+4 more
Create a one page note on the topic of Puerperal sepsis summarising the images I've uploaded adding flow charts and points highlighting the main points only
Reading File
Reading File
Running Command
ls -la /home/daytona/workspace/ 2>/dev/null && ls /home/daytona/skills/docx/scripts/office/ 2>/dev/null || echo "checking paths"
Running Command
mkdir -p /home/daytona/workspace/puerperal-sepsis && node -e "require('docx'); console.log('docx ok')"
Writing File
~/puerperal-sepsis/build.js
const {
Document, Packer, Paragraph, TextRun, Table, TableRow, TableCell,
AlignmentType, HeadingLevel, BorderStyle, WidthType, ShadingType,
VerticalAlign, LevelFormat, TableBorders
} = require('docx');
const fs = require('fs');
// ─── Colour palette ───────────────────────────────────────────────
const TEAL = "1A6B7C";
const ORANGE = "D4550E";
const AMBER = "F5A623";
const LIGHT_BG = "EAF4F7";
const HEADER_BG = "1A6B7C";
const WHITE = "FFFFFF";
const DARK = "1A1A2E";
const LIGHT_ORANGE_BG = "FFF3E8";
const LIGHT_GREEN_BG = "E8F5E9";
const LIGHT_RED_BG = "FDECEA";
// ─── Helper: section heading bar ─────────────────────────────────
function sectionHeading(text, bgColor = HEADER_BG) {
return new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [new TableCell({
shading: { fill: bgColor, type: ShadingType.CLEAR },
margins: { top: 80, bottom: 80, left: 180, right: 180 },
children: [new Paragraph({
alignment: AlignmentType.LEFT,
children: [new TextRun({ text, bold: true, color: WHITE, size: 22, font: "Arial" })]
})]
})]
})]
});
}
// ─── Helper: coloured box paragraph ──────────────────────────────
function colorBox(text, bgColor, textColor = DARK) {
return new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [new TableCell({
shading: { fill: bgColor, type: ShadingType.CLEAR },
margins: { top: 60, bottom: 60, left: 160, right: 160 },
children: [new Paragraph({
children: [new TextRun({ text, size: 18, font: "Arial", color: textColor, bold: false })]
})]
})]
})]
});
}
// ─── Helper: bullet ───────────────────────────────────────────────
function bullet(text, bold = false, color = DARK) {
return new Paragraph({
numbering: { reference: "bullets", level: 0 },
spacing: { before: 30, after: 30 },
children: [new TextRun({ text, size: 18, font: "Arial", color, bold })]
});
}
// ─── Helper: sub-bullet ───────────────────────────────────────────
function subBullet(text) {
return new Paragraph({
numbering: { reference: "subbullets", level: 0 },
spacing: { before: 20, after: 20 },
children: [new TextRun({ text, size: 17, font: "Arial", color: "444444" })]
});
}
// ─── Helper: thin spacer ─────────────────────────────────────────
function spacer(pt = 60) {
return new Paragraph({ spacing: { before: pt, after: pt }, children: [new TextRun("")] });
}
// ─── Helper: two-column table ────────────────────────────────────
function twoColTable(leftContent, rightContent) {
return new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [
new TableCell({
width: { size: 50, type: WidthType.PERCENTAGE },
margins: { top: 0, bottom: 0, left: 0, right: 100 },
children: leftContent
}),
new TableCell({
width: { size: 50, type: WidthType.PERCENTAGE },
margins: { top: 0, bottom: 0, left: 100, right: 0 },
children: rightContent
})
]
})]
});
}
// ─── Flowchart box helper ─────────────────────────────────────────
function flowBox(label, text, bgColor, textColor = WHITE) {
return new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: {
top: { style: BorderStyle.SINGLE, size: 6, color: "AAAAAA" },
bottom: { style: BorderStyle.SINGLE, size: 6, color: "AAAAAA" },
left: { style: BorderStyle.SINGLE, size: 6, color: "AAAAAA" },
