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Question
Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like [...].
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.
Answer
Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis

Question
Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like [...].
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.
Answer
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Question
Persistent postpartum fever:
Refers to a lack of improvement or deterioration in clinical status after 48 hours of treatment.
Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team).
Consider other causes like [...].
Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s syndrome.
Answer
Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis
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f treatment. Re-evaluate the patient, perform a full physical exam and consider imaging like Ultrasound to exclude retained products of conception (RPOC), Consultation to Infectious disease team (ID team). Consider other causes like <span>Infected hematoma, Pelvic abscess, Pelvic cellulitis, Wound infection, Septic pelvic thrombophlebitis, ovarian vein thrombosis. Treatment: consider antibiotics changes (consult ID team); consider gentle curettage if there is RPOC to remove necrotic tissue. “Gentle” to prevent uterine scarring/ Asherman’s

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