Don't mind me, I'm going to take notes here, feel free to use or ignore: 0:29 Obstetrics Start 0:30 Post-partum hemorrhage-> 0:40 Uterine Atony, 1:57 Retained Placenta, 2:38 Laceration 3:16 Active and Passive Phases of delivery ->3:35 Arrest of active phase, 4:27 Arrest of descent (cephalopelvic disproportion, uterine rupture, prolapsed cord) 6:04 Fetal Tachycardia (maternal fever->pyelo, choreo, endometritis) 6:41 Tachysystole (tocolytic->terbutaline, b-agonist->puld edema) 7:10 Beta-thalessemia (^HbA2) 7:26 Physiologic changes in pregnancy (7:44 errata: resp alkalosis) 8:29 shoulder dystocia (9:05 prenatal risk factors for shoulder dystocia, 9:22 risks associated with pre-gestational DM and gestational DM, 10:06 Complications of shoulder dystocia, 10:12 errata Erb's C5,C6 -waiter's tip- vs Klumpke C8-T1 -claw hand-) 11:00 Fetal bradycardia (11:08 Maternal hypotension, uterine tetany, cord compression) 12:37 Fetal HR accelerations (NST->if dec movement-> reactive is good, if not, biophysical profile (BATMN)induced ovulation (more eggs->twins) (PCOS) 18:21 Rh incompatibility (Kleihauer-Betke, Rho-gam) (placental abruption- bleeding->sensitization, IgG crosses placenta!->polyhydramnios) 21:39 Pre-eclampsia (HTN + proteinuria UP/UC>0.3), 22:51 eclampsia (+ seizures), 31:11 Tx of eclampsia (Mg + deliver) 23:30 Prenatal maternal STDs (HSV, Hemophilus Ducrei (ceftriaxone+azithro), Syphilis) 25:05 Placental abruption 25:57 Placenta previa, 26:30->accreta->increta->percreta (27:00 errata) 27:31 Cutaneous presentations in pregnancy 29:15 Acute Fatty Liver of Pregnancy (AFLP)- rare, Emergency! 29:41 DVT, PE- Use V/Q Scan->heparin or rivaroxaban (30:42 amniotic fluid embolism) 31:58 Meds given (possibly) leading up to delivery of pre-term baby (errata 32:40: tocolytics- only short delay!: indomethacin till week 32, nifedipine till week 34) (progesterone if risk factors for preterm, previous preterm or short cervix) 33:23 Neonatal infections (TORCHeS) (GBS, e.coli, lysteria), 33:47 Preterm premature rupture of membranes (PPROM)->oligo -> cord compression--> recurrent variable decels-> re-position mom, amnio-infusion (VEAL CHOP-> Variable decel= cord compression (looks like a V), Early decel=Head compression (mirror to uterine contraction), Acceleration=OK, Late decel=Placental insufficiency/hypoxia (after contraction)), 35:23 Parvo B19-> hydrops fetalis, fetal anemia=sinusoidal HR (ominous), lupus-> complete heart block of baby, CMV (chorioretinitis, microcephaly, ventricular calcification), Toxoplasmosis (cranial calcification, chorioretinitis, hydrocaphalus), Rubella (cataracts, deafness, cardiac anomalies) 38:46 Amniotic fluid level (5-25cm), fetal anemia (sinusoidal HR-> middle cerebral artery doppler: ^flow) (sickle cell, Parvo), IUGR--> middle cerebral artery doppler: reverse flow= hypoxia 39:47 Neonatal conjunctivitis 40:22 Maternal HIV, Hep B 40:42 Post-partum thyroiditis 42:41 IUGR symmetric vs asymmetric 43:33 UTI in pregnancy 44:30 GBS ppx 46:12 Post c-section fever (endomyometritis, breast abscess) 46:44 Breast milk 47:43 Prenatal visits (1st trimester, week 28- 2nd trimester-, week 35-37 -3rd trimester, pre-term), 48:28 gestational DM screen, 49:22 fundal height

