MDC 7180 Obstetrics & Gynecology: Important Topics

Abnormal Labor Management
References for the MDC 7180 Clerkship Case.

Objectives:

1. Review common abnormal labor patterns.
2. Discuss maternal and fetal complications of abnormal labor.
3. Provide evidence-based management options for women with prolonged latent phase.
4. Discuss key counseling points for intervention of prolonged latent phase.

References:

Abnormal Uterine Bleeding in Perimenopausal Women
References for the MDC 7180 Clerkship Case.

Objectives:

1. Outline most common etiologies of abnormal uterine bleeding (AUB) in perimenopausal women and contrast this population to younger reproductive-aged women.
2. Describe evaluation methods of AUB.
3. Outline therapeutic options and counseling strategies associated with AUB.

References:

Ectopic Pregnancy
References for the MDC 7180 Clerkship Case.

Objectives:

1. Develop differential diagnosis for bleeding and pain in first trimester.
2. Identify risk factors for ectopic pregnancy.
3. Evaluate patient suspected of having ectopic pregnancy.
4. Briefly review possible management options. (e.g., when is medical management to be considered; what are the types of surgical management and respective success rates; future fertility outcomes; etc.)

References:

HIV in Pregnancy
References for the MDC 7180 Clerkship Case.

Objectives:

1. Review epidemiology of HIV infection in pregnancy.
2. Discuss potential impact on pregnancy outcomes.
3. Outline strategies for antepartum, intrapartum and postpartum care of the HIV-infected woman and the neonate following delivery.

References:

Isoimmunization and it's Management in Pregnancy
References for the MDC 7180 Clerkship Case.

Objectives:

1. Describe the pathophysiology of isoimmunization, including:
   • The role of RBC antigens.
   • The clinical circumstances under which D isoimmunization is likely to occur.
2. Discuss the use of immunoglobulin prophylaxis during pregnancy for the prevention of isoimmunization.
3. Discuss the methods used to identify maternal isoimmunization and the severity of fetal involvement.

References:

Lesbian, Bisexual, and Transgender Patients
References for the MDC 7180 Clerkship Case.

Objectives:

1. Identify health care disparities and barriers to care among lesbian, bisexual and transgender patients.
2. Outline important health issues that lesbian and bisexual women and transgender individuals are at higher risk to develop.

References:

Management of Abnormal Cervical Cytology & Histology
References for the MDC 7180 Clerkship Case.

Objectives:

1. Describe briefly the pathogenesis of cervical cancer and identify risk factors for cervical neoplasia and cancer.
2. Describe the initial management of a patient with an abnormal Pap test.
3. Describe management options (including counseling of risks/benefits) for women with cervical neoplasia.

References:

Management of Preterm Labor / Premature Rupture of Membranes
References for the MDC 7180 Clerkship Case.

Objectives:

1. Describe risk factors for preterm labor.
2. Summarize history, physical findings, and diagnostic methods used to confirm rupture of membranes.
3. Provide evidence-based management options for women of various preterm gestational ages.

References:

Medical Complications in Pregnancy
References for the MDC 7180 Clerkship Case.

Objectives:

1. Recognize medical and surgical complications in pregnant women: cardiac disease, asthma, thyroid disease, anemia, diabetes, and urinary tract disorders.
2. Discuss potential impact of above conditions on pregnant patients and on newborn/fetus.

References:

Obstetric Analgesic and Anesthesia
References for the MDC 7180 Clerkship Case.

Objectives:

1. Explain anesthesia options in pregnancy.
2. Explain indications, side effects, and contraindications to the anesthetic options in pregnancy.
3. Explain effect of anesthetics on fetus and newborn.

References:

Opioid Use in Pregnancy
References for the MDC 7180 Clerkship Case.

Objectives:

1. Explain opioid use in pregnancy.
2. Understand incidence and epidemiology of opioid use in pregnancy.
3. Explain how opioid dependence affects fetal outcomes.
4. Explain treatment options and surveillance in pregnancy of opioid dependent mothers.

References:

Preeclampsia and Eclampsia
References for the MDC 7180 Clerkship Case.

Objectives:

1. Define and classify hypertension in pregnancy.
2. Enumerate the symptoms of preeclampsia-eclampsia syndrome.
3. Summarize the physical findings of the preeclampsia-eclampsia syndrome.

References:

Premenstrual Syndrome and PMDD
References for the MDC 7180 Clerkship Case.

Objectives:

1. Identify criteria for making the diagnosis of PMS and PMDD.
2. Describe treatment options (including complementary and alternative options) for PMS and PMDD.

References:

Spontaneous Abortion
References for the MDC 7180 Clerkship Case.

Objectives:

1. Differentiate the types of spontaneous abortion: threatened, complete, incomplete.
2. Discuss management options an outcomes for each of the above; compare expectant management to medical and surgical therapy.
3. Identify the cause and complications of septic abortion.

References:

The Surgical Abdomen in the Pregnant Woman
References for the MDC 7180 Clerkship Case.

Objectives:

1. Describe signs and symptoms of surgical abdomen in pregnancy.
2. Enumerate most common conditions associated with surgical abdomen in pregnancy.
3. Discuss potential impact of above condition on pregnant patients and on newborn/fetus.

References

Third Trimester Bleeding and Postpartum Hemorrhage
References for the MDC 7180 Clerkship Case.

Objectives:

1. List causes of third trimester and postpartum bleeding.
2. Differentiate the signs and symptoms of third trimester and postpartum bleeding.
3. Describe the initial management of shock secondary to acute blood loss.

References: