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Perineal wound infection — DRCOG MCQ

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EasyPostnatalPerineal wound infectionDRCOG

A 31-year-old woman nine days after episiotomy has increasing perineal pain, discharge and wound breakdown. What is the most likely diagnosis?

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Correct answer: C — Perineal wound infection

Perineal wound infection is the best answer because the vignette is testing Perineal wound infection and the recommended approach is consistent with NICE NG194. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Pelvic inflammatory disease; Pre-eclampsia; Endometriosis; Placental abruption would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: NICE NG194