right: { style: BorderStyle.SINGLE, size: 6, color: "AAAAAA" },
},
rows: [new TableRow({
children: [
new TableCell({
shading: { fill: bgColor, type: ShadingType.CLEAR },
margins: { top: 60, bottom: 60, left: 120, right: 60 },
width: { size: 28, type: WidthType.PERCENTAGE },
children: [new Paragraph({
alignment: AlignmentType.CENTER,
children: [new TextRun({ text: label, bold: true, size: 18, font: "Arial", color: textColor })]
})]
}),
new TableCell({
shading: { fill: bgColor, type: ShadingType.CLEAR },
margins: { top: 60, bottom: 60, left: 60, right: 120 },
width: { size: 72, type: WidthType.PERCENTAGE },
children: [new Paragraph({
children: [new TextRun({ text, size: 18, font: "Arial", color: textColor })]
})]
})
]
})]
});
}
function arrow() {
return new Paragraph({
alignment: AlignmentType.CENTER,
spacing: { before: 20, after: 20 },
children: [new TextRun({ text: "▼", size: 20, color: "666666", font: "Arial" })]
});
}
// ─── Main label paragraph ─────────────────────────────────────────
function label(text, color = TEAL, sz = 19) {
return new Paragraph({
spacing: { before: 80, after: 30 },
children: [new TextRun({ text, bold: true, size: sz, color, font: "Arial" })]
});
}
// ═══════════════════════════════════════════════════════════════════
// BUILD DOCUMENT
// ═══════════════════════════════════════════════════════════════════
const doc = new Document({
numbering: {
config: [
{
reference: "bullets",
levels: [{
level: 0, format: LevelFormat.BULLET, text: "\u2022",
alignment: AlignmentType.LEFT,
style: { paragraph: { indent: { left: 400, hanging: 240 } } }
}]
},
{
reference: "subbullets",
levels: [{
level: 0, format: LevelFormat.BULLET, text: "\u25E6",
alignment: AlignmentType.LEFT,
style: { paragraph: { indent: { left: 700, hanging: 240 } } }
}]
}
]
},
styles: {
default: { document: { run: { font: "Arial", size: 20 } } }
},
sections: [{
properties: {
page: {
size: { width: 11906, height: 16838 },
margin: { top: 480, bottom: 480, left: 700, right: 700 }
}
},
children: [
// ── TITLE ──────────────────────────────────────────────────
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [new TableCell({
shading: { fill: TEAL, type: ShadingType.CLEAR },
margins: { top: 120, bottom: 120, left: 240, right: 240 },
children: [
new Paragraph({
alignment: AlignmentType.CENTER,
children: [new TextRun({ text: "PUERPERAL SEPSIS", bold: true, size: 36, font: "Arial", color: WHITE })]
}),
new Paragraph({
alignment: AlignmentType.CENTER,
children: [new TextRun({ text: "Chapter 30 — Abnormalities of the Puerperium | Quick Reference Note", size: 18, font: "Arial", color: "CCE8EF" })]
})
]
})]
})]
}),
spacer(60),
// ─── ROW 1: Definition + Vaginal Flora ────────────────────
twoColTable(
[
sectionHeading("DEFINITION"),
spacer(40),
new Paragraph({
spacing: { before: 40, after: 40 },
children: [
new TextRun({ text: "Puerperal Pyrexia: ", bold: true, size: 18, font: "Arial", color: ORANGE }),
new TextRun({ text: "Temperature \u2265 100.4\u00B0F (38\u00B0C) on 2 separate occasions, >24 h after delivery, within first 10 days.", size: 18, font: "Arial" })
]
}),
new Paragraph({
spacing: { before: 40, after: 40 },
children: [
new TextRun({ text: "Puerperal Sepsis: ", bold: true, size: 18, font: "Arial", color: ORANGE }),
new TextRun({ text: "Infection of the genital tract occurring as a complication of delivery.", size: 18, font: "Arial" })
]
}),
new Paragraph({
spacing: { before: 40, after: 20 },
children: [new TextRun({ text: "Primary infection sites:", bold: true, size: 18, font: "Arial", color: TEAL })]
}),
bullet("Perineum & vaginal wounds"),
bullet("Cervix"),
bullet("Uterus (endometrium / placental site)"),
