USMLE (United States Medical Licensing Examination) Step 1 Practice Exam

What is a common sign and symptom of Postpartum Endometritis?

1. Hypertension

2. Polyuria

3. Foul-smelling vaginal discharge

4. Numbness in extremities

The correct answer is: Foul-smelling vaginal discharge

Postpartum endometritis is an infection of the endometrial lining of the uterus that can occur following childbirth. One of the hallmark signs of this condition is a foul-smelling vaginal discharge. This symptom arises due to the presence of bacteria and pathogens that proliferate in the postpartum uterus, leading to necrosis and purulent discharge. The foul odor is often suggestive of anaerobic bacteria, which are typically involved in this type of infection. Additionally, postpartum endometritis can present with other symptoms such as fever, uterine tenderness on examination, and general malaise, but the characteristic foul smell of the discharge is a distinctive feature that sets it apart from other causes of postpartum complications. Recognizing this symptom is crucial for timely diagnosis and treatment, which may include antibiotics and, in some cases, surgical intervention.