system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 32-year-old woman gravida 2, para 1, at 35 weeks' gestation is admitted to the hospital 1 hour after spontaneous rupture of membranes. She has had mild abdominal discomfort and nausea for a day. Her pregnancy has been complicated by gestational diabetes, which is controlled with a strict diet. Her first child was delivered by lower segment transverse cesarean section because of placental abruption. Current medications include iron and vitamin supplements. Her immunizations are up-to-date. Her temperature is 38.6°C (101.5°F), pulse is 122/min, and blood pressure is 110/78 mm Hg. Abdominal examination shows severe, diffuse tenderness throughout the lower quadrants. Speculum examination confirms rupture of membranes with drainage of malodorous, blood-tinged fluid. Ultrasonography shows the fetus in a cephalic presentation. The fetal heart rate is 175/min and reactive with no decelerations. Laboratory studies show:
Hemoglobin 11.1 g/dL
Leukocyte count 13,100/mm3
Serum
Na+ 136 mEq/L
Cl- 101 mEq/L
K+ 3.9 mEq/L
Glucose 108 mg/dL
Creatinine 1.1 mg/dL
Urine
Protein Negative
Glucose 1+
Blood Negative
WBC 3–4/hpf
RBC Negative
Nitrites Negative
Which of the following is the most likely diagnosis?"
assistant
Chorioamnionitis