Painful bruising: Gynecology, hematology, or just ? A case report.

A 23-year-old woman, G0, presented to the emergency department with painful bruising of the legs shortly after starting an oral contraceptive pill. The presumed diagnosis was pill-induced ecchymosis, and she was instructed to discontinue the medication. Her bruising resolved.

Monochorionic Diamniotic Vasa Previa Pregnancy: A Medical Student Perspective.

Monochorionic diamniotic twins and vasa previa are uncommon. We present a case that was followed from ultrasound diagnosis to delivery.

Low-grade fever, erythematous rash in pregnant woman · Dx?

A 31-year-old woman presented to her obstetrician's office at 16 weeks' gestation with a 2-day history of low-grade fever and an erythematous rash measuring 1 x 4 cm on her right groin. She had a medical history of a penicillin allergy (urticarial) and her outdoor activities included gardening and picnicking. What's your diagnosis?

Missing IUD Despite Threads at the Cervix.

Today, the intrauterine device (IUD) is by far the most popular form of long term reversible contraception in the world. Side effects from the IUD are minimal and complications are rare. Uterine perforation and migration of the IUD outside the uterine cavity are the most serious complications.

How do patients use email to communicate with their doctor?

Objective: To evaluate unsolicited email sent from patients to a general obstetrician-gynecologist.

Study Design: A retrospective review was performed of 60 unsolicited emails sent to an obstetrician-gynecologist. Time sent, content, and physician response were evaluated.

Use of an intubating stylet as a guide to complete uterine curettage complicated by uterine perforation.

Completion of uterine curettage may be challenging following uterine perforation even under sonographic and laparoscopic monitoring. This report illustrates the use of a flexible intubating stylet as a guide to place the suction curette into the uterine cavity when sonography and laparoscopy alone are not successful. Use of a malleable instrument such as an intubating stylet as a guide should be considered an option when insertion of the suction curette into the uterine cavity is complicated by anatomic variation and uterine perforation.

Delivery route following elective induction of labor at term: analysis of 807 patients.

Background: The purpose of this study is to compare mode of delivery for both nulliparous and multiparous women at term that underwent elective induction of labor to those who arrived in spontaneous labor.

Methods: Medical records of 807 deliveries were reviewed. There were 566 labor patients and 241 elective induction patients.

Clinical Presentation and Conservative Management of Tympanic Membrane Perforation during Intrapartum Valsalva Maneuver.

Background. Tympanic membrane perforation may occur when ear pressures are excessive, including valsalva maneuver associated with active labor and vaginal delivery. A pressure differential across the eardrum of about 5 psi can cause rupture; the increased intraabdominal pressure spikes repeatedly manifested by "pushing" during second-stage labor easily approach (and may exceed) this level.

Clinical and patient estimation of fetal weight vs. ultrasound estimation.

Objective: To compare clinical and patient estimation of fetal weight to ultrasound estimation.

Study Design: Prospective study of clinical, patient and ultrasound estimation of fetal weight at term.

Results: A total of 200 pregnant women participated.