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)
@@ShanilR they probably didn't steal it from you. it's easy to miss your other comments as they are scattered around with all the other comments on the video.
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!
Easy way to remember causes of Postpartum hemorrhage (PPH): Tone (uterine atony), Trauma (laceration), Tissue (retained placenta) & Thrombotic (inherited thrombophilia). hope it helps
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.
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
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.
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 :)
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
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
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.
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.
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!
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
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!
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.
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.
Doctor High Yield, MD Thanks. Currently watching all your vids for my CK in a few days. Thanks for making these videos, they are super helpful and straight to the point for a quick review!!
Hi! I know this is a year old reply but just wanted to comment on this. For test purposes in the US, we still do the 1 hr 50 GTT and if positive proceed to the 3hr OGTT. Postpartum, we do the 2hr 75 GTT. (other countries do a 2 hr 75 GTT during pregnancy, but not common practice in the US according to ACOG recommendations)
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.
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!
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.
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.
Thanks so much for this, buddy! One minor correction: we now recommend starting solids for infants at 4 months if the baby has adequate neck support and muscle tone. Incredible review for Step 3, too!
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?
38:58 Aplastic crisis vs Aplastic anaemia Aplastic crisis destruction of reticulocytes in pregnant mother leading to reduced RBC; fetal hypoxia leading to tachycardia (occurs specially in sickle cell mother by Parvovirus B19 infection) Aplastic anaemia reduced all 3 blood cell lines
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
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?
You incorrectly stated that increta is the shallowest form. Actually, accreta is shallowest and percreta is the deepest. Correction (copy/pasted from Wikipedia): Placenta accreta occurs when all or part of the placenta attaches abnormally to the myometrium (the muscular layer of the uterine wall). ... Increta - chorionic villi invade into the myometrium. Percreta - chorionic villi invade through the perimetrium (uterine serosa).
@@DoctorHighYieldMD Yep! I just remember it as A.I.P. (alphabetically) so I know which is most superficial and which is most deep. The video all in all is excellent so thanks!
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
O pó
ty
This is clutch affff. Do this for all his videos lol!
@@disturbia1378rt
Thank you this is super helpful!
10:05 erb’s palsy is C5, C6 and presents with waiter’s tip arm position. Klumpke’s claw hand is C8, T1
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)
This is SO good! I also like "A and B are HI in D". Idk why but rhyming always helps me, but I really like this one too
Easy way to remember decelerations (VEAL CHOP: V ariable = C ord compression, E arly = H ead compression & L ate = P lacental insufficiency)
Thanks for posting your helpful mnemonics for our community
This has helped me so much. Thank you.
Dr. Jason Ryan also uses this mnemonic and mentions it at BnB lectures, which is awesome!
Thanks a ton buddy. Ur comments are really helpful😃
❤
Easy way to remember treatment for Endometritis is ECG (Endometritis, Clindamycin & Gentamicin)
Sweet!
For Chorioamnionitis it's CAG= Chorio+Ampi+Genta
@@subhashsharmahero thanks but thats literally my 2nd comment haha
Yo saved my life I hated this Rx😂🔥
@@ShanilR they probably didn't steal it from you. it's easy to miss your other comments as they are scattered around with all the other comments on the video.
Easy way to remember treatment for Chorioamnionitis is CAG (Chorioamniotitis, Ampicillin & Gentamycin)
That's awesome
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!
Easy way to remember causes of Postpartum hemorrhage (PPH): Tone (uterine atony), Trauma (laceration), Tissue (retained placenta) & Thrombotic (inherited thrombophilia). hope it helps
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.
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
Emma Holiday looks different here
😊
😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊😊
Small correction: indomethacin should only be given up to 32 weeks. Nifedipine till 34. 32:40
Yess
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.