Easy way to remember treatment for Endometritis is ECG (Endometritis, Clindamycin & Gentamicin)

Easy way to remember second trimester screening results: Down's syndrome: everything is DOWN except what is HI (hCG and Inhibin are elevated while AFP and Estriol are decreased) Trisomy 18: have LOW set ears and all labs are LOW (or normal)

Easy way to remember decelerations (VEAL CHOP: V ariable = C ord compression, E arly = H ead compression & L ate = P lacental insufficiency)

Emma Holiday looks different here

Easy way to remember treatment for Chorioamnionitis is CAG (Chorioamniotitis, Ampicillin & Gentamycin)

Easy way to remember causes of Postpartum hemorrhage (PPH): Tone (uterine atony), Trauma (laceration), Tissue (retained placenta) & Thrombotic (inherited thrombophilia). hope it helps

Erb's palsy is C5-C6. Klumpke's. is C8-T1. Really good video otherwise! Thanks so much

Small correction: indomethacin should only be given up to 32 weeks. Nifedipine till 34. 32:40

Great video! Correction though...Placenta accreta is the shallowest form and the placenta attaches deeply in the uterine wall> placenta increta attaches to the myometrial muscle> placenta percreta through the myometrial wall.

Incredible video, so thought out, clear and logical. Love the way you teach and think through problems! Would love more high yield step 2 pharm and micro videos!

your explanation of Rh sensitization was so epic! thank you, great video review

I love going into the exam knowing that these reviews have got my back. Truly my favourite revision resource. Can't thank you enough Dr high yield!

Clutch review right before Step 2 CK. Your videos are gold. Covering all the high yield stuff, and all the smaller lower yield content tends to settle into place much easier. Thank you for these videos!

Preterm medications to help fetal development: Up to 3(2)wks: Mg(2+) Up to 3(4)wks: tocolytics (toco) root word is (4) letters Up to 3(7)wks: (steroid) is (7) letters.

This is great. OB/GYN was one of my earlier 3rd year rotations so now studying for STEP2 I am many months away from when the knowledge was fresh. This is a great quick reminder for all the detail that never come back in other rotations.

your explanations make everything just click so easily!!! thank you for these videos!

Great video! Placenta accreta: The chorionic villi reach the myometrium but do not invade into it. Placenta increta: The chorionic villi invade beyond the endometrium into the myometrium. Placenta percreta: The chorionic villi penetrate through the entire myometrium and may reach the serosal surface.

Love this video and your approach short and to the point. Thks a million. Keep it up

What a stellar last minute review! Thanks for uploading it!

This was great, thanks Doc! Perfect review for my OB shelf tmrw ;)

Great video! I think it's worth adding that TDAP should be given in all pregnancies, this is usually at that 28 weeks visit. (CBC, rhogam, OGTT, TDAP). Influenza is highly recommended as well!

I honored my OBGYN rotation cause of you dude thanks so much !!!!

Just found your High Yield Step 2 CK playlist. Thank you so much! 🥰❤

placenta previa and vasa previa both can present with painless vaginal bleeding but clue to differentiate between 2 is look at hemodynamic status of fetus and mother , in vasa previa fetus is going into bradycardia and sinosoidal pattern in CTG , while with placenta previa mother is going into hemorrhagic shock. PS : keep up the good work doc! much appreciate your time and effort . thankyou

Must do review before the shelf. This and the Divine Intervention Video Review for the OBGYN shelf are much higher yield than Online Med Ed. I wouldnt do them until you are in the tail end of your studies probably last week or few days before the shelf.Thanks for posting this review. Good luck in your studies

This is gold, thank you so much

Isn’t nifedipine the first line tocolytic? indomethacin is used till for

Thank you Doc, much appreciated !

Your videos are really helpful!!

