A 27-year-old woman presents to a Melbourne ED, triage category 1, 5 days after miscarriage managed overseas. She has fever, pelvic pain, foul

Question

A 27-year-old woman presents to a Melbourne ED, triage category 1, 5 days after miscarriage managed overseas. She has fever, pelvic pain, foul discharge and shock. WCC is 28, lactate 5.4 and ultrasound suggests retained products. What is the most likely diagnosis?

Accepted Answer

Septic abortion

Answer

Ovarian hyperstimulation syndrome

Answer

Pelvic inflammatory disease

Answer

Endometriosis flare

Answer

Uncomplicated miscarriage

Septic abortion — ACEM Fellowship MCQ

A 27-year-old woman presents to a Melbourne ED, triage category 1, 5 days after miscarriage managed overseas. She has fever, pelvic pain, foul discharge and shock. WCC is 28, lactate 5.4 and ultrasound suggests retained products. What is the most likely diagnosis?