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Pearls of Exxcellence

The Pearls of Exxcellence are the most challenging topics for Ob/Gyn certification.

in Conjunction with SASGOG
The Society for Academic Specialists in General Obstetrics and Gynecology

The Exxcellence Foundation will review the data from the three oral Board certification exams, and compile a list of the ten to twelve most challenging topics. A short review and references will periodically be posted.

** The Exxcellence Foundation is committed to accuracy and will review and validate all Pearls on an ongoing basis to reflect current practice.

This document is designed to aid practitioners in providing appropriate obstetric and gynecologic care. Recommendations are derived from major society guidelines and high quality evidence when available, supplemented by the opinion of the author and editorial board when necessary. It should not be construed as dictating an exclusive course of treatment or procedure to be followed. Variations in practice may be warranted based on the needs of the individual patient, resources, and limitations unique to the institution or type of practice.

Nov 2015Complications of TVT and TOT
Nov 2015Trichomonas, Gonorrhea, and Chlamydia in Pregnancy
Nov 2015Postpartum Eclampsia
Nov 2015Management of Primary and Recurrent HSV 2 Vulvar Infections
Oct 2015Contraception in Women with Thromboembolism and Thrombophilia
Oct 2015Metabolic Syndrome
Oct 2015Contraception in Women with Lupus
Oct 2015Fecal Incontinence
Oct 2015Management of Postoperative Ileus
Oct 2015Hormonal Contraception in Women Taking Medications with Potential Drug Interactions
Oct 2015Evaluation of the Adnexal Mass in an Older Woman
Sep 2015Contraception in Women with Cardiovascular Risk Factors
Sep 2015Management of Adnexal Masses in Pregnancy
Sep 2015Management of Persistent and Recurrent Trichomonas
Sep 2015Management of Women on Hormonal Therapy or Contraception in Women Undergoing Surgery
Aug 2015Postmenopausal Vulvar Disorders
Aug 2015Cystic Breast Masses in Young Women
Jul 2015Neonatal Encephalopathy and Cerebral Palsy
Jun 2015Pre-gestational Diabetes Diagnosed in Early Pregnancy
Jan 2015Management of a Patient Who Has Suffered Domestic Violence
Dec 2014Evaluation and Management of a 4th Degree Laceration
Nov 2014Evaluation of Dyspnea and Management of Pulmonary Embolism after Surgery
Oct 2014Management when a Hysteroscopic or D&C Biopsy is Reported as Grade 1 AC of the Endometrium
Sep 2014Surgery in Morbidly Obese Patients
Aug 2014Evaluation of Postmenopausal Vaginal Bleeding
Jul 2014Management of Wound Complications of Cesarean Delivery
Jun 2014Intrapartum and Postpartum Fever
May 2014Management of Evisceration of the Vaginal Cuff
Apr 2014Management Women with Multiple Fibroids who are Attempting Pregnancy
Mar 2014Fetal Heart Rate Abnormalities: Minimal Variability and Heart Rate of 100
Feb 2014Perforation with Uterine Sound and Suction Cannula during a D&C
Jan 2014Diagnosis and Management of Cervical Ectopic Pregnancy
Dec 2013Management of the Frank Breech Presenting at the Introitus
Nov 2013Proximal Tubal Occlusion
Oct 2013Anti-Lewis Antibodies in Pregnancy
Sep 2013Cytomegalovirus Infection in Pregnancy
Aug 2013Management of Brow, Face, and Compound Malpresentations
Jul 2013Evaluation of Anemia in Pregnancy
Jun 2013Ongoing Care of a Woman with Breast Cancer on Letrozole
May 2013Management of Broad Ligament Extension and Hematoma during a Cesarean Delivery
Apr 2013Amniotic Fluid Embolism
Mar 2013Management of Bilateral Tubo-Ovarian Abscesses in Young Nulligravida
Feb 2013Management of a Lost Pedicle At the Time of a Vaginal Hysterectomy
Jan 2013Management of Atypical Glandular Cells
Dec 2012Hematoma after Delivery
Nov 2012Management of Multi-Fetal Pregnancy: monochorionic, diamnionic twins; monochorionic, monoamnionic twins
Oct 2012Management of Breakdown of Obstetrical Anal Sphincter Repairs
Sep 2012Complications of Varicella Infection in the Third Trimester
Jul 2012Management of Lateral Uterine Perforation at the Time of Hysteroscopy
Jun 2012Management of Ureteral Injuries
May 2012Etiology and Treatment of Clostridium Difficile Colitis
Apr 2012Hyperprolactinemia
Mar 2012Management of Twins
Feb 2012Avoiding Trocar Injuries Associated with Laparoscopic Surgery
Jan 2012Surgical Management of Endometriosis
Dec 2011Breech Presentation
Oct 2011Antepartum Management of Vasa Previa
Sep 2011Management of Pregnancy with ABO Incompatibility
Aug 2011Desired Pregnancy after Essure Placement
Jul 2011Management of Placenta Accreta Diagnosed at 20 Weeks
May 2011Hypothyroidism
Mar 2011Primary Amenorrhea in a Teenager
Feb 2011Management of Urethral Diverticula
Jan 2011Perioperative Management of Anticoagulation in Gynecologic Patients
Sep 2010Management of Adnexal Cysts
Jun 2010Elevated Maternal Serum AFP (MSAFP) at 16 Weeks
May 2010Management of Paget Disease of the Vulva
Apr 2010Anemia in Pregnancy with Normal Iron Studies
Jan 2010Management of a Thyroid Nodule
Dec 2009Postoperative Urinary Fistulae
Oct 2009Postpartum Perineal Pain
Sep 2009Complications of Gynecologic Laparoscopic Surgery
May 2009Adnexal Masses in Adolescents
Mar 2009Fetal Ventral Abdominal Wall Defects
Jan 2009Nonimmune Hydrops Fetalis
Oct 2008Toxoplasmosis
Oct 2008Parvovirus