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 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 [...].
Answer
uterine scarring/ Asherman’s syndrome
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 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 [...].
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 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 [...].
Answer
uterine scarring/ Asherman’s syndrome
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Open it c 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 <span>uterine scarring/ Asherman’s syndrome. <span><body><html>
Summary
status
not learned
measured difficulty
37% [default]
last interval [days]
repetition number in this series
0
memorised on
scheduled repetition
scheduled repetition interval
last repetition or drill
Details
No repetitions
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