Stephanie Wilsey, MD

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

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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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Advanced Practice: Stercoral Colitis with Obstructive Acute Kidney Injury

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. 

 

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