Endometritis

Question 1

What is the definition of endometritis?

Answer 1

Infection of the uterus after pregnancy

Endometritis is often referred to as “Postpartum endometritis” for all intents and purposes.

Question 2

What are common symptoms of postpartum endometritis?

Answer 2

Fever, uterine tenderness, and foul-smelling lochia within a few days of delivery

Symptoms typically arise a few days after delivery.

Question 3

What is the usual cause of postpartum endometritis?

Answer 3

Polymicrobial

This means multiple types of bacteria are typically involved in the infection.

Question 4

In a case scenario, what would indicate postpartum endometritis?

Answer 4

C-section two days ago + fever + lower abdominal pain +/- foul-smelling lochia

Chorioamnionitis would be the wrong answer since the woman is no longer pregnant.

Question 5

What is the treatment for postpartum endometritis?

Answer 5

Ampicillin + gentamicin +/- clindamycin

This combination of antibiotics is used to treat the infection.

Question 6

Woman had Caesar two days ago + temp 99.3 F + incision site mildly erythematous + two inguinal lymph nodes are palpable and tender

Answer 6

Answer = “normal post-operative course.”
Surgery is trauma, and the immune system will generate a natural response to it. Palpable lymph nodes can be a normal response to inflammation and surgery. Normal post-operative symptoms include mild fever, erythema at incision site, and palpable inguinal lymph nodes

This contrasts with the symptoms of endometritis.

Question 7

True or False: Palpable lymph nodes after surgery can be a normal response.

Answer 7

True

Inflammation and surgery can lead to a natural immune response including palpable lymph nodes.

Question 8

Fill in the blank: The immune system generates a natural response to _______.

Answer 8

[surgery]

This response includes symptoms like mild fever and lymphadenopathy.