Endometritis

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Endometritis

Reproductive system

Male and female reproductive system disorders

Precocious puberty

Delayed puberty

Klinefelter syndrome

Turner syndrome

Androgen insensitivity syndrome

5-alpha-reductase deficiency

Kallmann syndrome

Male reproductive system disorders

Hypospadias and epispadias

Bladder exstrophy

Priapism

Penile cancer

Prostatitis

Benign prostatic hyperplasia

Prostate cancer

Cryptorchidism

Inguinal hernia

Varicocele

Epididymitis

Orchitis

Testicular torsion

Testicular cancer

Erectile dysfunction

Male hypoactive sexual desire disorder

Female reproductive system disorders

Amenorrhea

Ovarian cyst

Premature ovarian failure

Polycystic ovary syndrome

Ovarian torsion

Krukenberg tumor

Sex cord-gonadal stromal tumor

Surface epithelial-stromal tumor

Germ cell ovarian tumor

Uterine fibroid

Endometriosis

Endometritis

Endometrial hyperplasia

Endometrial cancer

Choriocarcinoma

Cervical cancer

Pelvic inflammatory disease

Urethritis

Female sexual interest and arousal disorder

Orgasmic dysfunction

Genito-pelvic pain and penetration disorder

Mastitis

Fibrocystic breast changes

Intraductal papilloma

Phyllodes tumor

Paget disease of the breast

Breast cancer

Hyperemesis gravidarum

Gestational hypertension

Preeclampsia & eclampsia

Gestational diabetes

Cervical incompetence

Placenta previa

Placenta accreta

Placental abruption

Oligohydramnios

Polyhydramnios

Potter sequence

Intrauterine growth restriction

Preterm labor

Postpartum hemorrhage

Chorioamnionitis

Congenital toxoplasmosis

Congenital cytomegalovirus (NORD)

Congenital syphilis

Neonatal conjunctivitis

Neonatal herpes simplex

Congenital rubella syndrome

Neonatal sepsis

Neonatal meningitis

Miscarriage

Gestational trophoblastic disease

Ectopic pregnancy

Fetal hydantoin syndrome

Fetal alcohol syndrome

Reproductive system pathology review

Disorders of sex chromosomes: Pathology review

Prostate disorders and cancer: Pathology review

Testicular tumors: Pathology review

Uterine disorders: Pathology review

Ovarian cysts and tumors: Pathology review

Cervical cancer: Pathology review

Vaginal and vulvar disorders: Pathology review

Benign breast conditions: Pathology review

Breast cancer: Pathology review

Complications during pregnancy: Pathology review

Congenital TORCH infections: Pathology review

Disorders of sexual development and sex hormones: Pathology review

Amenorrhea: Pathology Review

Testicular and scrotal conditions: Pathology review

Sexually transmitted infections: Warts and ulcers: Pathology review

Sexually transmitted infections: Vaginitis and cervicitis: Pathology review

HIV and AIDS: Pathology review

Penile conditions: Pathology review

Assessments

Endometritis

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USMLE® Step 1 questions

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Flashcards

Endometritis

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Questions

USMLE® Step 1 style questions USMLE

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A 28-year-old woman, gravida 1 para 1, presents to the emergency department with complaints of lower abdominal pain and foul-smelling vaginal discharge. She gave birth to a healthy female newborn 2 days ago. Vaginal delivery was converted into emergency cesarean section due to obstructed labor, and the placenta was removed manually. Past medical history is significant for pre-gestational diabetes mellitus type II as well as Neisseria gonorrhoeae cervicitis when the patient was 19, for which she was treated appropriately. Temperature is 101.4°F (38.5 °C), pulse is 100/minute, respirations are 19/minute, and blood pressure is 100/60 mmHg. BMI is 33 kg/m2. On physical examination, there is mild peri-incisional tenderness, minimal discharge at the surgical site, and no erythema or edema around the incision site. Foul-smelling greenish-yellow lochia is observed in the vaginal vault. Bimanual examination shows cervical motion and uterine tenderness. Complete blood profile shows hemoglobin of 12 g/dL and leukocyte count of 18,000/mm3. Which of the following is the most likely diagnosis?  

External References

First Aid

2022

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2016

Ampicillin

endometritis p. 665

Childbirth

endometritis after p. 665

Clindamycin

endometritis p. 665

Endometritis p. 665

Gentamicin p. 184, 188

endometritis p. 665

Intrauterine device (IUD)

endometritis p. 665

Transcript

Content Reviewers

Rishi Desai, MD, MPH

Contributors

Sam Gillespie, BSc

Endometritis is an inflammation of the endometrium, which is the inner lining of the uterus.

It is usually caused by an infection of the endometrium from bacteria that normally live in the female lower genital tract, but it could also be caused by bacteria from outside the body.

The female reproductive system is divided into upper and lower genital tracts.

The upper genital tract consists of the uterus, ovaries, and fallopian tubes.

The lower genital tract in turn consists of the cervix, vagina and the external genitals, which includes the labia and the clitoris.

Now, The uterus consists of 3 layers, an outer thin layer called the perimetrium or the serosa, a middle smooth muscle layer called the myometrium, and the innermost layer, the endometrium.

The endometrium has two layers, an inner functional layer made up mainly of glands and supporting connective tissue, called stroma, and an outer thin basal layer which regenerates the overlying functional layer after each menstrual cycle.

Alright, normally, there are many species of bacteria living in the female’s lower genital tract, and this is called the normal flora.

These include Ureaplasma urealyticum, Peptostreptococcus and group B Streptococcus.

Under normal conditions, these bacteria live there happily without causing any harm, however, if they reach the upper genital tract, they can cause an infection like endometritis if they make it to the uterus.

Summary

Endometritis refers to inflammation of the endometrium, the inner lining of the uterus. It is usually caused by normal flora of the genital tract if the endometrium is breached, but can also be caused by sexually transmitted infections, such as Chlamydia trachomatis and Neisseria gonorrhoeae infections.

Common symptoms are fever, pain in the pelvis or lower abdomen, abnormal vaginal discharge, and painful sexual intercourse. Procedures which can lacerate the endometrium such as childbirth, abortion, surgery on the uterus or other pelvic organs, and insertion of an intrauterine contraceptive device (IUD), all increase a chance of having endometritis.

Sources

  1. "Robbins Basic Pathology" Elsevier (2017)
  2. "Harrison's Principles of Internal Medicine, Twentieth Edition (Vol.1 & Vol.2)" McGraw-Hill Education / Medical (2018)
  3. "Pathophysiology of Disease: An Introduction to Clinical Medicine 8E" McGraw-Hill Education / Medical (2018)
  4. "CURRENT Medical Diagnosis and Treatment 2020" McGraw-Hill Education / Medical (2019)
  5. "An in vitro study of antibacterial properties of the cervical mucus plug in pregnancy" American Journal of Obstetrics and Gynecology (2001)
  6. "The diagnosis of chronic endometritis in infertile asymptomatic women: a comparative study of histology, microbial cultures, hysteroscopy, and molecular microbiology" American Journal of Obstetrics and Gynecology (2018)
Elsevier

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