Stephanie Wilsey, MD
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.
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?
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.
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).