Erb's palsy is C5-C6. Klumpke's. is C8-T1. Really good video otherwise! Thanks so much
No problem and yeah youre right I mixed them up nice catch
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
:)
Awesome explaination
Mnemonic for Congenital Rubella Syndrome (CRS)
C- Cataracts
R - heaRt (PDA/Pulmonic Stenosis)
S- Sensorineural deafness
I appreciate you, Doc. Thank you. :)
I always used CDC..
C - Cataracts
D - Deafness
C - Cardiac malformations
i (eye) love (heart) ruby (rubella)
Earrings (ear)
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
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
Chefoctor yes thanks it's in the errata in the description already, I said it backwards
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.
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.
3(7) wks; s7eroid
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!
your explanation of Rh sensitization was so epic! thank you, great video review
Toco-butaline => pulmonary edema
1st line for pregnant UTI: amox-cephspore-nitrofura
Ampicilin: GBS: 4hrs before delivery
Had this dude on 2x and he was straight geekin’ fucking love it
I honored my OBGYN rotation cause of you dude thanks so much !!!!
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
Yeah UW now says that Indomethacin is first line before 32, nifedipine between 32-34
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!
Isn’t nifedipine the first line tocolytic? indomethacin is used till for
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.
your explanations make everything just click so easily!!! thank you for these videos!
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.
pregnancy -> physio -> respiratory alkalosis, not metabolic :-) Thank you very much. Amazing video
This video (and part 2) helped me Honor my OBGYN rotation
C. Kiss wow I'm so proud of you, congratulations!! Well done
Doctor High Yield, MD Thanks. Currently watching all your vids for my CK in a few days. Thanks for making these videos, they are super helpful and straight to the point for a quick review!!
hemorrhage is now 1000 mL regardless of delivery method
What a stellar last minute review! Thanks for uploading it!
No problem!
Chemical Conjunctivitis: Eye Lubricant
Gon Conjunctivitis: IM Dose of Cephalosporin - Third Generation
Chlamydial Conjunctivitis: PO Macrolide
chlamydia po azithro or doxy
Also, topical erythromycin is a prophylaxis for gonococcal conjunctivitis
This is gold, thank you so much
Update to postpartum hemorrhage, now defined as loss of 1000 ml blood/ 24 h, regardless of delivery type
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.
Hey Nice catch, thanks. Happy to help! Yes you're right erbs is c5-c6. Sorry for that. I mixed it up with Klumpke.
How can sombody be so good😭...thanks a million ❤.
Amazing Video !
But this needs a slight change at 7:38 , for ovulation induction in PCOS , drug of choice is "Letrozole" ( an aromatase inhibitor).
This is correct. Higher neonatal survival rates with Letrozole over Clomiphene.
Letrozole is an aromatase Inhibitor.
Sometime when youre doing uworld, everything can start to look the same. This really helps.
Love this video and your approach short and to the point. Thks a million. Keep it up
great review. just wanna add that in ogtt for GDM, now we give 75 gm loading glucose and check bsl 2 hrs after. thanks.
Hi! I know this is a year old reply but just wanted to comment on this. For test purposes in the US, we still do the 1 hr 50 GTT and if positive proceed to the 3hr OGTT. Postpartum, we do the 2hr 75 GTT. (other countries do a 2 hr 75 GTT during pregnancy, but not common practice in the US according to ACOG recommendations)
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.
I LISTENED TO HIS SURGERY VIDEO.. right before my Surgery Shelf Exam.. can somebody say PASSED!!!
@Sr RM I did! 😄
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!
Just found your High Yield Step 2 CK playlist. Thank you so much! 🥰❤
Diagnosis of PPH has now changed to be 1L regardless of C-section or v-delivery
This was great, thanks Doc! Perfect review for my OB shelf tmrw ;)
At 7:44, did you mean to say she'll have respiratory alkalosis instead of metabolic alkalosis?
nice catch thanks for that, yes I meant respiratory alkalosis***, because mom has to exhale co2 for both mom and baby
Erb is c5/6, that c8/t1 is klumpke
At 07:48. She will be having respiratory alkalosis. Right?
amazing explanation on the hydrops fetalis my dude thank you
Thank you Doc, much appreciated !
