Rectovaginal fistula

A rectovaginal fistula (RVF) is an epithelial-lined tract between the rectum and vagina. CAUSES 1. Perineal lacerations during childbirth, especially those due to episioproctotomy, predispose patients to RVFs. Failure to recognize and correctly repair perineal lacerations, or secondary infection of perineal lacerations, further increases the chance of RVF. 2. Crohn disease  and,  ulcerative colitis have …

The Precordial Thump

It’s old school. It looks cool. Its rarely done. It’s back. The precordial thump is now back in the 2010 ACLS guidelines. The precordial thump may be considered for patients with witnessed, monitored, unstable VT (including pulseless VT) if a defibrillator is not immediately ready for use, but it should not delay CPR and shock …

Dehydration

Dehydration (fluid volume deficit)  Fluid volume deficit occurs from the loss of body fluids.  This occurs more rapidly when coupled with decreased fluid intake and can also occur after a prolonged period of inadequate intake. Dehydration or fluid volume deficit can be mild moderate or severe. Cause:  Causes of Dehydration include abnormal fluid losses such …

Hectic schedule

Looks like my schedule is pretty much set in stone now, at least for the semester.  Now that I have gone PRN at my job (RT), well I officially go PRN on October 9) my schedule is pretty much set. Monday:  off from work – pre clinical patient research takes up much of the day. …