Imaging for Appendicitis in Pregnancy
In a pregnant patient presenting with abdominal pain and suspected appendicitis, an initial ultrasound should be performed to exclude obstetric causes for abdominal pain. MRI may be a reasonable next study if it is immediately accessible and radiologists with expertise in MRI interpretation are available. Otherwise, CT should be utilized.
New IDSA Guideline on Asymptomatic Bacteriuria
The IDSA now only recommends screening for and treating asymptomatic bacteriuria (ASB) in pregnant women and those undergoing an invasive urologic procedure.
Counterpoint: Pelvic Exam Is Necessary
This letter to the editor presents compelling reasons why a pelvic exam is needed to diagnose cervicitis or pelvic inflammatory disease.
PE in Pregnancy – YEARS Algorithm
The Pregnancy-Adapted YEARS Algorithm safely and accurately ruled out pulmonary embolism (PE) for pregnant patients and reduced the rate of CT pulmonary angiography (CTPA) across all trimesters.
Lean Left – IVC Compression in Pregnancy
A 30° left tilt in late pregnancy was most effective in reducing uterine compression of the IVC in this MRI study. However, nearly a quarter of women achieved the greatest IVC volume with a 30° right tilt.
Can We Use Ondansetron In Pregnancy?
In this large cohort study of over 1.8 million pregnancies, first trimester ondansetron use was not associated with cardiac malformations or total congenital malformations. However, there was a small increased risk of oral clefts (3 additional cases per 10,000 women treated).
Is Routine Pelvic Exam Beneficial for STI Detection?
Pelvic examination added little to clinical judgment when evaluating for sexually transmitted infections in young women.
PE Workup in Pregnancy – New Evidence
Using a diagnostic algorithm of revised Geneva, D-dimer, leg ultrasound, CTPA (and V/Q if inconclusive) safely ruled out PE in pregnant women.
Drinking More Water Prevents Cystitis
In premenopausal women with recurrent cystitis, drinking more water on a daily basis can reduce episodes of cystitis.
β-blockers Appear Safe in Pregnant Patients with HTN
β-blockers appear safe to use in hypertensive pregnant patients in the first trimester.