PediatricsOB

= = Pediatrics / Obstetrics Gynecology Clerkships toc

Book / Study resource advice

 * Beckman Obstetrics & Gynecology is what they recommend now, but honestly I think Blueprints: Obstetrics & Gynecology is just fine as long as you make sure to do case files too, which you should definitely do anyway.
 * High Yield OB/Gyn: Excellent, and shorter than the other OB review books.
 * Case Files Pediatrics
 * Case Files Obstetrics and Gynecology
 * Kaplan Notes for Ob/Gyn are fantastic. Not really as good for Peds.
 * Qbanks
 * **uWISE - DO THESE QUESTIONS**. These questions most closely resemble the kind of vignette you will see on the shelf exam. Longgg question stems. A login is required; ask Dr. Ali for it if the clerkship director doesn't provide it.
 * USMLE World/Kaplan is great
 * USMLEasy is a good qbank - it is just an online version of the PreTest series which UT has purchased through access medicine.

**Shelf (NBME) Exam**

 * See the General Information on NBME Shelf exams for content outlines and official practice questions.
 * 100 questions, 2.5 hours. Time will be a factor.
 * The question stems in shelf exams are LONG. Longer than you are probably used to. Much longer than UTCOM exams or Step 1. The ob/gyn shelf exam has particularly long/complex question stems; I know several very accomplished students who were actually unable to answer all the questions. So go fast!
 * Quite a few "next step in management" questions
 * Know surgical staging and how it affects treatment (surgery vs. just chemo)
 * Know that appecdicitis is still the most common surgical emergency in pregnant women -- and that it presents with Right //Upper// Quadrant tenderness because the uterus has pushed the appendix up into this quadrant.

Other Resources

 * Pediatric Dermatology Tutorials

**Peds Site Advice**

 * St. Vincent Mercy Children's Hospital
 * 4th floor call rooms have free food and sodas!
 * ** Toledo Hospital Inpatient Pediatrics **

**Ob/Gyn Site Advice: Toledo Hospital**

 * **PRENATAL**
 * **5 Things to ask a pregnant woman**
 * 1) Fetal movement
 * 2) Contractions
 * 3) Loss of fluid
 * 4) Bleeding/discharge
 * 5) Headache, vision changes
 * **Patient cards**
 * RhoGAM, blood type, Rubella status, HSV, GBS, any other PMH, time of epidural
 * H + P
 * OB History - explain each pregnancy type of delivery, baby weight, complications (pre + post)
 * Breast exam - defer, Neuro - very short, Pelvic - defer, membranes - status
 * **POSTPARTUM**
 * **Postpartum inpatient**
 * Lochia (bleeding post-delivery - about a period or less)
 * Anemia symptoms
 * Ambulation
 * Nausea / vomiting / diarrhea
 * Bowel movements, flatulence
 * PO diet
 * Birth control (CHS patients only)
 * Breast feeding
 * Baby
 * Pain (+ what meds)
 * Incision: feel for uterus
 * Check BP, fevers, CBC
 * Note Tmax and Tcurrent if fever
 * DVT symptoms
 * **Postpartum 4-6 week follow-up (outpatient)**
 * Sleeping
 * Baby
 * Nursing (or bottle)
 * Bleeding
 * Birth control
 * Mood
 * Pelvic rest: 6 weeks
 * Pap smears

Study Guides

 * ===Obstetrics + Gynecology===
 * Fetal Heart Tone (FHT) monitoring
 * Labor & Delivery
 * Topic Outlines
 * ===Pediatrics===
 * [[file:Spinal Muscle Atrophy 1.doc]]
 * [[file:Closed Head Injury.doc]]
 * [[file:Status epilepticus.doc]]