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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.

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SAEM Clinical Images Series: Unidentified Intrauterine Object

ALiEM

She has not established care with an OB provider and has not had a confirmed intrauterine pregnancy. Specific ultrasound findings for an ectopic pregnancy include a gestational sac with a yolk sac outside of the uterus. Are there any other findings on ultrasound that put this pregnancy at higher risk? Am J Obstet Gynecol.

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Hysterectomy Complications

EMDocs

Diagnosis can be confirmed with ultrasound (for deep vein thrombosis) or CT angiography (CTA) chest (for pulmonary embolism) and patients treated with anticoagulants. Once diagnosed the patient should be treated with broad-spectrum antibiotics and referred to OB/GYN for operative repair (6). 2020 Sep;127(10):1269-1279.

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