PEM Source

Your source for all things Pediatric Emergency Medicine

All posts with tag: "ob"

PEM Questions

(Click the link to comment and to vote - voting not working through email, sorry!)

You are caring for a 19 year old woman who is breastfeeding her 2 month old infant. She has a superficial 2cm breast abscess located on her inferior breast with minimal overlying cellulitis and no involvement of the nipple. She is nontoxic, afebrile, and not septic appearing. Which of the following ED management choices is most appropriate and most likely to result in rapid improvement?

[yop_poll id="187"]
(Click the link to comment and to vote – voting not working through email, sorry!) [yop_poll id="147"]
(Click the link to comment and to vote - voting not working through email, sorry!)   [yop_poll id="135"]
(Click the link to comment and to vote - voting not working through email, sorry!) [yop_poll id="94"]
(Click the link to comment and to vote - voting not working through email, sorry!) A 17 year old G1P0 girl at 38 weeks gestation presents in active labor, crowning. OB has been called but is responding from home and won’t be there for 20 minutes. The head delivers, but the baby then has the “turtle sign” with fetal head retracting against the perineum. [yop_poll id="72"]
(Click the link to comment and to vote - voting not working through email, sorry!) A 19yo woman who is 33 weeks pregnant presents with contractions every 2 minutes and thinks her water broke. She has no prenatal care records available, and was only recently diagnosed as pregnant at an outside clinic. On exam, she is 9cm dilated and +1 station. She is screaming with pain. [yop_poll id="54"]
A 16yo girl presents to the ED with symptoms and rash consistent with varicella (chickenpox). She was never vaccinated, as a personal family choice. She also recently gave birth. (Click the link to comment and to vote - voting not working through email, sorry!) [yop_poll id="5"]

Tips and Tricks

Patient won't or can't urinate for point-of-care pregnancy test, and quantitative hCG will take too long? Put a couple drops of whole blood on the POC cassette. Read more on ALiEM here, and below Blood on ICON slide  

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