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EM Clerkship

NBME Shelf Review (Part 11) – OBGYN

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 9 December 2018

⏱️ 12 minutes

🧾️ Download transcript

Summary

Think A-B-C-P (Airway, Breathing, Circulation, Pregnancy Test) in ALL Women of Child-Bearing Age! It changes the differential diagnosis It changes the medications you can give It changes the tests you can order Vaginal Bleeding Pearls Non-pregnant vaginal bleeding Order a pelvic ultrasound (for structural causes) Order a CBC and coagulation panel (for anemia and coagulopathy) […]

Transcript

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0:00.0

Hello, med students. This episode has been sponsored by Freed AI. Do you dread the thought of

0:07.1

endless charting once you become a doctor? Do you think that doctors should be spending more

0:11.9

time with our patients and less time mindlessly writing notes? Freed AI is the product for you. It is a

0:20.4

secure, hippocompliant scribe that anybody can use.

0:24.7

Focus your energy on what matters, providing good patient care.

0:29.5

Use coupon code EM50 to save 50% the first month you try it,

0:34.1

and you can cancel at any time if you decide it's not right for you. You can learn more

0:38.9

at www.gitfreed.aI. Hey guys, what's going on? This is Mike Estefan from the University of Rochester

0:50.4

School of Medicine, bringing you episode 11 in the emergency medicine shelf exam review

0:56.1

series. In this week's episode, we're going to be covering a couple topics from Obie Gein that

1:01.4

will be high yield for your shelf exam. Now, just a disclaimer, this is not meant to be an end-all

1:08.1

be-all resource for Obi-Gine. Okay, this is meant to help you guys score

1:12.6

a couple more points on your shelf exam. With that being said, let's get started by talking about

1:17.8

how I generally approach these questions. For any question involving a pre-menopausal woman,

1:24.2

you must start out with your ABCPs. A for airway, B for breathing, C for circulation,

1:32.5

and P for pregnancy test. Every premenapausal woman needs a pregnancy test. Even if they're not

1:40.1

presenting with an abdominal or a pelvic complaint, they still need a pregnancy test. This is because,

1:46.6

obviously, it'll affect what type of imaging you can order and which type of medications you can give.

1:52.8

So if the vignette gives you a premenopausal female and does not give you the result of a urine

1:58.2

pregnancy test, boom, you're done. The answer is urine pregnancy

2:02.2

test. That is, assuming her ABCs are fine. Now, the biggest topic for this shelf exam in the realm

2:09.1

of OB-Gyne is going to be vaginal bleeding. You can break this up into three separate categories.

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