Which physical findings are characteristic of endometritis?

Updated: Apr 25, 2019
  • Author: Michel E Rivlin, MD; Chief Editor: Michel E Rivlin, MD  more...
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Answer

Physical examination findings include the following:

  • Fever, usually occurring within 36 hours of delivery, in the obstetric population

  • Lower abdominal pain

  • Uterine tenderness

  • Adnexal tenderness if there is an associated salpingitis

  • Foul-smelling lochia

  • Tachycardia

Uterine tenderness is the hallmark of the disease.

An oral temperature of 38°C or higher within the first 10 days postpartum or 38.7°C within the first 24 hours postpartum is required to make the diagnosis of postpartum endometritis. For PID, the minimum diagnostic criteria are lower abdominal tenderness, cervical motion tenderness, or adnexal tenderness. In severe cases, the patient may appear septic.


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