Dr. Chapa’s Clinical Pearls.

In Part 1, we covered the basics of OB ultrasound. In this session, a short additional piece, we answer a few additional questions regarding ultrasound use in pregnancy. Data taken from the ACOG/AIUM practice bulletin 175

Ultrasound is the most common procedure performed during pregnancy. The ACOG recognizes three types of ultrasound: standard, limited, and specialized. In this session, we will review methods to date a pregnancy, determine fetal weight, discuss ultrasound use for genetic screening, and end with a quick recap of ultrasound use in multifetal gestations.

Unrecognized or misdiagnosed PID may result in infertility, tubal pregnancy, and chronic pelvic pain. In this session, we will review the CDC guidelines for diagnosis and treatment of PID (2015 updated guidelines).

In this session, we will review thromboembolism in pregnancy based on the July 2018 ACOG Practice Bulletin. We will cover DVT and PE presentation, work up, and management. Delivery considerations will also be reviewed.

In this session, we will review chancroid, a genital STI caused by H. Ducreyi. This bacterium causes ulcers presenting as painful sores (soft chancre) on the genitalia. We will cover presentation, diagnosis, and treatment. We will also review the differences between the genital ulcers of syphilis, LGV, and granuloma inguinale.

In this session, we will discuss the clinical stages of syphilis, diagnosis, treatments, and pregnancy considerations.

In this session, we will cover the microbiology and the pathophysiological processes of gonococcal infections. Screening, treatment, and prevention of neonatal infection will also be reviewed. Data is taken from the ACOG bulletin as well as the practice guidelines from the CDC.

Chlamydia 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.

In this short session, we will cover recommended delivery times for women with chronic hypertension as well as breast-feeding on antihypertensive medications.

Chronic 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.