DailyDx


DailyDx: Fetus Presenting with Cardiomegaly
Muktachand L. Rokade, MM DNB , May 15, 2012

What is your diagnosis of this 36 week old fetus with cardiomegaly?


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by World Class CME
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by Fundacio Dexeus Salud de la Mujer
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by International Osteoporosis Foundation
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by National University Hospital (NUH)

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LatestFeatures


ACOG: Percutaneous Drainage Is Safe For Pregnant Appendicitis Patients With Abcess
Mary Harpin , May 15, 2012

Percutaneous image-guided drainage does not significantly increase mortality, fetal demise, or care expenses in the pregnant patient.

Poll: Do you Offer Women who are Between 37 and 41 Weeks Gestation the Option of Inducing Labor?
May 15, 2012

A recent article published in the BMJ compared elective induction with expectant management.

DailyDx: Fetus Presenting with Cardiomegaly
Muktachand L. Rokade, MM DNB , May 15, 2012

What is your diagnosis of this 36 week old fetus with cardiomegaly?

ACOG: Similar VTE Risk with Vaginal Ring and Combined Oral Contraceptive
Becky Ellis, Executive Editor, ObGyn.net , May 14, 2012

When used under routine conditions, vaginal ring and combined oral contraceptives have similar venous thrombolism risks, according to a prospective, controlled, non-interventional cohort study.

ACOG: Region Should Factor Into Chlamydia Screening Guidelines For Women Over Age 25
Becky Ellis, Executive Editor, ObGyn.net , May 14, 2012

Women over the age of 25 may still need to be screened for Chlamydia trachomatis (CT) according to research released at the American Congress of Obstetricians and Gynecologists’ (ACOG) Annual Clinical Meeting.

MedicalProfessionalForum

OBGYN.net -
THANKS. As usual you have information with excellent science. As I think we all know the ASCCP guidelines are great for first line and are great for the NPs and FPs doing colpos. The question posed is for those cases that then get referred to the ObGyns. THANKS again Joanne Joanne Bulley, MD, FACOG Keene, NH
OBGYN.net -
This is a multipart message in MIME format. =_alternative 0004BE5888257A00 When the colpo is negative (no AWE or vascular changes), do You routinely check random biopsies, along with the ECC? Anticipating the answer is yes, and Path returns negative for SIL, keep in mind that most CIN2-3 originated in Patients with persistent HPV of 5-10 years duration. Integration of the (formerly) episomal DNA into the host genome takes time (some will
OBGYN.net -
I'm wondering if the study distinguished between primigravidas and multips. There have been numerous studies which have shown that elective inductions of nullips at term results in a very substantial increase in the incidence of CS.
OBGYN.net -
I see quite a lot of patients with ASCUS, HPV DNA (+) in whom colposcopy is negative, but who continue to come back with the same cytology. For a number of years, I'd repeat the colposcopy only to continue to have the same result. Now, I have stopped doing a second colposcopy unless the cytology is consistent with high grade disease. I have found no reason to return to the very
OBGYN.net -
Fibroid Tumors Triggered By A Single Stem Cell Mutation http://www.medicalnewstoday.com/releases/245058.php Yours Sincerely; Professor Galal Lotfi, MD, MRCOG. 14A Sherif Street. Roxy. Heliopolis, Cairo 11341. Egypt. 2, Road 100. Maadi. Cairo. Egypt. Tel:#202-24535597, #202-25254631. E mail.
OBGYN.net -
I never got on the bandwagon of taking folks off. Joanne Bulley, MD, FACOG Keene, NH
OBGYN.net -
WOW!! That is cool. Dan On Fri, May 11, 2012 at 10:30 AM, art fougner, md R. Daniel Braun, MD FACOG(L) ABMP CMTh #20900069 Professor Emeritus Dept. of Obstetrics and Gynecology Indiana U. School of Medicine R. Daniel Braun “Science without Religion is LAME; Religion without Science is BLIND Einstein 1941 Writing for a penny a word is ridiculous. If a man really wanted to make a million dollars, the best
OBGYN.net -
Elective induction of labor at term can lessen the likelihood of perinatal mortality without increasing the need for cesarean delivery, a large retrospective study found. At 40 weeks' gestation, the adjusted odds ratio of perinatal death was 0.39 (99% CI 0.24 to 0.63, P In addition, elective induction at weeks 40 or 41 was not associated with an increase in cesarean delivery, with an adjusted odds ratio of 0.83 (99% CI
OBGYN.net -
Not frequently in my experience. To a great extent it relates to one's experience and care in the repair. All life has it's risks doesn't it? From: Galal Lotfi From: Galal Lotfi Sent: Wed, May 9, 2012 8:30:43 PM Subject: Re: Episiotomies and tears And. Is the third or fourth degree tear not associated with pain, disfigurement and long last dyspareunia Yours Sincerely; Professor Galal Lotfi, MD, MRCOG.=0A-14A Sherif Street. Roxy.=0A=A0
OBGYN.net -
Good thing we got those women off that estrogen. http://www.businessweek. Art Art Fougner, MD Liability Reform IS Healthcare Reform @sonodoc99 on Twitter

Women'sHealthBlog


Can You Give Your Patients Too Much Information?
Sonja Kristiansen, MD , April 24, 2012

Like many of my patients, my life revolves around information. Personally, I use the same technology as most of you to keep track of obligations and loved ones. Professionally, the Houston Fertility Center team uses technology and constant communication to manage our patients' treatment plans.

