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A 24-year-old female G4P1 who is 9 weeks pregnant presents with abdominal pain and vaginal bleeding for 3 days. Vital signs include HR 115, BP 100/76, T 38.7, RR 13, SpO2 99% on RA. She is ill-appearing and has tenderness to palpation of the bilateral lower quadrants and suprapubic region. Pelvic exam reveals blood in the vaginal vault and foul-smelling discharge from the cervix with no other abnormalities. What is the likely diagnosis?

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How can you use POCUS to evaluate for necrotizing soft tissue infection?
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Non-convulsive status epilepticus

Underdiagnosed and associated with significant morbidity/mortality

Major risk factor is convulsive status/history of seizure

Look at eyes, face, fingers, feet for subtle movements -> If present, patient seizing

Be concerned if patient remains post ictal/does not improve for significant time

Treatment: Benzos + anti-seizure meds
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