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EM@3AM: Endometritis

EMDocs

A) Administer ceftriaxone 500 mg IM and doxycycline 100 mg PO B) Consult OB/GYN for incision and drainage C) Establish IV access and administer clindamycin and gentamicin D) Prescribe doxycycline with metronidazole and ensure close OB/GYN follow-up Answer: C Most postpartum infections are identified after hospital discharge.

OB/GYN 81
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Hysterectomy Complications

EMDocs

Operative complications requiring surgical intervention or hospitalization occur in about 3-6% of all hysterectomies (5). This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly. If the top of the pouch is opening at any point this is concerning for dehiscence.

OB/GYN 86