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Postpartum endometritis — USMLE Step 3 MCQ

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ModerateOB/GYN (prenatal care, contraception, screening)Postpartum endometritisUSMLE Step 3

A 23-year-old woman develops fever, uterine tenderness, and foul-smelling lochia 3 days after cesarean delivery. The incision is clean, and urinalysis is negative. Which of the following is the most likely diagnosis?

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Correct answer: E — Postpartum endometritis

Fever, uterine tenderness, and foul lochia shortly after cesarean delivery are typical of postpartum endometritis.

Reference: ACOG postpartum infection guidance