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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

00:16:29

Fe Deficiency Anemia’s Effects on Pregnancy: A...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/15

With normal pregnancy, blood volume increases, which results in a concomitant hemodilution. Although red blood cell (RBC) mass increases during pregnancy, plasma volume increases more, resulting in a relative anemia. This results in a physiologically lowered hemoglobin (Hb) level, hematocrit (Hct) value, and RBC count, but it has no effect on the mean corpuscular volume (MCV). However, in women who are iron deficient, this problem is exacerbated due to low iron stores affecting the body’s ability to

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00:12:09

Human Sex Trafficking: A Call for Awareness

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/14

The United States, along with Mexico and the Philippines, was ranked one of the world's worst places for human trafficking in 2018. In the US, there is no official number of human trafficking victims, but estimates place it in the hundreds of thousands. From illicit massage parlors, escort services, online pornography, and adult “dating” sites, women make up the majority of sex trafficked victims. In this session, we will review the ACOG committee opinion from September 2019, as well as review data

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00:11:57

😳The G-SPOT😳: Why the CUV Complex Matters!

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/12

Ahhh...Oooh! The elusive G-Spot! First described in the 1950s by gynecologist Ernst Grafenberg, the “G-Spot” has been a “hot topic“ in sexual wellness circles. But does this exist? Is there a real “magic button“ for intense, female pleasure? New understandings of the relationship between the clitoris and anterior vaginal wall has resulted in a better name for this SPOT: The “Clitoral Urethral Vagina Complex" or "CUV." Let’s talk about that...now. {IMAGE/DIAGRAM on our Facebook page.}

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00:11:19

Immediate PostPartum LARCS: ACOG and SMFM Review.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/10

Approximately 45% of pregnancies in the United States are unintended. Similarly, 70% of pregnancies that occur within 1 year of delivery are also unplanned. Interpregnancy interval shorter than 6 months are associated with increased risk of perinatal complications. In this session, we will review the stance from the ACOG and the SMFM regarding immediate postpartum LARC initiation. What is the difference between “immediate” placement and “early postpartum“ placement? Are there any risks? We will

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00:09:52

Omega-3s and Preterm Birth Prevention? A Data Review.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/07

Preterm birth is now the 2nd leading cause of death in children under 5 years worldwide and accounts for half of all newborn deaths, according to the March of Dimes and the World Health Organization (WHO). Besides progesterone, does DHA have a role in reducing preterm birth risk? In this session, we will summarize recent data regarding “fish oil” supplements and preterm birth risk. We will also describe a new proposed “DHA maternal blood test” which may help identify women who would benefit the most

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00:12:22

OVFTP Cancer Treatment: FIGO’s 2018 Summary

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/05

In our previous episode, we covered the revised FIGO ovarian cancer staging which now includes fallopian tube and peritoneal malignancies. In this episode, we will cover the FIGO guidelines regarding the management of OVFTP cancer. What role do PARP inhibitors play? Does treatment for asymptotic recurrence based on CA125 help? Can tamoxifen be used in recurrent malignancy? Let’s find out… Now.

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00:15:58

Staging for OVFTP malignancies: FIGO’s Revised...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/03

The lifetime risk of a woman in the USA developing ovarian cancer is approximately 1 in 70. Malignant tumors of the ovaries occur at all ages with variation in histologic subtype by age. For example, in women younger than 20 years of age, germ cell tumors predominate, while borderline tumors typically occur in women in their 30s and 40s—10 or more years younger than in women with invasive epithelial ovarian cancers, which mostly occur after the age of 50. About 23% of gyn cancers are ovarian, but

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00:16:33

Endometrial CA (Part2): Adjuvant Therapy

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/10/01

In this session, we will review adjuvant therapy for endometrial carcinoma. What is the role of radiation therapy? What about chemotherapy? Is progestin therapy advised? We will end the podcast with a quick review of one of the most dreaded pathological findings: endometrial cancer AFTER hysterectomy was performed for presumed benign disease.

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00:13:18

Endometrial CA: (Part1) FIGO 2018 Update

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/30

Endometrial carcinoma is the most common type of all the gynecological malignancies. The most common symptom is abnormal vaginal bleeding, especially in postmenopausal women. In 2018, the FIGO released it’s updated report on endometrial carcinoma. In the session, we will review the pathophysiology, local invasion, work up, and surgical staging of this malignancy. We will leave therapeutic options for the 2nd part of this 2 part series.

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00:13:39

Cervical CA (Part 2):Management, 2018 FIGO Guidelines

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/28

In this Part 2, we will review the pathological reports which may influence cervical cancer clinical staging. We will also summarize the 2018 FIGO treatment guidelines. In brief: For stage 1A1-1B1: surgery is recommended; Stage 1B2-IIA1: surgery or radiation may be used; Stage 1B3-IVA: concurrent chemoradiation is standard; Stage IVA may need an exenteration; and Stage IVA is managed with chemoradiation.

