Peripartum Fevers

Hysteroscopy = looking inside the uterus with a scope Steps: Dilate the cervix Distend the uterus with fluid Look around, identify pathology, identify tubal ostia, remove pathology if using an operative scope or Myosure or another resectoscope. Feared complication: Hyponatremia f ...  Show more

Why: ASCCP guidelines (there is an app! Or PDF) Cervical dysplasia — caused by HPV CIN I–CIN3 is a progression Risk factors: Smoking, other STIs including HIV, immunodeficiency   Histology: Increased Nuclear: cytoplasmic ratio when abnormal Acetic Acid: exact mechanism unknown, t ...  Show more

Maddie’s 7 Cardinal Movements of a Successful Delivery: 1. Head comes out 2. Head turns 3. Cord Assessment 4. Anterior shoulder delivered 5. Posterior shoulder delivered 6. Body delivered. 7. Baby on mom’s chest T’s of Postpartum Hemorrhage: 1. Tone 2. Trauma 3. Tissue 4. Thrombo ...  Show more

You are working at Clerkship General when the next chart gets handed to you – a 31 year old female presenting with abdominal pain. Initial Vitals: BP: 109/65 HR: 96 RR: 21 O2: 99% Temp: 99.1F Critical Actions: Obtain pregnancy test Confirm IUP Administer Rhogam Treat UTI Counsel ...  Show more

A physical therapist notes fever of 39.2°C (102.6°F), nausea, and new confusion in a patient recently diagnosed with a urinary tract infection. Which of the following actions is the MOST appropriate next step? Find it all out in the podcast! Be prepared for the NPTE so that you c ...  Show more

Today we talk through the tough decision on what to do when a patient presents at the most inconvenient time with Fever Without Source. Why is this a hard decision? What are the things that you should be thinking about? We review the literature, the rationale, and the options of ...  Show more