http://www.fpnotebook.com/
EndometritisAka: Endomyometritis
- See Also
- Postpartum Endometritis
- Causes
- Pelvic Inflammatory Disease
- Postpartum
- Chorioamnionitis
- Endometritis
- Early Postpartum (<48 hours) after C-Section
- Late Postpartum (48 hours - 6 weeks) after NSVD
- Uterine instrumentation
- Septic Abortion
- Pathophysiology
- Bacterial infection of the uterus
- Bacteroides
- Group B Streptococcus
- Group A Streptococcus
- Enterobacteriaceae
- Chlamydia trachomatis
- M. hominis
- Symptoms
- Lower abdominal cramps
- Foul Vaginal Discharge
- Nausea and Vomiting
- Signs
- Fever
- Lower abdominal tenderness and muscle spasm
- Cervical motion tenderness
- Labs
- Complete Blood Count
- Leukocytosis
- Gram Stain and culture of cervical discharge
- Gonorrhea Culture
- Chlamydia swab
- Management
- Inpatient (Indicated in most cases)
- Option 1
- Cefoxitin OR Timentin OR Imipenem OR Unasyn AND
- Doxycycline
- Option 2
- Clindamycin AND
- Ceftriaxone OR Cefotaxime OR Gentamycin
- Outpatient (Indicated for late Postpartum Endometritis)
- Non-lactating mother
- Doxycycline 100 mg q12h IV or PO for 14 days
- Lactating mother
- Doxycycline
- Pump and dispose of milk
- Clindamycin may be effective
|
|---|
| Definition (MSH) | Inflammation of the ENDOMETRIUM, usually caused by intrauterine infections. Endometritis is the most common cause of postpartum fever. |
| Concepts | Disease or Syndrome (T047)
|
| ICD9 | 615.9 |
| English | Endometritis, Endometritis unspecified |
| Spanish | endometritis |
| Credits | 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. |
| Concepts | Disease or Syndrome (T047)
|
| ICD9 | 615.9 |
| English | Endomyometritis, Endomyometritis unspecified |
| Spanish | endomiometritis |
| Credits | Derived from the NIH UMLS (Unified Medical Language System)
|
Navigation Tree