This page is dedicated to organizing various examples of standardized exam questions whose answer is postpartum endometritis. While this may seem a odd practice, it is useful to see multiple examples of how postpartum endometritis will be characterized on standardized exams (namely the boards and the shelf exams). This page is not meant to be used as a tradition question bank (as all of the answers will be the same), however seeing the classic “test” characterization for a disease is quite valuable.
Question # 1
A 33 year old woman, G1P1, is seen on the hospital floor two days after a C-section. She has lower abdominal pain, chills, and also pain when sitting upright. After being in labor for 27 hours, she had a primary cesarean delivery due to an arrest of descent. Her past medical history is notable for asthma that is well controlled with a resume inhaler. She denies using tobacco, alcohol, or illicit drugs. Her temperature is 101.1 °F, blood pressure is 100/58 mm Hg, pulse is 95/min,. Physical exam reveals bilateral clear lung fields, full breasts with no erythema or fluctuant masses. The uterine funds is firm and tender to palpation. There is scant serosanguineous drainage from he lower aspect of the incision. A pelvic exam shows a small amount of blood present on the perineal pad with a foul-smelling discharge present as well. The patient’s lower extremities show minimal pedal edema bilaterally. What is the likely diagnosis in this patient?
Page Updated: 11.01.2016