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00:16:54

Cervical CA 2018 FIGO Update (Part1): Revised Staging...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/27

Recent developments in imaging and increased use of minimally invasive surgery have changed the paradigm for diagnosis and management of cervical cancer. The FIGO Gynecologic Oncology Committee, in 2018, revised the Cervical Ca staging system based on these advances. Imaging evaluation may now be used in addition to clinical examination where resources permit. The revised staging permits the use of any of the imaging modalities according to available resources, i.e. ultrasound, CT, MRI,

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00:13:17

Over-the-Counter Birth Control? A summary of ACOG’s...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/26

While offering OTC birth control may be controversial here in the U.S., it is a non-issue in many other countries. China, India, Greece, Turkey, Mexico, Brail, Portugal, South Africa, Korea and Russia are a few of the countries where women can get birth control pills without a prescription. Is that safe? What about the risk of VTE? Should there be an age restriction? In this episode, we will highlight the October 2019 ACOG committee opinion (788) on over-the-counter access to hormonal

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00:16:28

💉💉Flu Vaccine 101! 💉💉💉

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/25

We all recommend it! The influenza vaccine. However, when asked specific questions about the vaccination, a fair number of healthcare providers will not know the answers. Is personal egg-allergy a contraindication? Can everybody receive the intranasal vaccine? What about pregnant women? In this podcast, we will cover the Advisory Committee on Immunization Practice (ACIP) guidelines for vaccination for the 2019- 2020 influenza season.

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00:13:35

PreEclampsia Symptoms: Reliable or Not?

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/23

Eclampsia is a life-threatening pregnancy complication, defined as the new onset of seizures during pregnancy with a concomitant diagnosis of preeclampsia. Clinicians often ask patients with suspected preeclampsia about headaches, visual changes, or epigastric pain. Are the symptoms predictive of eclampsia? In this session, we will review the soon to be published (systematic review) evaluating the current literature regarding signs and symptoms that occurred before the onset of eclampsia and

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00:13:28

Do Negative Pressure Wound Systems Prevent Wound...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/21

The prevalence of obesity is at an all-time high in the United States, and the obesity rate among women is 40%, with 9.8% of women having class III obesity (BMI 40 or higher). As a result, obesity is a frequent and severe comorbidity of pregnancy. Whether or not incisional negative pressure wound therapy reduces wound morbidity is an important question for obstetricians and patients. In this podcast, we will summarize the key findings from a soon to be released RCT from my Alma Mater, UT

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00:07:28

Why are SCRUBS/O.R. Gowns Green (or Blue)? A...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/20

Are green scrubs just a fashion statement? What’s behind the choice of green (or sometimes blue) scrubs? Well, there actually is some science to that… In addition to just interesting history. Let’s take a look at that, now.

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00:15:28

Breast CA Medical Risk Reduction: USPSTF Sept 2019...

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/18

In Sept 2019, the USPTF revised and updated its 2013 recommendations on medications for risk reduction of primary breast cancer. Who qualifies for medical strategies? Which meds are recommended? In this session we will highlight the new USPSTF Guidelines, review the use of Prediction Models, and compare Tamoxifen, Raloxifene, and Aromatase Inhibitors.

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00:16:35

“Backdoor” Activity? Ask,Screen,Treat: Nongenital STIs.

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/16

Once taboo, anal sex has slowly been slipping into the mainstream. A recent study found that 37% of women reported having anal sex with the opposite sex in their lifetime, and over 60% reported providing oral sex. However, the CDC does not specifically mention routine screening of extragenital sites for STIs. In this podcast, we will review the most up-to-date data on extragenital infection and make the case for “routine“ screening of extragenital STIs.

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00:16:51

IC/Painful Bladder Syndrome (Part2): Treatment options

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/15

Treatment strategies for IC should proceed using more conservative therapies first with less conservative therapies employed if symptom control is inadequate for acceptable quality of life. Multiple, concurrent treatments may be considered if it is in the best interests of the patient. In this session, we will review the AUA clinical guidelines regarding management of IC with a review of the 1st-line to 6th-line treatment recommendations.

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00:16:56

IC/Painful Bladder Syndrome: New AUA Guidelines

Dr. Chapa’s OBGYN Clinical Pearls ·

2019/09/14

The effects of IC/BPS on psychosocial functioning and QoL are pervasive, damaging work life, psychological well-being, personal relationships and general health. There’s been a lot of new data regarding this condition and some historic information has been deleted. For example, potassium installation into the bladder is no longer recommended. That diagnostic test, occasionally still found in some gynecological texts, can cause exquisite pain if the bladder is acutely inflamed. Therefore, this is no

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1,102 results

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