Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman is evaluated in the emergency department for chest pain after a belted motor vehicle accident. She is pregnant at approximately 23 weeks' gestation. She reports no additional symptoms and is otherwise well. Her only medication is a prenatal vitamin. On physical examination, the patient is afebrile, blood ...

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On a beautiful spring morning, I found myself in an outpatient OB clinic, ready to begin the last rotation of my third year of medical school. My attending physician greeted me and patiently (but quickly) showed me the ropes. I spent the better part of the day using a doppler to detect fetal heart sounds, measuring fundal heights, reading ultrasounds, and learning how to do pelvic exams on my incredibly ...

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A recent New York Times article entitled, "When You're Told You're Too Fat to Get Pregnant" discussed a woman's journey to having a child, which involved being counseled against undergoing fertility treatment due to her high body weight. She ultimately underwent bariatric surgery, lost weight and was then able to conceive after an IUI (intrauterine insemination) cycle, a fertility treatment that involves placing the sperm at the ...

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I’m in the back of an ambulance rig driving 110 miles an hour down the highway with the lights and sirens blaring.   The knuckles of my right hand are crushed every four minutes as my patient has contractions.  She cries only a bit.  She’s sixteen and her last period was nine months ago, but she hasn’t seen any other physician before me. This last contraction was an intense one -- my ...

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Incontinence is hard to talk about — many women choose to suffer in silence, finding it too embarrassing to talk about it with friends, family or a doctor. The truth is urinary incontinence affects millions of women — you’re not alone and there are several treatment options available to significantly improve quality of life. To educate women about this prevalent issue and the many ways to address it, here’s a list ...

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I think we can all agree that women have a lot more hoops to jump through when it comes to contraception. If a woman wants to go on the pill, she has to go through the bureaucratic process of seeing a doctor and getting a prescription. This is why I am so happy to see Alexandria Ocasio-Cortez and Ted Cruz agreeing to support a bill ...

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I am at a conference that is encouraging physicians to engage in social media. This is something I was always a proponent of. I felt strongly that as physicians, we help set the tone of accurate medical information. Especially now in this age of disinformation and "alternative facts," our voices are crucial. I used to be an active Twitter user. I had 21,000 followers and was verified — with a blue ...

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Now more than ever, it seems that medicine, politics, social justice, and societal mores have become intertwined. There are so many "lanes" that the 405 to the 10 freeway splits seem like country roads in comparison. Perhaps we have social media to thank for this multitude of lanes. Or maybe it's to blame. When doctors were publicly berated (on social media, primarily) soon after we became outspoken about the issue of ...

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I'm a physician married to a physician. Initially, I did not think I would face obstacles because of our dual career paths. I would soon learn; however, professional and personal sacrifices would be necessary for us to achieve our goals. This is my story as a training physician and a "single" mom, including some of the challenges I experienced being married to a physician. I met my husband in the first ...

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Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 62-year-old woman is evaluated during a follow-up visit for recently diagnosed stage IIIA high-grade serous ovarian cancer. She underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy and completed six cycles of chemotherapy with cisplatin and paclitaxel. The patient's paternal aunt was diagnosed with breast cancer at age 52 years. ...

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