33-year-old G1 P0 at 39 weeks with a history gestational diabetes presents in labor. After delivering the head you see it retract slightly (turtle sign). On the next push you are unable to delivery the anterior shoulder with gentle downward traction. Shoulder dystocia typically occurs when the anterior shoulder impacts on the pubic symphysis, less […]
Try ultrasound for your next lumbar puncture!
Posted on“Nobody travels on the road to success without a puncture or two.” -Navjot Singh Sidhu Ultrasound can assist in determining the best site for lumbar puncture. Here is how to do it! 1. Palpate for the superior iliac spine as you would for any lumbar puncture, and find the approximate area of L3-L4 […]