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PODCAST

Dr. Chapa’s OBGYN Clinical Pearls

Dr. Chapa’s Clinical Pearls

Relevant, 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.

science

All Episodes

00:09:23

New Labor Guidelines for PUI/COVID-19 (SMFM/SOAP)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/04/02

The SMFM has just released new labor guidelines for SARS-CoV2 patients under investigation/confirmed COVID-19. This new practice guideline addresses oxygen use for fetal decelerations, amniotomy, labor epidural, HCW protection during 2nd stage of labor, as well as antenatal corticosteroids and magnesium sulfate. We will review these points in this session.

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00:08:01

Dark Medical Humor: Friend or Foe?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/30

COVID-19 MEMEs are plentiful across social media platforms. Cynical medical humor has been around for decades. This phenomenon was made public in the late 1970s with a book called, “The House of God“. What does the literature say about the pros/cons of dark medical humor? Is this helpful or detrimental? And, what does dark humor have to do with “mind medicine”? We will dive into these questions in this session!

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00:10:26

Phenylalanine Hydroxylase Deficiency in Reproductive...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/29

Phenylketonuria is better known as Phenylalanine Hydroxylase Deficiency (PAH-D). This genetic condition can have significant implications for the reproductive age woman including adverse pregnancy outcomes and congenital fetal malformations. In April 2020, the ACOG will release a new committee opinion (802) on the management of women with PAH-D. What Maternal serum levels are optimal to prevent adverse obstetrical outcomes? Do these pregnancies require specific fetal evaluation? What are the other

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00:13:48

Adolescent Confidentiality in ObGyn (ACOG April 2020)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/27

In April 2020, the ACOG will release a new committee opinion (803) on adolescent confidentiality and ObGyn. What is the difference between a “mature minor” and an “emancipated” minor? Can minors receive contraception without parental consent? What about emergency care? In this podcast we will highlight (and expand upon) very important points made in this new committee opinion. We will also address potential breaches of adolescent confidentiality due to the use of electronic health records.

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00:08:13

The Neurochemistry of Gratitude.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/26

It doesn’t matter who you are, what your title/position is, or how physically strong you are, times of social distancing and quarantine can take a mental toll on everyone. Nonetheless, we have a non-prescription, powerful anti-depressant at our disposable. Medical science has proven that the act of gratitude can physically affect not only our mindset, but can physically alter our brain, and impact our overall health as well. In this podcast, will take a look at the data.

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00:05:13

AHA CPR Recs in COVID-19 Patients.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/24

The AHA has just released interim guidance for healthcare providers performing CPR on suspected or known COVID-19 patients. This guidance include the restriction on procedures that can generate aerosols (bag-valve masks, nebulizers, non-invasive positive pressure ventilation). This guidance is divided into pre-hospital/transport care, and hospital care. In this podcast we will summarize the AHA guidance adopted from the CDC.

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00:13:57

Telemedicine OB Care: It Has Arrived.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/22

This current global viral pandemic has shed light on the value of telemedicine. The ACOG endorses the use of telemedicine for pregnancy care as a way to “enhance“ prenatal/antepartum services. In this podcast we will review an effective model for prenatal telemedicine services, review its implementation, and discuss barriers to use.

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00:09:37

MIND MEDICINE: The Power of the Will.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/20

March 20, 2020: Currently, we are in desperate need of some encouraging news. Social distancing, times of quarantine, and a viral pandemic can easily overwhelm the strongest of individuals. So, this is our inaugural podcast for MIND MEDICINE. In this episode we will cover 2 incredible stories of 2 physicians who overcame incredible odds by the power of their will to survive: Dr. Leo Rogozov and Dr. Viktor Frankl. Let the true accounts of these two remarkable individuals inspire you, encourage you,

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00:01:15

Personal Note to Our Listeners.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/18

Stay encouraged, focused, and passionate.

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00:09:30

Universal HCV Screening (Obstet Gynecol EPub).

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/16

Even though we have covered this topic in a prior podcast, the urgent need for Hepatitis C screening in pregnant women still leads the medical literature. In the journal Obstetrics and Gynecology, a new current commentary will soon be released titled, “A call to action: the urgent need for hepatitis C screening in pregnant women“. In this podcast, we will summarize the key aspects of this current commentary, proving that despite the ACOG recommendation of using a risk-based model, that ACOG

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00:08:06

Soft Markers of Aneuploidy: Part 2

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/12

Welcome back! In this session, we will cover the echogenic cardiac focus, short humerus and femur length, fetal pyelectasis, and single umbilical artery!

