SUMMARY: Sarena and Kavya discuss five vignettes on first trimester bleeding with Dr. Sam Kempner, MD. TIMESTAMPS: 00:37: Dr. Sam Kempner Bio 02:09: Case 1: 18-year-old woman with intense abdominal pain and vaginal bleeding. 05:06: Case 2: 37-year-old woman with vaginal bleeding and pelvic discomfort. 07:47: Case 3: 23-year-old transgender man with light vaginal bleeding. 10:25: Case 4: 29-year-old woman at 11 weeks 3 days gestation with cramping pain and vaginal bleeding. 14:25: Case 5: 35-year-old woman at 13 weeks 4 days with decreased fetal movement. 17:06: Wrap-up LINKS: Dr. Sam Kempner Bio ACOG Early Pregnancy Loss Practice Bulletin Hendriks, E., MacNaughton, H., & MacKenzie, M. C. (2019). First trimester bleeding: evaluation and management. American family physician, 99(3), 166-174. Dugas, C., & Slane, V. H. (2021). Miscarriage. In StatPearls. StatPearls Publishing. Dogra V, Paspulati RM, Bhatt S. First trimester bleeding evaluation. Ultrasound Q. 2005 Jun;21(2):69-85; quiz 149-50, 153-4. PMID: 15905817. ACOG Bleeding During Pregnancy FAQ ACR Appropriateness Criteria Second and Third Trimester Bleeding NHS Bleeding in the Second Trimester of Pregnancy UpToDate: Overview of the etiology and evaluation of vaginal bleeding in pregnancy ACOG Second-Trimester Abortion Practice Bulletin TRANSCRIPT: https://bit.ly/ultrasounds_1stTbleeding DISCLOSURES/DISCLAIMERS: The OBGYN Delivered student team has no relevant financial disclosures. The Ultrasounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization.

Theresa and Jourdan discuss six vignettes on vulvovaginal disease with the world-renowned expert, Dr. Hope Haefner, MD. DISCLOSURES/DISCLAIMERS: The OB/GYN Delivered student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real life medical concerns. The statements made on this podcast are solely those of the OB/GYN Delivered hosts and guests and do not reflect the views of any specific institution or organization. TIMESTAMPS: 01:10: Dr. Hope Haefner Bio 04:05: Case 1: 50-year-old woman with hypopigmented atrophic plaques on the vulva. 10:29: Case 2: 50-year-old woman with rough, scaly, polygonal, violaceous plaques on the vulva. 19:42: Case 3: 50-year-old woman with erythematous, leathery skin on the vulva. 29:45: Case 4: 65-year-old woman with erythematous ulceration on the left labium minus. 35:41: Case 5: 30-year-old woman with red bumps on inguinal intertriginous region. 44:08: Case 6: 30-year-old woman with groin pain with sitting and sexual intercourse. 50:50: Wrap-up LINKS: Dr. Hope Haefner Bio University of Michigan Center for Vulvar Diseases Provider Information Ringel NE, Iglesia C. Common Benign Chronic Vulvar Disorders. Am Fam Physician. 2020 Nov 1;102(9):550-557. PMID: 33118795. Maben-Feaster, Rosalyn Elizabeth. “Chronic Vulvar Lesions in a Woman in Her 30s.” Contemporary OB/GYN, MJH Life Sciences. NCCN Vulvar Cancer Guidelines Michalski BM, Pfeifer JD, Mutch D, Council ML. Cancer of the Vulva: A Review. Dermatol Surg. 2021 Feb 1;47(2):174-183. doi: 10.1097/DSS.0000000000002584. PMID: 32947298. Margesson LJ, Danby FW. Hidradenitis suppurativa. Best Pract Res Clin Obstet Gynaecol. 2014 Oct;28(7):1013-27. doi: 10.1016/j.bpobgyn.2014.07.012. Epub 2014 Aug 1. PMID: 25214437. UpToDate: Bartholin Gland Masses TRANSCRIPT: https://bit.ly/ultrasounds_vulvar Recorded on 4/25/2022.

