This lecture will consider the types of early intrauterine pregnancy loss (incomplete, spontaneous, missed and septic abortions). It will address epidemiology, risk factors, pathophysiology, signs, symptoms, physical exam findings, ancillary testing, and medical and surgical management. This presentation will also consider managing pregnancy loss given current state limitations in the provision of this care.  Objectives include: 

1. Describe the epidemiology, risk factors, pathophysiology, signs, symptoms, physical exam findings, ancillary studies, and management.
2. Discuss strategies for managing pregnancy loss in circumstances in which state limitations are present.
3. Discuss disparities in care for patients needing emergency services for early intrauterine pregnancy loss.

This lecture highlights the important role of primary care providers and provide helpful information that will empower them to confidently provide comprehensive and collaborative care to patients living with breast cancer and beyond.  Objectives include: 

1. Compare and contrast the various types and stages of breast cancer, including common presentations of each.
2. Recognize some of the most common long-term effects of cancer treatment for breast cancer survivors and recommend therapeutic measures for each: Osteoporosis, Peripheral Neuropathy, Cardiotoxicity, "Chemo Brain”, Anxiety/Depression, Fatigue.
3. Review current screening and follow-up recommendations for patients with a personal history of breast cancer.
4. Recognize that hormonal contraception/hormone replacement therapy are contraindicated in women with history of hormone receptor positive breast cancer.
5. Discuss barriers to screening, treatment, and diagnosis experienced by many patients and potential ways to address these.

This presentation will consider common vulvar disorders encountered in primary care (lichen simplex chronicus, lichen sclerosus, lichen planus, genitourinary syndrome of menopause, contact vulvitis and vulvar carcinoma). It will address: incidence, risk factors, pathophysiology, signs and symptoms, physical exam findings, ancillary testing, and management for each entity considered.  Objectives include:

1. Discuss the incidence, risk factors, pathophysiology, signs, symptoms, physical exam findings, ancillary testing, and management. 
2. Discuss management of refractory cases.
3. Describe the ways in which the following disparities may affect seeking care for vulvar symptoms, access to care, and decisions regarding treatment.