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.
Feb 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, t ... Show More
14m 50s
Nov 2017
Before Your First: Cesarean Section
Why? Scheduled: Repeat cesarean, hx of uterine surgery, abnormal placentation (placenta previa, vasa previa, accrete, etc) malpresentation (not cephalic), multiple gestation In labor: arrest of dilation, arrest of descent, nonreassuring fetal heart tones, elective Anatomy: Layers ... Show More
24m 41s
Mar 2024
The bleeding edge, part two
Diagnosing diseases such as endometriosis can require difficult steps, like surgery. But researchers are hoping to use menstrual fluid to make detecting the condition much easier.
For more, go to http://vox.com/unexplainable
It’s a great place to view show transcripts and read mo ... Show More
24m 26s
<p>Dr. Refky Nicola talks with Dr. Wendy VanBuren <span style= "font-family: -apple-system, BlinkMacSystemFont, 'Segoe UI', Roboto, Oxygen, Ubuntu, Cantarell, 'Open Sans', 'Helvetica Neue', sans-serif;"> and Dr.</span> Priyanka Jha <span style= "font-family: -apple-system, BlinkM ... Show More