Join Allison and Theresa as they discuss four clinical vignettes with faculty guest and reproductive infectious disease expert Dr. Okeoma Mmeje. DISCLOSURES/DISCLAIMERS: The OBGD student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only, and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real-life medical concerns. The statements made on this podcast are solely those of the OBGD hosts and guests and do not reflect the views of any specific institution or organization. TIMESTAMPS: 01:23 - Dr. Mmeje Bio 02:35 - Case 1: 30-year-old female with burning during urination and clusters of fluid filled vesicles on the vulva that are painful to the touch 07:54 - Case 2: 30-year-old female with a painless 1-centimeter red, round, raised lesion with a regular boarder 11:39 - Case 3: 30-year-old female with a very painful well demarcated lesion with a grayish necrotic appearing base 15:43 - Case 4: 30-year-old female with vulvar itching and multiple painless pruritic lesions 27:36 - Wrap-up LINKS: Dr. Mmeje’s bio CDC Sexually Transmitted Infections Treatment Guidelines CDC HIV ACOG HIV TRANSCRIPT: https://bit.ly/ultrasounds_ulcers Recorded 2/17/2022.

Allison and Theresa talk through four cases with faculty guest and reproductive infectious disease specialist - Dr. Okeoma Mmeje, MD, MPH. Recorded 2/17/2022. DISCLOSURES/DISCLAIMERS: The OBGD student team has no relevant financial disclosures. The UltraSounds podcast is for educational and informational purposes only, and should not be considered medical advice. Please do not use any of the information presented to treat, diagnose, or prevent real-life medical concerns. The statements made on this podcast are solely those of the OBGD hosts and guests and do not reflect the views of any specific institution or organization. TIMESTAMPS: 01:06 - Dr. Mmeje Bio 02:21 - Case 1: 18-year-old sexually active woman with irregular discharge and pain with intercourse 04:21 - Case 2: 21-year-old sexually active woman with five days of yellow-green discharge 06:58 - Case 3: 73-year-old woman with increased milky-gray vaginal discharge 13:06 - Case 4: 46-year-old woman with clumpy white discharge and vulva itching 15:56 - Wrap-up LINKS: Dr. Mmeje’s bio CDC Sexually Transmitted Infections Treatment Guidelines ACOG Vaginitis in Nonpregnant Patients TRANSCRIPT: https://bit.ly/ultrasounds_stis

Kavya and Sarena tackle four patient-based cases with insight from faculty expert, Dr. David Marzano, in the first part of our review of PALM COEIN, a mnemonic for abnormal uterine bleeding. Recorded 12/10/2021. TIMESTAMPS: 00:53 - Dr. Marzano’s Bio 02:40 - Overview of PALM COEIN mnemonic 07:05 - Case 1: 47-year-old woman with heavy menses & irregular uterus 10:07 - Case 2: 71-year-old G3P2 female with postcoital bleeding 14:24 - Case 3: 47-year-old woman with heavy menses & boggy uterus 17:23 - Case 4: 71-year-old woman with irregular spotting 21:07 - Wrap-up LINKS: Dr. Marzano’s bio Dr. Marzano’s favorite podcast: The West Wing Weekly ACOG OBGYN Intern Guide for Abnormal Uterine Bleeding (with PALM COEIN) ACOG Abnormal Uterine Bleeding Patient FAQ TRANSCRIPT: https://bit.ly/ultrasounds_palm

Kavya and Sarena tackle five patient-based cases with insight from faculty expert, Dr. David Marzano, in the second part of our review of PALM COEIN, a mnemonic for abnormal uterine bleeding. Recorded 12/10/2021. TIMESTAMPS: 00:51 – Intro & Dr. Marzano’s bio 05:40 – Case 1: 17-year-old female with new heavy periods and lower abdominal pain 10:58 – Case 2: 17-year-old female with increasingly irregular periods 16:06 – Case 3: 17-year-old with chronic heavy and irregular periods 19:39 – Case 4: 17-year-old with new irregular spotting and recent IUD placement 22:49 – Case 5: 27-year-old female with irregular menses and other systemic bleeding issues 26:52 – Wrap up LINKS: Dr. Marzano’s bio ACOG OBGYN Intern Guide for Abnormal Uterine Bleeding (with PALM COEIN) ACOG Abnormal Uterine Bleeding Patient FAQ TRANSCRIPT: https://bit.ly/ultrasounds_COEIN

The OBGD Leadership team–Allison Milen (@allison_milen), Theresa Rager (@TheresaLRager), Sarena Gill (@gill_sarena), and Kavya Davuluri (@Kavya_Davuluri)–introduce UltraSounds and give a preview of what episodes are to come. Contact us: [email protected] Visit our website: https://www.obgyndelivered.com/ Tweet at us: @obgyn_delivered View our Instagram: @obgyn_delivered TRANSCRIPT: https://bit.ly/ultrasounds_trailer