How can sombody be so good😭...thanks a million ❤.

Hi, @26:50 I believe that the order for placental attachment is placenta accreta, increta, and percreta based on how deep it goes. accreta: placenta attaches too deep into the mucosa of the endometrium increta: placenta attaches through the endometrium to the myometrium percreta: placenta attaches through the endometrium, myometrium, and sometimes to the. serosa and sometimes further to other organs. mnemonic: A-I-P, A-B-C order

Had this dude on 2x and he was straight geekin’ fucking love it

This is appreciated ! Good job.

Thank you so much for these high yield videos!!! I just wanted to clarify, I think in the different placental attachment pathologies, placenta acreta and increta were accidentally switched? 26:40 Acreta - AT the surface of the myometrium Increta - INTO the myometrium Percreta - PERFORATES the myometrium :)

One of the nbmes had a question where alpha feto protein level was the 0.2 multiple of median. Basically, the concept is that if it's a multiple of a decimal figure, then the value is low, and multiple of 2 or greater than the value is up.

This video (and part 2) helped me Honor my OBGYN rotation

amazing explanation on the hydrops fetalis my dude thank you

this is great! thanks for sharing it.

Okay, about to start OBGYN today. Gonna just put this stuff in my head for now.

Second stage arrest of labor is lack of fetal descent after ≥4 hours of pushing in a primigravida with an epidural (≥3 hours without) or ≥3 hours in a multigravida with epidural (≥2 hours without). Second-stage arrest is managed with operative vaginal delivery (eg, vacuum-assisted). Other indications for operative vaginal delivery include maternal exhaustion, fetal distress, and maternal conditions in which the Valsalva maneuver is not recommended.

Keep going that's amazing!!

Mnemonic for Congenital Rubella Syndrome (CRS) C- Cataracts R - heaRt (PDA/Pulmonic Stenosis) S- Sensorineural deafness I appreciate you, Doc. Thank you. :)

I LISTENED TO HIS SURGERY VIDEO.. right before my Surgery Shelf Exam.. can somebody say PASSED!!!

I have 3 days including today for my Board Exams and guess what your High Yield Videos are helping a lot. It's like all the concised information at such a short time. Really love your efforts. Thank You so much. Also, pictures in between made it very interesting as well as pnemonics. 🙏🙏🙏 I wish you great Success and a lot of happiness in your career. God bless you.

At around 7:00 you said that terbutaline was a first line tocolytic. That info might be a little old. I think the FDA has found that it has adverse effects with the maternal cardiac system so Nifedipine has become much more popular. That is what I saw on both the wards and various Q banks

pregnancy -> physio -> respiratory alkalosis, not metabolic :-) Thank you very much. Amazing video

Awesome video, thanks!

great review. just wanna add that in ogtt for GDM, now we give 75 gm loading glucose and check bsl 2 hrs after. thanks.

You are the best ! 👍🏻

Thanks so much for such an awesome review! I think there may be one error around 10:12 regarding Erb's palsy. It is an upper trunk injury so C5-C6.

Update to postpartum hemorrhage, now defined as loss of 1000 ml blood/ 24 h, regardless of delivery type

Amazing videos. 🔥

Chemical Conjunctivitis: Eye Lubricant Gon Conjunctivitis: IM Dose of Cephalosporin - Third Generation Chlamydial Conjunctivitis: PO Macrolide

hemorrhage is now 1000 mL regardless of delivery method

Thank you soo muchhh💕

Great video! Thanks so much !

Sometime when youre doing uworld, everything can start to look the same. This really helps.

Toco-butaline => pulmonary edema 1st line for pregnant UTI: amox-cephspore-nitrofura Ampicilin: GBS: 4hrs before delivery

this is great!

New subscriber here. Thank you Doc.

