Vaginal Cuff Dehiscence and Evisceration After Total Hysterectomy
Incidence of vaginal cuff dehiscence after hysterectomy ranges from 0.14-4.1%.
Risk factors include post-operative infection, radiotherapy, chemotherapy, early return to sexual intercourse, constipation
An elderly female patient presents with abdominal pain and distention with no bowel movement in 1 week. Labwork shows a Cr of 8 from baseline of 1 with a normal lactate. Click for further information about her diagnosis.
A 50 year old male with a recent lung mass resection presents with chills and diffuse burning rash. Patient was well appearing and afebrile. There were no mucosal lesions. Initial lab testing was significant for a leukocytosis of 19 with 89% neutrophils. Patient was started on steroids and observed in the hospital.
Recommend against reversal of LMWH in patients receiving prophylactic dosing of LMWH.
Low quality of evidence for the use of FFP or PCC to reverse LMWH.
Protamine:
rFVIIa: 90 ug/kg iV if Protamine is contraindicated.
While the Cooper EM residents and faculty not on duty flock to the Eagles Super Bowl celebration parade in Philadelphia, EMDaily presents a brief review by our own Dr. Reid Phillips of two articles examining the efficacy of fresh-frozen plasma for the treatment of ACE-I induced angioedema. Can this simple therapy help prevent an airway disaster? Read on to find out!
Patients suffering from uncomplicated diverticulitis are generally prescribed oral antibiotics but does it improve outcomes? This week for his critically appraised topic, Dr. Reid Phillips investigated whether antibiotics improve recovery time or complication rate in uncomplicated diverticulitis.
