QuestionSBA
QuestionChoice
This classically presents with thick white cottage cheese-like discharge which is not described.
10034970
d
Candida Albicans infection
QuestionChoice
This presents with grey discharge, burning pain and fish-like odour which are not described.
10034971
e
Bacterial vaginosis
QuestionChoice
This is correct. This placental infection can occur following invasive testing and typically presents with fever and foul-smelling vaginal discharge.
10034967
a
Chorioamnionitis
QuestionChoice
A sensible differential, however, given the closed cervical os, absence of PV bleeding and the absence of systemic features of sepsis, chorioamnionitis is more likely.
10034968
b
Septic Miscarriage
QuestionChoice
This classically presents with fishy green-yellow discharge and dyspareunia and is a sexually transmitted disease. The clinical picture is not in keeping with this due to recent invasive testing.
10034969
c
Trichomonas Vaginalis infection
Concept
Chapter
2693
6112
Chorioamnionitis
Topic
333
Obstetrics and Gynaecology
19397
Chorioamnionitis is a placental infection characterised by fever and foul-smelling vaginal discharge, often following invasive procedures during pregnancy.
A 31-year-old G3P2 comes to the emergency department with a fever and foul-smelling vaginal discharge. She is 12 weeks pregnant and recently underwent invasive testing following a finding of thickened nuchal translucency. No PV bleeding is noted on examination and the cervical os is closed.

What is the most likely diagnosis?
a