A woman delivers vaginally at 38 hours after spontaneous rupture of membranes. She had prolonged labor and received multiple vaginal examinations. Ten days postpartum she presents with fever 39 degrees Celsius, foul-smelling lochia, and a tender bulky uterus. The most likely diagnosis is:

• A Endometritis ✓
• B Cystitis
• C Wound infection
• D Septic pelvic thrombophlebitis

Explanation

Postpartum endometritis presents with fever, foul lochia, and uterine tenderness, typically after prolonged rupture of membranes and multiple vaginal examinations. Cystitis causes dysuria without uterine tenderness. Wound infection involves the perineum or cesarean incision. Septic pelvic thrombophlebitis causes spiking fevers unresponsive to antibiotics.

Reference: Dutta's Textbook of Gynecology, 8th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.