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The BRCA Mutation Carrier
BRCA1 & BRCA2 are tumor suppressor genes; mutations in either are transmitted in an autosomal dominant pattern. Loss of both copies of either BRCA1 o…
6 years, 3 months ago
Bartholin’s Abscess: Management Review.
Once considered pathognomonic for gonorrhea or chlamydia, Bartholin’s gland abscesses are now recognized to be polymicrobial. Is I&D alone 1st line t…
6 years, 3 months ago
The 2-Vessel Umbilical Cord: Management Review
There are 4 types of single umbilical artery (SUA), based on pathogenesis. The incidence of SUA is up to 1% of all singleton fetuses, and up to 4.6% …
6 years, 3 months ago
Understanding METH: MOA, Pregnancy Effects, and FALSE POSITIVE Tests.
Methamphetamine and amphetamine use has greatly increased all throughout the United States. While similar to cocaine, it’s mechanism of action is qui…
6 years, 3 months ago
Cosmetic Genital Surgery: ACOG Jan 2020 Update
Interest in, and performance of, female cosmetic genital surgery increased 50% from 2014 to 2018. As close to 80% of US females have some degree of p…
6 years, 3 months ago
Understanding Factor V Leiden Mutations in Pregnancy
Pregnancy-related venous thromboembolism is the most common cause of maternal death and a significant cause of maternal morbidity. The factor V Leide…
6 years, 3 months ago
Adolescent 1st Gyn Visit: Confidentiality & More (ACOG review)
The initial gynecological visit for an early teen/adolescent is crucial in establishing patient trust, education of gynecological health, and establi…
6 years, 3 months ago
Understanding Microdeletions in OB Genetics
Commercial laboratories offering cell free DNA for fetal prenatal screening are offering microdeletion testing. Is this valid? Microdeletions are var…
6 years, 3 months ago
Pregnancy Spacing After Stillbirth: 2019 Data
The “ideal“ interpregnancy interval depends on the outcome of the immediate, prior pregnancy. For example, the recommended interpregnancy interval fo…
6 years, 3 months ago
“Informed Refusal” of a Recommended C-section: An Ethical Review.
You find that there is a medical indication for a cesarean birth- yet the patient refuses! What are your next steps? Should you seek a court order to…
6 years, 4 months ago