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Residency Life: OB/GYN

SheMD

To start things off, I wanted to share what a typical day for me as an OB/GYN intern looks like. In my program, as interns get to do half of our rotations in OB or GYN and the other half in “outside rotations”. Throughout the day, I’m reading up on patients or cases that I’m seeing in the hospital.

OB/GYN 52
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EM@3AM: Endometritis

EMDocs

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge.

OB/GYN 81
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Hysterectomy Complications

EMDocs

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants.

OB/GYN 86
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SAEM Clinical Images Series: Unidentified Intrauterine Object

ALiEM

She has not established care with an OB provider and has not had a confirmed intrauterine pregnancy. Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. Are there any other findings on ultrasound that put this pregnancy at higher risk? Am J Obstet Gynecol.