Obstetrics & Gynecology blog
Clinical teaching and practical ideas for your next study session.
ICP Bile Acid Trends: What a Rising Result After UDCA Means
When itching and serial bile-acid results diverge, separate symptom response from the lab trend, standardize sampling, and interpret results after UDCA with the assay in mind.
Frozen Pelvis in Endometriosis: Fibrosis vs Nerve Pain
For an endometriosis MCQ pairing severe pain with a frozen pelvis, distinguish the fibrosis that fixes anatomy from nerve growth that can amplify tenderness.
Fibrinogen in Postpartum Hemorrhage: When <2 g/L Changes the Plan
In postpartum hemorrhage, fibrinogen below 2 g/L supports targeted replacement. MTP packs vary, so distinguish protocol-directed empiric support from routine dosing for everyone—and manage the bleeding source in parallel.
Pregnancy Trauma SAQs: Build a Defensible Four-Point Plan
The strongest pregnancy-trauma short answer is not a fixed checklist. Learn to name immediate actions while marking which choices depend on gestational age, injury findings, and Rh status.
Hepatitis B After Sexual Assault: When Is HBIG Needed?
An uncertain vaccine history does not automatically mean HBIG. Use the survivor’s documented vaccine status and the assailant’s HBsAg status as separate decision points to choose vaccination, HBIG, or both.
Appendectomy at 22 Weeks: Make Fetal Monitoring Actionable
At 22 weeks, the obstetric task around urgent appendectomy is not blanket monitoring or prophylactic tocolysis. Build a periviable plan that makes surveillance actionable and responds to actual labor.
When a 14-Year-Old Refuses a Pelvic Exam: Assent and Parental Permission
When a 14-year-old declines a pelvic exam, parental permission is only one part of the decision. Learn how to weigh assent, legal authority, clinical necessity, and urgency—without treating a routine intimate exam as an automatic override.
High-Risk Pulmonary Embolism in Pregnancy: Choose Reperfusion by Hemodynamics
A focused board-revision guide to distinguishing anticoagulation from reperfusion in pregnancy-associated PE—and to knowing what thrombolysis, embolectomy, and an IVC filter actually do.
Pregnancy and RLQ Pain: When a Nonvisualized Appendix Is Nondiagnostic
Why a nonvisualized appendix on ultrasound is not a negative test—and how MRI, reassessment, and selective CT guide the next step in pregnancy.
Repaired Tetralogy of Fallot in Labor: Plan Around RV Dysfunction
A repaired Tetralogy of Fallot does not automatically call for cesarean or forceps. Learn how residual pulmonary regurgitation and right-ventricular function shape labor analgesia, the second stage, and postpartum monitoring.
Acute Uterine Bleeding: Why Hb 7.2 Can Support Admission
In a nonpregnant acute uterine bleeding stem, use Hb 7.2 g/dL with tachycardia to practise a specific board distinction: why a near-threshold value may support monitored assessment without proving a transfusion threshold was crossed.
Lidocaine for Office I&D: Why the Dose Ceiling Isn’t a Guarantee
For a normal, healthy 60-kg adult receiving plain 1% lidocaine, calculate the maximum recommended dose as 270 mg, or 27 mL. Learn why that ceiling is not a safety guarantee—and how cumulative exposure, injection technique, monitoring, and early toxicity signs matter.