High School

A 24-year-old woman presents to her GP 8 days after giving birth. She complains of a persistent pink vaginal discharge which is 'smelly'.

On examination, her pulse is 90/min, temperature is 38.2ºC, and she has diffuse suprapubic tenderness. On vaginal examination, the uterus feels generally tender. Examination of her breasts is unremarkable. Urine dipstick shows blood ++.

What is the most appropriate management?

Answer :

Final answer:

The patient's symptoms suggest postpartum endometritis, an infection of the uterine lining after childbirth. She should be managed with broad-spectrum antibiotics, pain relief, and close monitoring. Blood in her urine might also suggest a urinary tract infection that might require further antibiotics.

Explanation:

The symptoms and clinical findings described suggest the lady may be suffering from postpartum endometritis, an infection of the uterine lining following childbirth. The vaginal examination and her symptoms indicate this. Management would typically involve a course of broad-spectrum antibiotics to treat the infection, pain relief to help with the tenderness and monitoring her vital signs to ensure her condition doesn't worsen. It's crucial to instruct the patient to report any worsening of symptoms immediately. The finding of blood in the urine might suggest a urinary tract infection, which might require a separate antibiotic regimen. Hence, the patient might require additional consideration for this possibility.

Learn more about Postpartum Endometritis here:

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