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  #1  
Old 12-19-2013
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ObGyn Fever after C Section!

A previously healthy 27-year-old woman, gravida 2, para 2 is 4 days status post cesarean section and develops a temperature to 100.7 F (38.2 C). She had her cesarean section when she went into unstoppable preterm labor with a breech fetus. She had an uncomplicated postoperative course until this temperature elevation. Her pulse is 100/min, blood pressure is 110/70 mm Hg, and respirations are 16/min. There is discoloration and cyanosis around the incision. The area around the incision is completely numb. There is no uterine tenderness on bimanual examination. Which of the following is of the most concern in this patient?
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  #2  
Old 12-19-2013
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options?
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  #3  
Old 12-19-2013
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endometritis ruled out.. Wound inf??
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  #4  
Old 12-20-2013
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Default hi

I thought the same wound infection but the answer is necrotising fasciitis

options were
A. Endometritis
B. Mastitis
C.Necrotising Fasciitis
D. Preeclampsia
E. Wound infection
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Old 12-20-2013
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Quote:
Originally Posted by ecgram View Post
I thought the same wound infection but the answer is necrotising fasciitis

options were
A. Endometritis
B. Mastitis
C.Necrotising Fasciitis
D. Preeclampsia
E. Wound infection
probably... but in the q stem he cud have given crepitus n all.. and wound inf is expected during day 5 to 7 rt??
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  #6  
Old 12-20-2013
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wound infection day 5-7...but u cant find classic pictures of any disease right,,,post surgery day 4 possible to be wound infection
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  #7  
Old 12-20-2013
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yaa i thought wound infection too. Thats the only option which makes sense
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  #8  
Old 10-03-2014
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C. Necrotising Fasciitis. the clue is "most concern". most likely would be wound infection
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