19 episodes

Email podcast@pimpedmed.com 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!

Pimped: Ob/Gyn Jennifer Doorey, MD, MS

    • Science

Email podcast@pimpedmed.com 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!

    Cancer Screening and Vaccinations (HCM)

    Cancer 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 )
    Breast: ACOG: 40-75 annual mammogram
    Colon: Colonoscopy, FOBT, FIT. Begin at age 50. If first degree relative with colon cancer begin screening at age 40 or 10yrs prior to youngest diagnosis, whichever is younger.
    Lung: 55-80 with 30pack-year hx, annual low-dose CT

    Vaccinations

    HPV: 3 dose series age 12-26
    Influenza: annual
    Pneumovax: 1 dose and 1 booster any age if risk factors. After age 65 if no risk factors
    Shingles: 2 dose age 50+
    Hep B: initial vaccination in youth, vaccination for anyone non-immune
    MMR: if not immune
    Varicella: if not immune
    Tdap: Booster at 10yrs, new parents

    • 12 min
    STIs

    STIs

    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: frothy/watery discharge. “Strawberry cervix” Can see trich moving on wet mount. Treat Flagyl 2g PO once.
    HPV: Cervical dysplasia/cancer and Genital warts. Topical treatments as needed.

    Serum

    Syphilis: Painless chancre followed by latent, then secondary with palmar/plantar rash. If unsure stage, treat as if latent, PCN IM x3
    HIV: Universal screening. PREP if high risk. Referral to ID and counseling if positive.
    Hep B: Treatable, not curable. Routine serum screening.

    No Routine Screening, diagnose if lesion

    HSV: Antivirals as needed for outbreaks, can prophylax if frequent outbreaks/immunosuppressed. Valacyclovir or acyclovir are most common.

    • 13 min
    Before Your First: Colposcopy and LEEP

    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.
    Lugols: Iodine rich-reacts with glycogen in normal squamous cells so they appear dark.  Non-staining cells are abnormal.
     
    HPV — changes
    Colpo:
    Increased vascularity, punctations, mosaicism, surface contour changes
     
    LEEP:
    Stain abnormality and know where abnormal biopsy was taken
    Single pass is ideal–tag a side for orientation
    +/- Top Hat depending on ECC result
     
    CKC:
    Higher up in cervical canal, but more complications
    No electricity– okay if pregnant

    • 14 min
    Return OB Visits

    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, discuss TOLAC if needed
    36wks – GBS screening, birth expectations, US for position
    38-40wks – VE, “sweep membranes”

     

    • 12 min
    First Prenatal Visit

    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 dairy, large fish (swordfish, shark, king mackerel, tilefish, bigeye tuna etc), uncooked meat/seafood, uncooked deli meat, EtOH
    Drugs: Nothing unless cleared by MD. Tylenol okay if needed, PNV, Colace, FeSO4. NO NSAIDs!
    Exercise: Nothing that could leave a bruise on your belly! Moderate exercise is great.

    • 17 min
    Before Your First: Hysteroscopy

    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.

    • 10 min

Customer Reviews

Kgrome ,

PA Student Fan!

Currently in my OBGYN rotation at PA school and this podcast has been so incredibly helpful. She definitely makes things easy to understand, gives you questions you may be asked, and is overall fun to listen to. Episodes aren’t too long and easy to listen to on the way to clinical. Thank you!

Smeenu ,

Amazing!

Thank you so much, Dr. Doorey, for this very informative podcast! I am currently on my Ob/Gyn rotation and this podcast along with all of the resources that you have recommended to us have been extremely helpful during surgeries, triage, labor and delivery, and more. I have been listening to all the episodes over and over again to cement my knowledge for the shelf exam and I could not be more grateful to you. Thanks for being such a great teacher and taking the time to make this amazing podcast!

laurenalexaw ,

Thanks for the great resource!

I found this for my 1 hour commute to my Ob rotation, and the first day I was pimped on hyponatremia and fluid balance during a hysteroscopy. This has been a great resource for me especially since I can listen to and from my rotations. I’ve recommended it to classmates!

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