Besides the regular monitoring of temperature, respiration, heart rate and the blood pressurethe external and internal examination bimanual examinationas well as checking the lochia should be highlighted.
Ultrasonography - possibly transabdominal ultrasound - is also very important, primarily in indicating or excluding a possible retention. Infections of the birth canal are easily recognizable by inspection and exploration.
In case of endometritis the fundus of the uterus is higher than expected on external examination, and it is pressure sensitive and softer than normally during pelvic examination.
Eosinophilia detected in peripheral blood work may indicate drug-induced fever.
Except for the less severe cases that respond well and quickly to treatment it is recommended to perform microbiological tests lochia and wound culture. Efforts should be made to change the antibiotics in possession of the results of the bacterial culture and antibiogramm findings.
Urine culture is only recommended if pyelonephritis is suspected prostate abscess mri on clinical symptoms. Haemoculture is necessary in prostate abscess mri of immunosuppressed patients and patients with bacterial endocarditis, and if the initial antibacterial treatment has not been effective.
Beyond the bimanual examination and the laboratory tests, imaging studies vaginal and abdominal ultrasonography, CT, MRI may help in finding the right diagnosis. Utolsó módosítás: August