Archive

Medical Category: Obstetrics and Gynecology

Methotrexate Failure in Non-Ruptured Ectopic Pregnancy

Background: 1st trimester vaginal bleeding and abdominal pain is a common complaint seen in the ED.  As EM physicians it is important to make the diagnosis of ectopic pregnancy early in the clinical course as it can prevent rupture, difficulty with future ...

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Obstetrics and Gynecology

D-Dimer in Pregnancy: Limiting Radiation with Pre-test Probability

Background: Pulmonary embolism is the leading cause of death in pregnancy and the puerperium – accounting for nearly 20% of maternal deaths in the United States – making rapid and accurate diagnosis critically important for emergency physicians, OB/GYNs, and all ...

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Hematology and OncologyObstetrics and Gynecology

Is Macrobid Safe in 1st Trimester Pregnancy?

Background: In 2011, the American College of Obstetricians and Gynecologists (ACOG) released a committee opinion warning against the use of nitrofurantoin (Macrobid) during the first trimester of pregnancy due to the perceived risk of an increased rate of congenital abnormalities ...

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Obstetrics and Gynecology

D-Dimer and Pregnancy: The DiPEP Study

Background: Pulmonary embolism is the leading cause of death in pregnancy and the puerperium – accounting for nearly 20% of maternal deaths in the United States – making rapid and accurate diagnosis critically important for emergency physicians, OB/GYNs, and all ...

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Obstetrics and GynecologyThoracic and Respiratory

Post-Partum Hemorrhage

Definition: Blood loss > 500 ml after a delivery (or > 250 ml after an abortion). The management of post-abortion hemorrhage is similar to that of post-partum hemorrhage (PPH). Definition ADDENDUM: 03/04/2021 ACOG Updated Definition: “is defined as cumulative blood ...

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Obstetrics and Gynecology

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