A 21 year old primigravida presents at 18 weeks gestation with fever, flank pain, and dysuria for two days. On arrival she has CVA tenderness and a temp of 39.0 C, HR 120 bpm, BP of 84/48. After administration of 2L of cyrstalloid and IV antibiotics, her BP is 90/50, HR 110. Which best describes her hemodynamic parameters?

A 21 year old primigravida admitted for pyelonephritis continues to experience temperatures greater than 38 C and flank pain despite adequate hydration and 3 days of IV amp and gent. Her urine culture demonstrated E coli resistant to ampicillin but sensitive to gentamicin. What is the next best step in management?

Which obstetrical complication has been associated with domestic violence?

Which finding is more common in the setting of traumatic abruption as compared to non-traumatic abruption?

a 34 yo woman at 32 weeks was a restrained passenger in a moderate-speed motor vehicle collision 2 hours ago. She sustained minor injuries and is without abdominal pain or vaginal bleeding. She reports good fetal movement and tracing is cat 1. She is contracting every 5-6 min. What is the best course of action?

A woman experienced an uncomplicated vaginal delivery at term, followed by overwhelming sepsis requiring a total abdominal hysterectomy and BSO. Which of the following pathogens is known for its exotoxin that can cause rapid and extensive tissue necrosis and gangrene

Which of the following clinical signs define progression from the warm phase to the cold phase of septic shock

Which intervention is least likely to be beneficial in the treatment of early sepsis

What is the most important risk factor for intimate partner homicide?