Postpartum Endomyometritis Flashcards by Michael Salgado

Flashcards in Postpartum Endomyometritis Deck (9)

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Endomyometritis – etiology? Best therapy?

Ascending infection of vaginal organisms (anaerobic predominance)

Gentamicin + clindamycin

Endomyometritis? When to suspect it?

Infection of the decidua, myometrium, and sometimes parametrial tissues

Fever 2 days after C-section

Septic pelvic thrombophlebitis

Bacterial infection of pelvic venous thrombi, usually involving ovarian vein

After anabiotic treatment, fever resolves when? If no resolution, suspect? Treatment? If still no resolution, management?

48 hours

Enterococcal infection – add ampicillin

CT scan of abdomen and pelvis (looking for abscess or infected hematoma)

Other possible cause of fever after C-section? Occurs when?

Wound infection. Postoperative day 4

Treatment for wound infection?

Surgical opening of wound (Examine for necrotizing fasciitis)

Add antimicrobial agents,

Signs of septic pelvic thrombophlebitis? Mechanism? Confirm diagnosis with? Treatment?

1. Hectic fever but well appearing
2. Palpable pelvic mass

Infection at public implantation site spreads to ovarian venous plexus

CT/MRI

Antimicrobial therapy and heparin

Patient with postpartum fever – rule out?

1. Pulmonary – cough/atelectasis?
2. Pyelonephritis – CVA tenderness/dysuria?
3. Mastitis – breast engorgement/tenderness?
4. wound infection – induration/erythema/drainage?
5. Endometritis – tender/foul-smelling lochia?

Most commonly isolated organism in Endomyometritis?

Bacteriodies

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Endomyometritis – etiology? Best therapy?

Ascending infection of vaginal organisms (anaerobic predominance)

Gentamicin + clindamycin

Endomyometritis? When to suspect it?

Infection of the decidua, myometrium, and sometimes parametrial tissues

Fever 2 days after C-section

Septic pelvic thrombophlebitis

Bacterial infection of pelvic venous thrombi, usually involving ovarian vein

After anabiotic treatment, fever resolves when? If no resolution, suspect? Treatment? If still no resolution, management?

48 hours

Enterococcal infection – add ampicillin

CT scan of abdomen and pelvis (looking for abscess or infected hematoma)

Other possible cause of fever after C-section? Occurs when?

Wound infection. Postoperative day 4

Treatment for wound infection?

Surgical opening of wound (Examine for necrotizing fasciitis)

Add antimicrobial agents,

Signs of septic pelvic thrombophlebitis? Mechanism? Confirm diagnosis with? Treatment?

1. Hectic fever but well appearing
2. Palpable pelvic mass

Infection at public implantation site spreads to ovarian venous plexus

CT/MRI

Antimicrobial therapy and heparin

Patient with postpartum fever – rule out?

1. Pulmonary – cough/atelectasis?
2. Pyelonephritis – CVA tenderness/dysuria?
3. Mastitis – breast engorgement/tenderness?
4. wound infection – induration/erythema/drainage?
5. Endometritis – tender/foul-smelling lochia?

Most commonly isolated organism in Endomyometritis?

Bacteriodies

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Postpartum Endomyometritis Flashcards Preview

Ob/Gyn > Postpartum Endomyometritis > Flashcards

Endomyometritis – etiology? Best therapy?

Ascending infection of vaginal organisms (anaerobic predominance)Gentamicin + clindamycin

Endomyometritis? When to suspect it?

Infection of the decidua, myometrium, and sometimes parametrial tissuesFever 2 days after C-section

Septic pelvic thrombophlebitis

Bacterial infection of pelvic venous thrombi, usually involving ovarian vein

After anabiotic treatment, fever resolves when? If no resolution, suspect? Treatment? If still no resolution, management?

48 hoursEnterococcal infection – add ampicillinCT scan of abdomen and pelvis (looking for abscess or infected hematoma)

Other possible cause of fever after C-section? Occurs when?

Wound infection. Postoperative day 4

Treatment for wound infection?

Surgical opening of wound (Examine for necrotizing fasciitis) Add antimicrobial agents,

Signs of septic pelvic thrombophlebitis? Mechanism? Confirm diagnosis with? Treatment?

1. Hectic fever but well appearing2. Palpable pelvic massInfection at public implantation site spreads to ovarian venous plexusCT/MRIAntimicrobial therapy and heparin

Patient with postpartum fever – rule out?

1. Pulmonary – cough/atelectasis?2. Pyelonephritis – CVA tenderness/dysuria?3. Mastitis – breast engorgement/tenderness?4. wound infection – induration/erythema/drainage?5. Endometritis – tender/foul-smelling lochia?

Most commonly isolated organism in Endomyometritis?

Bacteriodies

Key Links

Subjects

Company

Find Us

Brainscape's Knowledge Genome^TM

Ascending infection of vaginal organisms (anaerobic predominance)

Gentamicin + clindamycin

Infection of the decidua, myometrium, and sometimes parametrial tissues

Fever 2 days after C-section

48 hours

Enterococcal infection – add ampicillin

CT scan of abdomen and pelvis (looking for abscess or infected hematoma)

Surgical opening of wound (Examine for necrotizing fasciitis)

Add antimicrobial agents,

1. Hectic fever but well appearing
2. Palpable pelvic mass

Infection at public implantation site spreads to ovarian venous plexus

CT/MRI

Antimicrobial therapy and heparin

1. Pulmonary – cough/atelectasis?
2. Pyelonephritis – CVA tenderness/dysuria?
3. Mastitis – breast engorgement/tenderness?
4. wound infection – induration/erythema/drainage?
5. Endometritis – tender/foul-smelling lochia?