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00:16:02

Soft Markers of Aneuploidy: Management Part 1...

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/11

In this session, Part 1, we will review soft markers of aneuploidy and their management. Soft markers of aneuploidy can be isolated or multiple. They can be associated with chromosomal, genetic, infectious causes, or they can be normal variants. In this session we will cover: ventriculomegaly, choroid plexus cysts, absent/hypoplastic nasal bone, nuchal folds, and echogenic bowel. Data for this podcast comes from SMFM and AIUM.

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00:11:02

Can aspirin reduce preterm birth?

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/09

In the ACOG committee opinion (743) on low-dose aspirin in pregnancy, the College states that more data is necessary before low-dose aspirin can be recommended for the prevention of spontaneous preterm birth. However, that was in 2018. Data since then (including data from January 2020 from the NIH) is supportive of aspirin use for the prevention of preterm birth. What does this data look like? In this episode we will review the possible indication of low-dose aspirin for the prevention of

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00:09:14

VR Tech for Labor Pain Control

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/03/07

Virtual reality is well-established in the gaming community, but data is expanding regarding its utility and effectiveness for a variety of medical conditions. In February 2020, at the annual meeting of SMFM, researchers released their findings on a randomized controlled trial using VR headsets for labor pain. In this podcast we will briefly review VR technology and its application for medical pain conditions including labor. (NOTE: No financial disclosures or other commercial interests in any VR

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00:08:19

Air Travel, Viruses, and Pregnancy.

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/28

Worried about airline travel amid global health concerns? Well, you’re not alone. What does the CDC say about airline infectious disease precautions? And what about air travel during pregnancy in general? In this podcast, we will review the CDC recommendations regarding viral precautions and highlight some key points from the ACOG committee opinion, 746, regarding air travel in pregnancy.

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00:10:35

Vulvodynia

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/25

Vulvar pain (vulvodynia) is subdivided into generalized or local. The symptoms can either be spontaneous or provoked. Vulvodynia can result in painful intercourse, and affect other quality-of-life measures. In this session we will review the diagnosis, subcategories, and management of vulvodynia.

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00:13:32

PROM March 2020 Update!

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/23

Pre-labor rupture of membranes should be diagnosed based on clinical assessment. In March 2020, the ACOG will release a new practice bulletin (217) on PROM. This bulletin highlights the potential hazards of over reliance on lab tests for the diagnosis, and offers a new management option for PROM in the late preterm interval. Are steroids contraindicated in the presence of suspected intraamniotic infection? We will take a look at the data in this session.

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00:18:51

Chronic Pelvic Pain (ACOG PB 218)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/21

Chronic pelvic pain has been redefined by the ACOG and includes a broader range of etiologies. There are 3 main categories of potential etiologies for chronic pelvic pain. In this episode, we will review the March 2020 practice bulletin ( 218) on the subject. What is the Carnett test? Do trigger point injections work? What is the role of SNRI medications in treating chronic pelvic pain? What about lysis of adhesions? We will address these questions and more in this episode!

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00:11:15

Cannabis Induced Hyperemesis

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/11

Cannabinoid Hyperemesis Syndrome: Although widely recognized in the gastroenterology and psychiatry literature, its occurrence in pregnancy is well known. The pathophysiology of this condition is not well known but potential MOAs have been published. How does this present? And what do “hot baths“/“hot showers“ have to do with his condition? In this podcast we will review this interesting and intriguing condition specifically as it relates to pregnancy.

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00:14:17

ORAL SEX! (and HPV)

Dr. Chapa’s OBGYN Clinical Pearls ·

2020/02/05

In 2013, actor Michael Douglas blamed frequent oral sex with his wife as a cause of his throat cancer. In the 17 years from 1999 through 2015, the mouth and throat replaced the cervix as the most common site of cancer associated with human papillomavirus (HPV) infection in the United States. What is a data show about vaginal to oral HPV transmission, and even oral to oral transmission? Does Gardasil have a role in prevention here as well? In this podcast, we were review published data on oral HPV

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1,102 results

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