A 28-year-old woman was brought to the emergency room with a blood pressure OF 60/40 mm Hg. Her husband informs the doctor that the woman underwent Cesarean delivery a week ago and had nausea and vomiting, fever to 102°F (38.8°C), and muscle ache two days ago.
Clinical presentation at the time of C-section Active phase arrest Cervical dilation at 5 cm for 3 hours despite strong uterine contractions Discharged after 3 days in good condition Physical examination: Patient appears to be lethargic and mentally confused Ascultation of heart: tachycardia Lungs: slight crackles at lung bases Abdomen: tender throughout Fundus of uterus: slightly tender Skin incision: tender, red, indurated Upon opening incision: purulent material expressed, underlying tissue palpated, brawny texture with crepitance Clinical findings: Hemoglobin count: 15 g/dL Serum creatinine: 2.1 mg/dL What is the diagnosis…
