[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-533589-105":59,"doc-detail-533589-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","septic-pelvic-thrombophlebitis-educational-objective","Septic pelvic thrombophlebitis - Sepsis pelvic thrombophlebitis - Educational objective","","Clinical reasoning for two vignettes focuses on identifying postoperative and systemic causes of persistent fever or kidney-related syndromes. For a postpartum cesarean patient with intermittent fever despite broad-spectrum antibiotics and negative cultures/urinalysis, septic pelvic thrombophlebitis is most likely, reflecting infected deep pelvic or ovarian vein thrombosis. Management emphasizes anticoagulation alongside broad-spectrum antibiotics, while alternatives are excluded by the absence of characteristic findings and testing.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/septic-pelvic-thrombophlebitis-educational-objective/533589/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/septic-pelvic-thrombophlebitis-educational-objective/533589.png","ImageObject",300,407,{"name":92,"@type":93},"hdkawk","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-28","2026-10-10",true,{"@type":102,"interactionType":103,"userInteractionCount":19},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"Why is septic pelvic thrombophlebitis considered in a postpartum patient with persistent fever?","Question",{"text":112,"@type":113},"It presents as an infected thrombosis of the deep pelvic or ovarian veins and is suggested by fever that does not respond to broad-spectrum antibiotics with negative infectious evaluation. The diagnosis is made by exclusion.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"What are the key risk factors for septic pelvic thrombophlebitis?",{"text":117,"@type":113},"Risk factors include cesarean delivery and pelvic infection such as endometritis or chorioamnionitis. Pregnancy-related hypercoagulability and pelvic venous stasis/dilation also predispose to thrombosis.",{"name":119,"@type":110,"acceptedAnswer":120},"How is septic pelvic thrombophlebitis treated?",{"text":121,"@type":113},"Treatment includes anticoagulation and broad-spectrum antibiotics. Patients initially receive empiric antibiotics for the most common postpartum fever cause, endometritis, but persistent fever and negative cultures support SPT.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},533589,1792611700,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":19,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":139,"language":140,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":141,"faqs":142,"seo_title":143,"seo_description":67,"update_tm":144,"read_time":145,"preview_page_count":4},3985747859855,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","卡  \nExit Mode  \nNext  \nTutorial  \nNotes  \nPrevious  \nLab Values  \nCalculator  \nReverse Color  \nA 29-year-old woman,gravida 1 para 1,is evaluated due to recurrent fevers on day 5 after a cesarean delivery for arrest of descent after aprolonged induction of labor.Gentamicin and clindamycin were administered for fever on postoperative day 1.Ampicillin was added onpostoperative day 3 as the patient continued to be intermittently febrile.She has had no nausea,vomiting,hemoptysis,dyspnea,hematuria,dysuria,or diarrhea.Temperature is 39 C(102.2 F),blood pressure is 120/80 mm Hg,and pulse is 108/min.Oxygen saturation is 98%on roomair.The lungs are clear to auscultation bilaterally.Breast examination shows full,slightly tender breasts with no erythema.Abdominalexamination shows mild bilateral lower quadrant tenderness to deep palpation and an incision with minimal serosanguineous drainage but noerythema or induration.Pelvic examination reveals a nontender uterine fundus that is below the umbilicus.Examination of the lower extremitiesshows no swelling,tenderness,or erythema.Hemoglobin is 10.8 g/dL.Urinalysis is normal.Which of the following is the most likely diagnosis inthis patient?  \n○ A.Acute pyelonephritis○ B.Aspiration pneumonia○ C.Incisional infection○ D.Pulmonary embolismO E.Septic pelvic thrombophlebitis  \nSubmit  \nA AA  \nText Zoom Settings  \n\n| Septic pelvic thrombophlebitis   |  |\n| --- | --- |\n| Risk factors   | ·Cesarean delivery  \u003Cbr>·Pelvic surgery  \u003Cbr>● Endometritis  \u003Cbr>·Pelvic inflammatory disease  \u003Cbr>·Pregnancy  \u003Cbr>·Malignancy   |\n| Pathophysiology   | ·Hypercoagulability  \u003Cbr>·Pelvic venous dilation  \u003Cbr>● Vascular trauma  \u003Cbr>·Infection   |\n| Presentation   | ● Fever unresponsive to antibiotics  \u003Cbr>·No localizing signs/symptoms  \u003Cbr>·Negative infectious evaluation  \u003Cbr>·Diagnosis of exclusion   |\n| Treatment   | ·Anticoagulation  \u003Cbr>·Broad-spectrum antibiotics   |\n\nThis patient's presentation is consistent with septic pelvic thrombophlebitis (SPT),a complication associated with either pelvic surgery or thepostpartum period.SPT is a thrombosis of the deep pelvic or ovarian veins(as seen in this patient's bilateral lower quadrant tenderness)thatbecomes infected.Several factors predispose postpartum patients to thrombosis:  \n·Hypercoagulable state of pregnancy  \n● Pelvic venous stasis and dilation  \n·Endothelial damage from infection and/or trauma during delivery  \nBecause the most common etiology for postpartum fever is endometritis,patients are initially treated empirically with antibiotics.Persistent feverunresponsive to broad-spectrum antibiotic therapy and a negative infectious evaluation (eg,blood and urine cultures,urinalysis)suggest SPT,which is a diagnosis of exclusion.Risk factors include cesarean delivery and chorioamnionitis/endometritis.Treatment is with anticoagulationand broad-spectrum antibiotics.  \n1 of 40tion Id:3341MarkAAAPreviousNextExit ModeTutorialLab ValuesNotesCalculatorReverse ColorText ZoomSettings  \n三×  \n·Broad-spectrum antiDIOtICS  \nThis patient's presentation is consistent with septic pelvic thrombophlebitis (SPT),a complication associated with either pelvic surgery or thepostpartum period.SPT is a thrombosis of the deep pelvic or ovarian veins(as seen in this patient's bilateral lower quadrant tenderness)thatbecomes infected.Several factors predispose postpartum patients to thrombosis:  \n·Hypercoagulable state of pregnancy  \n● Pelvic venous stasis and dilation  \n·Endothelial damage from infection and/or trauma during delivery  \nBecause the most common etiology for postpartum fever is endometritis,patients are initially treated empirically with antibiotics.Persistent feverunresponsive to broad-spectrum antibiotic therapy and a negative infectious evaluation (eg,blood and urine cultures,urinalysis)suggest SPT,which is a diagnosis of exclusion.Risk factors include cesarean delivery and chorioamnionitis/endometritis.Treatment is with anticoagulationand broad-spectrum antibiotics.  \n(Choice","cbCaips3pvCcao2k","https://ap.wps.com/l/cbCaips3pvCcao2k","pdf",39426666,138,"English","# Postpartum case: diagnostic reasoning\n## Risk factors and pathophysiology\n## Presentation and diagnosis of exclusion\n## Treatment\n# Differential diagnosis and exclusions\n# Educational objective","[{\"question\":\"Why is septic pelvic thrombophlebitis considered in a postpartum patient with persistent fever?\",\"answer\":\"It presents as an infected thrombosis of the deep pelvic or ovarian veins and is suggested by fever that does not respond to broad-spectrum antibiotics with negative infectious evaluation. The diagnosis is made by exclusion.\"},{\"question\":\"What are the key risk factors for septic pelvic thrombophlebitis?\",\"answer\":\"Risk factors include cesarean delivery and pelvic infection such as endometritis or chorioamnionitis. Pregnancy-related hypercoagulability and pelvic venous stasis/dilation also predispose to thrombosis.\"},{\"question\":\"How is septic pelvic thrombophlebitis treated?\",\"answer\":\"Treatment includes anticoagulation and broad-spectrum antibiotics. Patients initially receive empiric antibiotics for the most common postpartum fever cause, endometritis, but persistent fever and negative cultures support SPT.\"}]","Septic pelvic thrombophlebitis - Sepsis pelvic thrombophlebitis - Educational objective | PDF",1791592848,348]