Dr. Chapa’s OBGYN Clinical Pearls

Latest Episodes:

Epithelial Ovarian Cancer Aug 02, 2018

Show notes

Ovarian cancer is the most deadly of all gynecological malignancies. Most cases present an advanced stage. Epithelial ovarian cancer is the most common histological class at diagnosis. In this session, we will cover the SGO data on presentation, staging, and treatment of epithelial ovarian malignancies. Avastin and PARP therapy will also be reviewed.

Follow us on Facebook Aug 01, 2018

Show notes

Howdy! Thanks for following our podcast. Be sure to find us, and follow us, on our Facebook page by the same name. Typically, additional information and data is posted on the Facebook feed which serves as a supplement to the podcast. Thanks for listening…

Cervical Cancer Jul 31, 2018

Show notes

Persistence of high-grade oncogenic HPV is the key risk factor for the development of cervical carcinoma. In this session, we will review the pathophysiology, clinical staging, and treatment regimens for cervical carcinoma. Additionally, we will review the 2014 approved medication (Avastin) for the treatment of advanced, metastatic, recurrent cervical cancer. (Data taken from the Society of Gynecologic Oncology and the American Cancer Society.

Endometrial Cancer Jul 28, 2018

Show notes

Endometrial carcinoma is the most commonly diagnosed gynecologic malignancy. The SGO and the ACOG released a practice bulletin in 2015 which is the most recent bulletin on the subject (149). In this podcast we will review the classification, symptoms, work up, and surgical management of endometrial adenocarcinoma.

Endometrial Intraepithelial Neoplasia Jul 28, 2018

Show notes

EIN Represents a true antecedent lesion in the endometrial cavity with the potential to develop into endometrial adenocarcinoma. This podcast will review the joint committee opinion released by the SGO and the ACOG (#631) covering pre-malignant endometrial pathology.

Emergency Contraception Jul 24, 2018

Show notes

In this session, we will cover emergency contraception: levonorgestrel, Ullipristal, and the copper IUD. Data for this podcast comes from the ACOG practice bulletin 152.

MRI use in Pregnancy: Is Gadolinium a Concern? Jul 23, 2018

Show notes

MRI offers some advantages over ultrasound as a diagnostic tool in pregnancy. In this session, we were review the ACOG committee opinion on MRI use in pregnancy with a focus on gadolinium contrast agent.

Ultrasound in Pregnancy PART2 Jul 22, 2018

Show notes

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 in Pregnancy Jul 22, 2018

Show notes

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.

Pelvic Inflammatory Disease (PID) Jul 20, 2018

Show notes

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).

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