The Fertility Preservation Pipeline Is Clogged for Women with Cancer
Sonja Kristiansen, MD , April 3, 2012

Here's a situation that illustrates how fantastic medical advances don't always translate to patients benefiting in the clinic. For that to happen, the science needs to be carried along a pipeline of practitioner communication, all the way to the patient.

What Infertility Can Teach Us about Customizing Healthcare Protocols
Liz Imler , March 29, 2012

I know what you're thinking: How can an issue like infertility teach us about customizing healthcare? And how can the assisted reproduction field help raise standards in women's healthcare? But it can, and it does… or it should.

Treating “Religious Infertility”
Lawrence Grunfeld, MD , January 27, 2012

Orthodox Jewish women may follow an ancient tradition that requires sexual abstention during her menses and for the seven days that follow. Once the woman has completed this, she immerses in a ritual bath to purify her soul and then is encouraged to have intercourse with her husband but when your patient experiences infertility, how do you treat the infertility while maintaining respect for her religious traditions?

CA-125: What is it good for?
David Holtz, MD , January 10, 2012

As a gynecological oncologist, I often see patients who want to be tested for cancer because a close family member has just been diagnosed. Understandably, they want to be sure they don’t have it.


EducationalTutorials


FromPhysiciansPractice

Physician Performance Goals Are Great, But Balance Is More Realistic
Jennifer Frank, MD,  May 15, 2012
Performance measurements for physicians are well-intentioned and get me to rethink how I practice. But in the end I won't make the goals, so I'll have to go with balance over perfection.
Designing the Perfect Business Card for Your Medical Practice
C. Noel Henley, MD,  May 11, 2012
Does your business card say anything substantive about the valuable work you do in your practice? Here’s how to re-design your next business card for maximum impact and engagement.
Registered Nurses an Ideal Fit for Primary Care Practices
Audrey "Christie" McLaughlin, RN,  May 10, 2012
Here are four good reasons to hire a registered nurse for your primary care practice …maybe even instead of a medical assistant.
The Five Biggest Medical Practice Marketing Mistakes
James Doulgeris,  May 10, 2012
There are best practices to marketing your practice, but often, success is more about knowing what not to do. Here are the five most common pitfalls …and how to avoid them.
Can You Practice Medicine and Manage Your Practice?
Rosemarie Nelson,  May 9, 2012
Whether you practice alone, or in a group, if you're trying to see patients in this pay-for-volume environment and also run the business of your practice, you may be missing out on important opportunities.

FromMomMD

MomMD - 5/16/12
Posted by OnExtendedLeave:
I'd like to know more about EHR also.I did emergency medicine residency full-time except with a real maternity leave so graduated in August instead of June (had to make up shifts). I then worked "per diem" only at different local hospitals for 4 years, averaging ~6-8 shifts/month, which was perfect for me. I didn't mind losing the income and still actually made a pretty decent income. However, in the end, there are still plenty of problems with the healthcare system and with working in the E
MomMD - 5/16/12
Posted by OnExtendedLeave:
I agree with tr and MCATinstructor that the very first thing you should do (this week preferably) is take a timed sample test. See how your score is. If you do well, then you can plan for this fall, but if you do far below what you think you want for your application, keep an open mind for when you'll apply. You could study for the 2 weeks of May and then take another timed practice test to estimate how much you might improve with each 2 weeks of study.
MomMD - 5/16/12
Posted by OnExtendedLeave:
Congratulations, Doctor LoveBug14!
MomMD - 5/16/12
Posted by OnExtendedLeave:
Thank you, docE and AmmaMD, for the helpful information. We did not bank for any of our 3 kids, though wondered about it. A few people had told us that it just wasn't worth it statistically/financially, but more in general terms.
MomMD - 5/16/12
Posted by clee03m:
Sooooo, I feel a bit depressed. Weird. No anxiety, no negative thoughts, just a feeling of discontent. I kept thinking it would go away after my hormones stabilized, but no dice. I have been exercising everyday for 4 days. Not helping yet. In the past, if I start to feel crappy, exercise for few days, and I felt better. If this is purely chemical, will it require meds? Yikes! I can't. I'm too crunchy granola.(All you md types out there, don't worry. I will seek professional help and take med