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Board Review: Thyroid Storm

A 25 y/o female presents to your emergency department with heart palpitations for past 4 days.  Her vital signs are blood pressure of 180/90, heart rate of 120 beats per minute, respiratory rate of 22 breaths per minute, and temperature of 102°F.  After thorough examination and workup you make the diagnosis of thyroid storm.  What is the correct sequence of medications to treat thyroid storm? 

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Advanced Practice: Catheter Associated Asymptomatic Bacteriuria and Urinary Tract Infections

59-year-old male with prostate cancer status post laser therapy (POD 14) presents with hematuria (bright red blood and clots) and difficulty urinating. Post void residual volume is 400cc. Urinary catheter is placed. Hemoglobin is stable and patient would like to be discharged with follow up with urology in 2 days. Should patients be placed on prophylaxis systemic antibiotics?

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Advanced Practice: Vaginal Cuff Dehiscence and Evisceration

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

Surgical emergency with risk of bowel necrosis.

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