A 25-year-old woman has postpartum endometritis after cesarean delivery. She is febrile and has uterine tenderness. Blood pressure is stable and

Question

A 25-year-old woman has postpartum endometritis after cesarean delivery. She is febrile and has uterine tenderness. Blood pressure is stable and there is no abscess on exam. Which of the following is the most appropriate next step in management?

Accepted Answer

Start broad-spectrum intravenous antibiotics

Answer

Perform hysterectomy as first-line therapy

Answer

Give topical vaginal antifungal therapy

Answer

Observe without antibiotics

Answer

Use oral contraceptives as treatment

Postpartum endometritis treatment — USMLE Step 3 MCQ

A 25-year-old woman has postpartum endometritis after cesarean delivery. She is febrile and has uterine tenderness. Blood pressure is stable and there is no abscess on exam. Which of the following is the most appropriate next step in management?