Septic miscarriage — DRCOG MCQ

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ModerateEarly PregnancySeptic miscarriageDRCOG

A 31-year-old woman after an unsafe termination has fever, lower abdominal pain and offensive discharge. What is the most likely diagnosis?

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Correct answer: B — Septic miscarriage

Septic miscarriage is the best answer because the vignette is testing Septic miscarriage and the recommended approach is consistent with RCOG Best Practice; NICE NG51. The other diagnoses do not explain the combination of timing, examination findings and investigation results as well as the correct diagnosis. Specifically, Stress urinary incontinence; Primary dysmenorrhoea; Ovarian cancer; Pre-eclampsia would be suboptimal in this scenario. The key discriminator is the pattern across symptoms, examination and timing, not a single isolated symptom.

Reference: RCOG Best Practice; NICE NG51