A 67-year-old patient with a history of gastric cancer is re…

A 67-year-old patient with a history of gastric cancer is receiving a unit of packed red blood cells (PRBCs) for symptomatic anemia (Hgb 7.2 g/dL). The nurse begins the transfusion at 0900. At 0945, the patient reports chills and nausea. The nurse notes that the patient’s temperature has increased from 98.6°F (37°C) to 102.1°F (38.9°C), blood pressure has dropped from 130/78 to 110/60, and the patient appears flushed and anxious.

C.D. is a 22-year-old primipara at 6 days postpartum coming…

C.D. is a 22-year-old primipara at 6 days postpartum coming to see you in clinic for “pain in her stitches.” She had a healthy pregnancy and delivered vaginally after a 24 hour labor. Her labor was complicated by chorioamnionitis and she and baby were treated according to current guidelines. On exam you note her 2nd degree laceration repair has partially broken down. Which of the following is the most likely contributing factor? 

Camille is a 32 y.o. G2P1 presenting at term with contractio…

Camille is a 32 y.o. G2P1 presenting at term with contractions every 3 minutes X 60 seconds for the past 4 hours. She slept 5 hours last night and has been drinking water and juice since her contractions began. She was 3 cm, -1 station, 80% effaced 2 hours ago. Her cervix was just checked and she is now 5-6 cm, 0 station, 100% effaced, vital signs stable, FHTs 140 with no decelerations. Based on this information the best diagnosis is: