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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 64
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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. This may also predispose a patient to sepsis, peritonitis, or bowel infarction, which need to be recognized quickly.

OB/GYN 67