Your videos are really helpful!!
Okay, about to start OBGYN today. Gonna just put this stuff in my head for now.
Postpartum Bleeding Causes:
Lax, Lacs, Labs, Inside, Outside
Lax ("laxity") = Uterine atony
Lacs = Lacerations
Labs = Coagulation stuff
Inside = Retained products
Outside = Uterine inversion
Omg I love this
Small mistake at 47:04 you say "breast milk", I think you mean "whey". Thanks for the videos! :)
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.
Yes it was addended. I said it backwards !
@"I'm reading my notes haha. I will have them out hopefully soon. Residency has been super busy." Eagerly waiting for the notes.
Need notes please. shresthasanjeeb11@gmail.com
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.
Thank you. Its so helpful
This is appreciated ! Good job.
Keep? yes. - Love Jeniece
Accelerations:
=/>32 wks - 15 x 15 above baseline
Awesome video, thanks!
Keep going that's amazing!!
Thanks so much for this, buddy! One minor correction: we now recommend starting solids for infants at 4 months if the baby has adequate neck support and muscle tone. Incredible review for Step 3, too!
Up-to-date still recommend to start solids at 6-8months
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
Erb's Palsy is C5 C6, Klumpke is C8 and T1.
You are the best ! 👍🏻
Great videos
Thanks alot for your efforts
Great video! Thanks so much !
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?
erb palsy is C5, C6 not C8-T1 (that is Klumpke)
erb's palsy is C5-6, not C8-T1
PPH is now 1L for each btw
Downs syndrome is trisomy 21 not 18 as in timestamp 15:57. Thanks for making the review!! Others already commented on the Erb's Palsy.
Amazing videos. 🔥
38:58
Aplastic crisis vs Aplastic anaemia
Aplastic crisis
destruction of reticulocytes in pregnant mother leading to reduced RBC; fetal hypoxia leading to tachycardia
(occurs specially in sickle cell mother by Parvovirus B19 infection)
Aplastic anaemia
reduced all 3 blood cell lines
I remember the UW explanation says the x ray dose the baby receives is much higher with VQ scanning than with CTPA?
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
New subscriber here. Thank you Doc.
Your definition of placenta acreta and increta are flipped
Thank you brother
Thank you soo muchhh💕
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
I'm reading my notes haha. I will have them out hopefully soon. Residency has been super busy.
heck of an under armour plug here
this is great!
This one time in band camp.... You sound just like allison in American Pie when explaining things XD
❤❤❤thank you❤❤❤so much❤❤❤
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?
Correct
@@DoctorHighYieldMD Thank you so much! These videos are amazing!
You incorrectly stated that increta is the shallowest form. Actually, accreta is shallowest and percreta is the deepest.
Correction (copy/pasted from Wikipedia): Placenta accreta occurs when all or part of the placenta attaches abnormally to the myometrium (the muscular layer of the uterine wall). ... Increta - chorionic villi invade into the myometrium. Percreta - chorionic villi invade through the perimetrium (uterine serosa).
Hadeer Sinawe sorry I said it wrong by accident, hope u understood the picture though
@@DoctorHighYieldMD Yep! I just remember it as A.I.P. (alphabetically) so I know which is most superficial and which is most deep. The video all in all is excellent so thanks!
@@HadeerSinawe oh nice, I like that. Thanks. Also I think of it as INcreta like it goes IN to the uterus haha but somehow i said it backwards oops
This brother is all over the place
omg can you autograph my official dr. high yield study/notes book???
*Placenta Accreta then increase (invades) and lastly percreta (pertrudes through the uterus)
Description of Placenta accreta Vs Increta @27:06 interchanged..otherwise very nice video
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