This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Clinical Features, Diagnosis, and Pathology, Subject name: Gynaecology & Obstetrics
28 weeks pregnancy with pain and fever. Ultrasonographic examination shows presence of fiboroid- 
Select and explain. 
A. Hysterectomy, B. Conservative management, C. Termination, D. Myomectomy
B: Conservative management
Answer: B: Conservative management 
Explanation: Ans. is 'b' i.e., Conservative management o The presence of pain and fever in a female in her mid pregnancy with ultrasound examination showing presence of fibroid supports the diagnosis of red degeneration.Red Degeneration (Also known as Carneous Degeneration)o Occurs in pregnant females with presence of fibroid because fibroid overgrown its blood supply (micronecro thrombosis).o Most commonly occurs in second trimester of pregnancy followed by in the puerperium.o Cut section : raw beefy appearance, fishy odor.o Patient presents with acute abdomen, vomiting, fever, and leukocytosis.Management :A Iways conservative m anagement (never surgery)HospitalizationBedrestAnalgesicsIVfluidsIV antibiotics (SOS)