Medical Education
Clinical teaching and practical ideas for your next study session.
When a Parent Asks “Did I Cause the Stillbirth?”: Separate Blame From Causation
A parent’s self-blame deserves an answer before the stillbirth evaluation is complete. Learn to offer honest reassurance, explain placental and cord findings without overcalling cause, and make follow-up and bereavement support dependable.
OHSS Hospitalization: Why Hypotension and Hemoconcentration Matter More Than Ovarian Size
The admission decision in ovarian hyperstimulation syndrome is driven less by ovarian diameter than by effective circulating volume, organ function, symptom control, and the safety of outpatient monitoring. Learn why hypotension, tachycardia, hemoconcentration, oliguria, and respiratory compromise change disposition.
Raloxifene for Osteopenia: Why “Estrogen-Like in Bone” Does Not Mean Menopause Treatment
A T-score of -1.8 is osteopenia, not an automatic indication for medication. Learn why raloxifene preserves bone and reduces vertebral fracture risk without providing hot-flash relief or causing clinically important endometrial stimulation—and how that should guide patient selection.
Emergency Contraception by the Clock: How Ovulation Timing Chooses LNG, UPA, or the Copper IUD
Emergency contraception is not one mechanism in three interchangeable options. The decisive board-level question is how close the patient is to ovulation—and whether an oral method can still delay it or the patient needs a method that acts independently of ovarian suppression.
When Thrombocytopenia and Hemolysis Are Not HELLP: Distinguishing TTP, aHUS, and Severe Preeclampsia in Pregnancy
A practical, mechanism-based approach to pregnancy-associated thrombotic microangiopathy, with emphasis on ADAMTS13, renal injury, delivery response, and urgent management.