PUERPERAL PYREXIA

Introduction

Elevated temperature of more than

38.2C for a whole day within the first
10days postpartum.

Permission

History

Privacy. Lighting. Hygiene.

General Exam:
-

Cannula site (superficial

thrombophlebitis)

Introduction

Catheter (uti)

Permission

Complete patient profile: GA,

GravidaPara, Address, Occupation, Blood
group

Signs of anemia (anemia per se is risk

factor)

Vital signs

Chief Complain
Analysis of chief complaint: Duration,
onset, documented/not
R/O Endometritis: Offensive vaginal
discharge, Ab pain
R/O Mastitis: Lactating or not, Abnormal
breast discharge
R/O UTI: Urinary sx, Nausea, vomit, chills,
rigors
R/O Wound infxn: Wound pus, bleeding
from site
R/O URTI: Cough, SOB
R/O DVT: Leg swelling or redness
R/O Bacterial vaginosis: Vaginal discharge
during pregnancy
Intrapartum Hx: Vaginal delivery/CS?
Elective or emergency CS? Induction of
labor? Instrumental delivery? PROM? Hx
of blood transfusion? Urine
catheterization?
Hx of pregnancy: Anemic? Bacterial
vaginosis during pregnancy?
Hx of the same problem in previous
pregnancies?
PMH/PSH
Drug Hx. Family Hx. Social Hx.

Physical Examination:

Breast Exam (mastitis)

Chest Exam (urti)
Thyroid Exam
Abdominal Exam:
-

Uterine tenderness (endometritis)

Uterine subinvolution (endometritis)

Inspection of wound (wound infxn)

Pelvic Exam:
-

Cervix is open (endometritis)

Offensive vaginal discharge

(endometritis)

Lower Limb Exam

-

Leg circumference (dvt)

Doppler (dvt)