Stephanie Wilsey, MD

Advanced Cases and Content: Genital Pain

11-year-old boy previously health who presents with testicular pain. He had sudden onset of pain that started 6 hours ago. He rates it 8/10, states it has been constant since then and is non-radiating. He denies dysuria and similar pain in the past. He further denies testicular trauma and recent fevers. He had one episode of emesis while in the waiting room.

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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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Advanced Practice: Lemierre Syndrome

Lemierre Syndrome is thrombophlebitis with infectious involvement of the carotid sheath vessels and bacteremia.  It is an extremely rare condition also known as jugular vein suppurative thrombophlebitis, postanginal sepsis and necrobacillosis, which usually affects previously healthy / young adults (approx. 20 y/o).  

 

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