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EndometritisAka: Endomyometritis

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  1. See Also
    1. Postpartum Endometritis
  2. Causes
    1. Pelvic Inflammatory Disease
    2. Postpartum
      1. Chorioamnionitis
      2. Endometritis
        1. Early Postpartum (<48 hours) after C-Section
        2. Late Postpartum (48 hours - 6 weeks) after NSVD
    3. Uterine instrumentation
    4. Septic Abortion
  3. Pathophysiology
    1. Bacterial infection of the uterus
      1. Bacteroides
      2. Group B Streptococcus
      3. Group A Streptococcus
      4. Enterobacteriaceae
      5. Chlamydia trachomatis
      6. M. hominis
  4. Symptoms
    1. Lower abdominal cramps
    2. Foul Vaginal Discharge
    3. Nausea and Vomiting
  5. Signs
    1. Fever
    2. Lower abdominal tenderness and muscle spasm
    3. Cervical motion tenderness
  6. Labs
    1. Complete Blood Count
      1. Leukocytosis
    2. Gram Stain and culture of cervical discharge
    3. Gonorrhea Culture
    4. Chlamydia swab
  7. Management
    1. Inpatient (Indicated in most cases)
      1. Option 1
        1. Cefoxitin OR Timentin OR Imipenem OR Unasyn AND
        2. Doxycycline
      2. Option 2
        1. Clindamycin AND
        2. Ceftriaxone OR Cefotaxime OR Gentamycin
    2. Outpatient (Indicated for late Postpartum Endometritis)
      1. Non-lactating mother
        1. Doxycycline 100 mg q12h IV or PO for 14 days
      2. Lactating mother
        1. Doxycycline
          1. Pump and dispose of milk
        2. Clindamycin may be effective

Endometritis (C0014179)

Definition (MSH)Inflammation of the ENDOMETRIUM, usually caused by intrauterine infections. Endometritis is the most common cause of postpartum fever.
ConceptsDisease or Syndrome (T047)
ICD9615.9
MSHD004716
EnglishEndometritis, Endometritis unspecified
Spanishendometritis
Parent ConceptsUterine Diseases (C0042131), Pelvic Inflammatory Disease (C0242172), Endometrial disorder (C0151622), Infectious disease of genitourinary system (C1279264), Uterine Corpus Non-Neoplastic Disorder (C1336918), Endometritis (C0014179), Metritis (C0269048)
SourcesCOSTAR, CST, MSH, MTH, MTHICD9, NCI, NDFRT, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


Endomyometritis (C0269050)

Definition (MSH)Inflammation of both the ENDOMETRIUM and the MYOMETRIUM, usually caused by infections after a CESAREAN SECTION.
ConceptsDisease or Syndrome (T047)
ICD9615.9
MSHD004716
EnglishEndomyometritis, Endomyometritis unspecified
Spanishendomiometritis
Parent ConceptsEndometritis (C0014179), Endomyometritis (C0269050)
SourcesMSH, MTH, MTHICD9, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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