The file is valid. Here's your one-page Puerperal Sepsis note:
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Title banner (teal header) - Puerperal Sepsis, Ch. 30
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Definition side-by-side with Vaginal Flora - defines puerperal pyrexia (temp ≥ 100.4°F on 2 occasions >24 h post-delivery within 10 days) and puerperal sepsis, plus the key organisms present at onset of labour
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Pathogenesis Flowchart - shows the three routes of infection (Endogenous / Autogenous / Exogenous) feeding into bacterial colonisation, alongside a two-column table of Antepartum and Intrapartum risk factors
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Clinical Features - structured by Local / Mild / Severe uterine infection / Extrauterine spread (parametritis, peritonitis, SPT, septicaemia)
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Investigations - listed in order with a highlighted principle box, plus a Red Flags / ICU triggers box
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Treatment Flowchart - 5-step general care ladder on the left; antibiotic regimen table (empirical, severe sepsis, MRSA, SPT) + surgical options on the right
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Prophylaxis - Antenatal / Intranatal / Postpartum split, with a note on Necrotising Fasciitis