Aspiration Pneumonitis Causing Respiratory Collapse in a Pregnant Patient Not in Labor.

Background: Aspiration is a known risk of obstetric anesthesia; however; it has not been previously described outside of active labor or the setting of anesthesia.

Case: We present the case of a 31-year-old patient with a twin gestation at 33 weeks of gestation, not in labor, with clinically silent aspiration leading to aspiration pneumonitis and respiratory collapse requiring endotracheal intubation and transport to a pulmonary critical care service. After 4 days, she was extubated and eventually underwent a cesarean delivery at 37 weeks of gestation with no long-term pulmonary sequelae.

Restoration of vaginal anatomy after extensive posterior wall resection utilizing human acellular dermal matrix.

• Pelvic tumor debulking encompassing the vaginal wall can preclude simple closure. • Current repair options that maintain sexual function and anatomy are limited. • This is the first published case of an acellular matrix used for such reconstruction.

Common Questions About the Evaluation of Acute Pelvic Pain.

Acute pelvic pain is defined as lower abdominal or pelvic pain of less than three months' duration. It is a common presentation in primary care. Evaluation can be challenging because of a broad differential diagnosis and because many associated signs and symptoms are nonspecific.

Prevention of unintentional childhood injury.

Unintentional injury accounts for 40 percent of childhood deaths annually, most commonly from motor vehicle crashes. The proper use of child restraints is the most effective strategy to prevent injury or death. Motor vehicle restraint guidelines have recently been revised to an age-based system that delays the progression in type of restraint for most children.