CASE 60
History: A 24-year-old woman presents with persistent abnormal vaginal bleeding postpartum.
1. What should be included in the differential diagnosis? (Choose all that apply.)
A. Pelvic inflammatory disease
B. Retained products of conception (POC)
C. Endometritis
2. What is the normal endometrial thickness after a spontaneous abortion or a dilatation and curettage?
3. What is the role of Doppler flow in this case?
A. It is definitive for retained POC.
B. It is rarely helpful to make the diagnosis of retained POC.
C. The low-resistance arterial flow is seen in trophoblastic tissue.
D. High-resistance arterial flow is seen in trophoblastic tissue.
4. Which of the following is not a presenting finding in retained POC?
A. Fever after incomplete pregnancy loss or abortion