Postpartum Endomyometritis Flashcards Preview

Ob/Gyn > Postpartum Endomyometritis > Flashcards

Flashcards in Postpartum Endomyometritis Deck (9)
Loading flashcards...
0

Endomyometritis – etiology? Best therapy?

Ascending infection of vaginal organisms (anaerobic predominance)

Gentamicin + clindamycin

1

Endomyometritis? When to suspect it?

Infection of the decidua, myometrium, and sometimes parametrial tissues

Fever 2 days after C-section

2

Septic pelvic thrombophlebitis

Bacterial infection of pelvic venous thrombi, usually involving ovarian vein

3

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)

4

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

Wound infection. Postoperative day 4

5

Treatment for wound infection?

Surgical opening of wound (Examine for necrotizing fasciitis)

Add antimicrobial agents,

6

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

7

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?

8

Most commonly isolated organism in Endomyometritis?

Bacteriodies