Great videos Thanks alot for your efforts

Erb is c5/6, that c8/t1 is klumpke

Diagnosis of PPH has now changed to be 1L regardless of C-section or v-delivery

@"I'm reading my notes haha. I will have them out hopefully soon. Residency has been super busy." Eagerly waiting for the notes.

Is there a difference in buying the books separately vs. the comprehensive one? Is that an even more condensed form or just all of those individual ones combined?

Thank you brother

Erb's Palsy is C5 C6, Klumpke is C8 and T1.

Small correction regarding dx of PE in pregnancy: the reason V/Q scans are preferred is not because of lower dose of radiation to the baby (it is actually comparable with CTPA) but rather to the mother's breast tissue and thus subsequent breast Ca risk. Thought this was interesting!

Tnx for the nice video. I just want to correct your small mistake which is about preeclampsia, in the past the definition included the must presence of proteinuria however now it doesnt have to be proteinuria but any other systemic symptoms.

erb palsy is C5, C6 not C8-T1 (that is Klumpke)

On 26:58 I think perhaps you misspoke because the picture is correct, but you said Increta is the most shallow? From what I read and understand: acreta is the most shallow, Increta goes into the myometrium, and percreta penetrates through the myometrium. P.S. AMAZING VIDEOS- extremely helpful.

Thank you

Small point but hypothalamus makes GnRH, and pituitary makes FSH/LH

I am sure @16 minutes you meant Trisomy 21 for Down. I remember that as PED P-Patau Tr13 E-Edwards Tr18 D-Down Tr21

How could uterine atony cause fetal bradycardia if you said that in uterine atony the spiral arteries are left dilated and open, causing hemorrhage but the root cause of fetal bradycardia is constriction (not dilation) of the spiral arteries?

Isn't first line inpatient treatment for endometritis going to be cefoxitin and doxycycline?

Small mistake at 47:04 you say "breast milk", I think you mean "whey". Thanks for the videos! :)

erb's palsy is C5-6, not C8-T1

I remember the UW explanation says the x ray dose the baby receives is much higher with VQ scanning than with CTPA?

PPH is now 1L for each btw

Amazing Video ! But this needs a slight change at 7:38 , for ovulation induction in PCOS , drug of choice is "Letrozole" ( an aromatase inhibitor).

At 7:44, did you mean to say she'll have respiratory alkalosis instead of metabolic alkalosis?

Postpartum Bleeding Causes: Lax, Lacs, Labs, Inside, Outside Lax ("laxity") = Uterine atony Lacs = Lacerations Labs = Coagulation stuff Inside = Retained products Outside = Uterine inversion

Keep? yes. - Love Jeniece

Accelerations: =/>32 wks - 15 x 15 above baseline

Wanted to clarify- I thought Parvovirus caused aplastic CRISIS (temporary reduction in RBC production with decrease reticulocyte); Aplastic anemia= reduction in all 3 cell lines - can be caused by lots of things Is this correct?

At 07:48. She will be having respiratory alkalosis. Right?

If v/q scan is negative but mom has high probability and all the clinical symptoms of a pe, u do a ct angio. Got this wrong on Uworld

heck of an under armour plug here

Hey man, you appear to be reading or at least looking at something. Do you have any notes, for those of us who absolutely LOVE your vids, but tend to study better with text? :D

Sorry guys, for the MTB menomic at 32-34-37 weeks, what does the M stand for? I can't seem to find it anymore! Oh wait I think it's magnesium. Well putting this on so if anyone else forgets, it'll be here!

This one time in band camp.... You sound just like allison in American Pie when explaining things XD

I just think it's funny you put a picture of a penis with a chancroid in the OB/GYN lecture! You're a legend. These videos are awesome

omg can you autograph my official dr. high yield study/notes book???

❤❤❤thank you❤❤❤so much❤❤❤

Thx

do you have pdf of your notes ? it will take ages to get products delivered from amazon here in Nepal

Description of Placenta accreta Vs Increta @27:06 interchanged..otherwise very nice video

Dope!