Match each etiology of postpartum febrile morbidity with its most characteristic clinical presentation.
- Postpartum EndometritisFever on postpartum day 2 with uterine fundal tenderness and purulent lochia
- Septic Pelvic ThrombophlebitisPersistent spiking fevers despite 48 hours of appropriate intravenous broad-spectrum antibiotics, with a normal physical exam
- Lactational MastitisUnilateral, localized breast erythema and induration accompanied by high fever, typically occurring weeks after delivery
- Breast EngorgementBilateral, diffuse, firm, and tender breasts accompanied by a transient low-grade fever on postpartum day 3
Cevap
Postpartum Endometritis matches with early fever and uterine tenderness; Septic Pelvic Thrombophlebitis matches with persistent fever unresponsive to antibiotics; Lactational Mastitis matches with unilateral focal erythema; and Breast Engorgement matches with bilateral fullness and low-grade fever.
Postpartum febrile morbidity requires careful differentiation based on timing, clinical exam findings, and response to treatment. The etiologies can be distinguished by their classic presentations: endometritis features uterine tenderness; septic pelvic thrombophlebitis features refractory fever; mastitis features unilateral breast erythema; and engorgement features bilateral breast fullness.
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Anahtar Kavram
Diagnosis of Postpartum Febrile Morbidity