AMANDA FINLEY, DO FACOI FACP

Summary
A 44-year-old Caucasian female with a history of endometriosis is admitted to the intensive care unit due to severe left lower quadrant abdominal pain, nausea and vomiting. With patients’ positive chandelier sign on pelvic examination, leucocytosis, elevated erythrocyte sedimentation rate and elevated C-reactive protein indicated that she had pelvic inflammatory disease (PID). PCR tests were negative for Neisseria gonorrhoeae and Chlamydia trachomatis; however, her blood and urine… Show more

Summary
A 44-year-old Caucasian female with a history of endometriosis is admitted to the intensive care unit due to severe left lower quadrant abdominal pain, nausea and vomiting. With patients’ positive chandelier sign on pelvic examination, leucocytosis, elevated erythrocyte sedimentation rate and elevated C-reactive protein indicated that she had pelvic inflammatory disease (PID). PCR tests were negative for Neisseria gonorrhoeae and Chlamydia trachomatis; however, her blood and urine cultures grew Group A streptococci (GAS) with a negative rapid Streptococcus throat swab and no known exposure to Streptococcus. On further review, patient met criteria for GAS toxic shock syndrome based on diagnostic guidelines. The patient was promptly treated with intravenous antibiotics and supportive care, and she acutely recovered. This case demonstrates a rare cause of PID and an atypical aetiology of severe sepsis. It illuminates the importance of considering PID as a source of infection for undifferentiated bacteraemia. Show less

We present a case of a 50-year-old female with previously
diagnosed Felty’s syndrome who experienced a number of
complications related to massive splenomegaly including cytopenias.
The patient required multiple hospitalizations during which a splenic
infarction and splenothoracic fistula were discovered. Ultimately,
the patient underwent splenectomy which was further complicated
by post-operative multi-vein thrombosis. Analysis of this patient
provides an illustration of… Show more

We present a case of a 50-year-old female with previously
diagnosed Felty’s syndrome who experienced a number of
complications related to massive splenomegaly including cytopenias.
The patient required multiple hospitalizations during which a splenic
infarction and splenothoracic fistula were discovered. Ultimately,
the patient underwent splenectomy which was further complicated
by post-operative multi-vein thrombosis. Analysis of this patient
provides an illustration of the potential for significant morbidity and
mortality associated with the often ignored finding of splenomegaly
that is rarely reported in current literature. Show less

We report a case of a right vertebral artery dissection in a 35-year-old woman, 3 weeks post partum, with manifestations of vertebrobasilar disease. She was 3 weeks out from the uneventful delivery of her fourth child, with presentation of acute neurological symptoms,
predominantly intractable vertigo. Vertigo can have many non-specific generalised symptoms and clinical findings. Postpartum women have a lengthy list of possible aetiologies of vertigo not limited to our initially suspected… Show more

We report a case of a right vertebral artery dissection in a 35-year-old woman, 3 weeks post partum, with manifestations of vertebrobasilar disease. She was 3 weeks out from the uneventful delivery of her fourth child, with presentation of acute neurological symptoms,
predominantly intractable vertigo. Vertigo can have many non-specific generalised symptoms and clinical findings. Postpartum women have a lengthy list of possible aetiologies of vertigo not limited to our initially suspected preeclampsia, dural venous thrombosis and vertebral dissection.
PMID: 26604320 Show less

Synth. Commun. 2005, 35 , 3083 TRANSFER HYDROGENATION OF ALDEHYDES WITH 2‐PROPANOL AND RANEY ® NICKEL Robert C. Mebane and Amanda J. Mansfield Department of Chemistry, University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA Raney nickel in refluxing 2‐propanol containing a trace of HCl is an effective catalytic system for the reduction of aldehydes to primary alcohols.