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Case 79 - A 45-Year-Old Woman with Vaginal Bleeding and Fever to 38.3°C after Hysterectomy

Published online by Cambridge University Press:  19 November 2021

Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 45-year-old women presents to the emergency room complaining of vaginal bleeding and fevers at home to 38.3°C. She is six days post-op from a robotic hysterectomy, bilateral salpingectomy. The patient had normal return of bowel and bladder function and has been taking ibuprofen 600 mg every 6 hours alternating with oxycodone/acetaminophen 5/325 mg every 6 hours as needed for pain relief. She states that she really felt good for the first few days with only some light spotting since the procedure. Over the last 24 hours, she has noticed an increase in the discharge and stated it is now foul smelling. Her pain level and fatigue have increased over the last 12 hours, and she rates the pain in her abdomen as a 5 out of 10.

Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
, pp. 241 - 243
Publisher: Cambridge University Press
Print publication year: 2021

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References

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