A patient presents for routine postpaum examination 2 weeks after a normal vaginal delivery with complains of foul smelling vaginal discharge with fever. On abdominal examination, a tender 14 weeks uterus is palpable, breast examination is normal and episiotomy is healthy. What could be the possible diagnosis?
Correct Answer: Subinvolution of the uterus
Description: This is a case of subinvolution of uterus secondary to infection which has resulted in fever and foul smelling lochia SUBINVOLUTION OF UTERUS Normal rate of reduction of size of uterus post delivery: 1-2 cm/ day Uterus becomes pelvic organ by 2 weeks and returns to normal size by 6 weeks Causes: Retained bits of placenta Infection Blood clots Fibroids Clinical features boggy or flabby uterus palpable after 2 weeks per abdomen tender Treatment Uterine evacuation Iv antibiotics Methyl ergometrine
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now