<unk>  is diagnosed using clinical evaluation, bacterial cultures, and ultrasonography on people who present with signs and symptoms with intrauterine infections following by an abortion within 20 weeks of gestation. Medical history and physical examination are used as the first line in identifying people who are suspected of having a<unk> . A woman may present initially with a fever, ill appearance, abdominal pain, vaginal bleeding, trauma to the cervix and other potentially worrisome symptoms of an infection. Differential diagnosis of a<unk>  includes incomplete abortion with a cause of fever or spontaneous abortion with signs of inflammation redness of the lining of the uterus. Clinical Evaluation and Lab Test Clinical findings are based on any infections ranging in severity in any patient presenting with fevers over 38 °C or 100.4 °F with severe abdominal pain and peritonitis, and foul smelling vaginal discharge. A complete blood count (CBC) with differential should be done in people with a fever to assess the presence of leukocytosis and brandemic which are the infection markers. Labs such as electrolyte levels, glucose, blood urea nitrogen (BUN), creatinine, liver function test (LFT), antibody screening, lactate levels and coagulation studies such as prothrombin time (PT), activated partial thromboplastin time (aPTT) and fibrinogen should be looked at for any abnormalities especially with people with excessive bleeding. Microbiology individuals who are suspected to have a<unk> , there are a few variations of cultures that are taken for further diagnostic and treatment implications. Anaerobic bacterial, high vaginal, and cervical cultures can be used to identify the<unk>  types and species of the offending microorganism. Primary organisms isolated are the non-clostridial anaerobic, microaerophilic bacteria, anaerobic streptococci. Group A of Beta haemolytic streptococci is the most pathogenic and is usually introduced into the genital tract externally as they are not normally found in the normal vaginal flora. Groups B and D are less virulent but it is also not found as the part of vaginal flora. Table 1: pathogenic organisms in<unk>  + Anaerobic Aerobic Bacteroides fragilis Bacteroides melaninogenicus Peptostreptococcus species Peptococcus species Fusobacterium species Clostridium perfringens Clostridium tetani Escherichia coli Enterobacter species Beta haemolytic streptococci Proteus species Klebsiella aerogenes Pseudomonas aeruginosa Neisseria gonorrhoeae Staphylococcus aureus Streptococcus milleri Ultrasonography and other Imaging Techniques Ultrasonography, also known as "Ultrasound" is often used following a clinical diagnosis to confirmed the specific location and the origin of a<unk> . Computed tomography (CT) or magnetic resonance imaging (MRI) may be also used to reveal findings of a<unk>  includes: * An enlarged uterus with or without hemorrhage * Intrauterine materials * Free or unexpected fluid * Formation of abscess * Intrauterine air
Septic abortion
Toxic abortion
Unsafe abortion
Chorioamnionitis
Obstructed labour
Instillation abortion
After-birth abortion
Prelabor rupture of membranes