Concluded Case

Diagnosis and treatment?

Patient presented with high grade fever and fouel smelling discharge. Home delivery before 13 days. management? Chief Complaints High grade fever, white discharge 3 days History 13 th postpartum day. Home delivery Vitals Pulse100/ min, BP 120/80, spo2 99'/. Physical Examination Utrus 14 weeks size, ps cervical discharge , purulent discharge Investigations CBC ,s creat Diagnosis Pyometra?? Management Drainage of pyometra with uterine catheterization or just cervical dilatation

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Concluded answer

diagnosis- pyometra treatment- higher antibiotics and drainage of pyometra.

All Answers

- Routine Lab. Investigation , LFT, RFT, Coagulation profile, S. Electrolyte - Cover With Higher IV Antibiotics - Remove source of Infection - Careful Watch on Vitals - May turnout in Septic Shock , DIC, ARF

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Cause could infected placental bits, infected left over swab by dai and even pyometra. She needs to undergo blood culture, pelvic sonography, aseptic gentle internal examination. Risk: septic shock Treatment: Broad spectra antibiotics, intravenous fluid, urinary outputs. Patient then can undergo vaginal exploration in OT under GA for needful.

Thank you doctor
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diagnosis- pyometra treatment- higher antibiotics and drainage of pyometra.