postpartum interval.
April 18, 2018 17:50 - 9 minutes - 6.22 MBIn this session, we will review the ACOG committee opinion number 692 and the medical protocols for management of acute-onset, severe hypertension during pregnancy and postpartum period.
Hypertension in Pregnancy: ACOG Task Force summary
April 14, 2018 16:30 - 11 minutes - 8.85 MBIn this session, we will highlight the ACOG Task Force Report on Hypertension in Pregnancy.
Maternal Cardiovascular Effects of Pregnancy
April 13, 2018 23:18 - 6 minutes - 4.96 MBIn this session we will cover the vast cardiovascular changes which occur in the maternal compartment during pregnancy.
Pyelonephritis in Pregnancy
April 11, 2018 17:00 - 10 minutes - 8.34 MBPyelonephritis Affects up to 2% of women in pregnancy. Complications can include preterm labor, preterm rupture of membranes, Urosepsis, and ARDS. In this podcast, we will cover the clinical presentation, work up, and management of "Pyelo" in pregnancy. Data taken from the American College of OB/GYN.
Kidney Stones in Pregnancy: Part 2
April 08, 2018 01:55 - 7 minutes - 5.73 MBIn this session, part two, we will cover medical management of renal stones in pregnancy. We will also cover temporary methods of ureter decompression as well as uteroscopic stone removal.
Kidney Stones in Pregnancy: Part 1
April 07, 2018 21:06 - 11 minutes - 9.04 MBNephrolithiasis in pregnancy can be a diagnostic dilemma. However, most patients present with classic flank pain radiating to the groin, with or without nausea, and hematuria. In this session, part 1, we will cover incidence, presentation, diagnostic testing, and expectant management of kidney stones in pregnancy. Part 2 will cover medical management and surgical intervention.
HSV in Pregnancy PART 2
April 05, 2018 22:07 - 11 minutes - 9.49 MBThis is PART 2 of our HSV in pregnancy podcast. We will cover specifics on pregnancy management, both antepartum and intrapartum. Data is taken from the ACOG practice bulletin and data from the society of maternal fetal medicine.
HSV in Pregnancy
April 05, 2018 18:19 - 6 minutes - 5.28 MBHSV in Pregnancy: Part 1. This session will cover the classification, diagnosis, and general principles of vertical transmission of Herpes Simplex Viral infections. Part 2 will cover specific points on pregnancy management.
Hepatitis B in Pregnancy
March 31, 2018 22:11 - 13 minutes - 10.6 MBHepatitis B management in pregnancy has had some changes. The Society for Maternal Fetal Medicine recommends the use of Tenofovir when maternal viral loads are > 6-8 Log 10 copies/ml. C-section is not recommended solely for the prevention of vertical transmission of hepatitis B. All infants delivered to hepatitis B surface antigen positive mothers should receive dual immunoprophylaxis with Hepatitis B vaccine and HBIG within 12 hours of birth. Data from case series 38, SMFM.
Hep C in Pregnancy: PART 2
March 29, 2018 15:00 - 8 minutes - 6.89 MBWe present data from the Society of Maternal Fetal Medicine regarding the medical management, intrapartum, and postpartum care of the hepatitis C virus-positive woman.
Hepatitis C in Pregnancy: Part 1
March 29, 2018 01:52 - 12 minutes - 10.1 MBIn this episode we will cover hepatitis C infection in pregnancy. This is part one of a two-part series based on the Society for Maternal Fetal Medicine's (Consult Series 43) most recent update on hepatitis C management in pregnancy.
Management of suboptimally dated pregnancy
March 25, 2018 22:54 - 8 minutes - 5.73 MBAttempts to minimize risks of prematurity balanced with the risks of a postmature fetus, are central to the management of the poorly dated pregnancy. We will cover the committee opinion 688 from March 2017 from the American College of OB/GYN.
The Kleihauer Betke Test
March 19, 2018 02:17 - 8 minutes - 5.91 MBA quick review on the science, indications, and utilization of the KB test in pregnancy.
Gestational Diabetes Update
March 17, 2018 19:15 - 12 minutes - 8.36 MBA clinical review and synopsis of the practice bulletin from February 2018 from the American College of OB/GYN on gestational diabetes.