],
[
sectionHeading("VAGINAL FLORA AT ONSET OF LABOUR", ORANGE),
spacer(40),
bullet("Doderlein's bacillus (60-70%)"),
bullet("Candida albicans (25%)"),
bullet("Staphylococcus albus / aureus"),
bullet("Streptococcus — anaerobic, beta-haemolytic"),
bullet("E. coli, Clostridium welchii (rare)"),
bullet("Bacteroides group"),
spacer(30),
colorBox("Most infections in the genital tract are POLYMICROBIAL — a mix of aerobic and anaerobic organisms.", LIGHT_BG, TEAL),
]
),
spacer(60),
// ─── PATHOGENESIS FLOWCHART ────────────────────────────────
sectionHeading("PATHOGENESIS FLOWCHART"),
spacer(40),
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [
// Left branch
new TableCell({
width: { size: 33, type: WidthType.PERCENTAGE },
margins: { right: 80 },
children: [
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: { top: { style: BorderStyle.SINGLE, size: 4, color: TEAL }, bottom: { style: BorderStyle.SINGLE, size: 4, color: TEAL }, left: { style: BorderStyle.SINGLE, size: 4, color: TEAL }, right: { style: BorderStyle.SINGLE, size: 4, color: TEAL } },
rows: [new TableRow({ children: [new TableCell({ shading: { fill: TEAL, type: ShadingType.CLEAR }, margins: { top: 60, bottom: 60, left: 100, right: 100 }, children: [new Paragraph({ alignment: AlignmentType.CENTER, children: [new TextRun({ text: "SOURCE OF INFECTION", bold: true, size: 17, font: "Arial", color: WHITE })] })] })] })]
}),
arrow(),
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: { top: { style: BorderStyle.SINGLE, size: 4, color: "AAAAAA" }, bottom: { style: BorderStyle.SINGLE, size: 4, color: "AAAAAA" }, left: { style: BorderStyle.SINGLE, size: 4, color: "AAAAAA" }, right: { style: BorderStyle.SINGLE, size: 4, color: "AAAAAA" } },
rows: [
new TableRow({ children: [new TableCell({ shading: { fill: "E3F2FD", type: ShadingType.CLEAR }, margins: { top: 40, bottom: 20, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Endogenous", bold: true, size: 17, font: "Arial", color: "1565C0" })] }), new Paragraph({ children: [new TextRun({ text: "Flora present in genital tract before delivery", size: 16, font: "Arial" })] })] })] }),
new TableRow({ children: [new TableCell({ shading: { fill: "FFF3E0", type: ShadingType.CLEAR }, margins: { top: 20, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Autogenous", bold: true, size: 17, font: "Arial", color: ORANGE })] }), new Paragraph({ children: [new TextRun({ text: "Skin/throat flora migrate via bloodstream", size: 16, font: "Arial" })] })] })] }),
new TableRow({ children: [new TableCell({ shading: { fill: "FCE4EC", type: ShadingType.CLEAR }, margins: { top: 20, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Exogenous", bold: true, size: 17, font: "Arial", color: "C62828" })] }), new Paragraph({ children: [new TextRun({ text: "Hospital staff / attendants (Strep, Staph, E.coli)", size: 16, font: "Arial" })] })] })] }),
]
}),
]
}),
// Middle arrow
new TableCell({
width: { size: 5, type: WidthType.PERCENTAGE },
verticalAlign: VerticalAlign.CENTER,
margins: { left: 40, right: 40 },
children: [new Paragraph({ alignment: AlignmentType.CENTER, children: [new TextRun({ text: "\u25BA", size: 28, color: TEAL, font: "Arial" })] })]
}),
// Right: risk factors
new TableCell({
width: { size: 62, type: WidthType.PERCENTAGE },
margins: { left: 80 },
children: [
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: { top: { style: BorderStyle.SINGLE, size: 4, color: ORANGE }, bottom: { style: BorderStyle.SINGLE, size: 4, color: ORANGE }, left: { style: BorderStyle.SINGLE, size: 4, color: ORANGE }, right: { style: BorderStyle.SINGLE, size: 4, color: ORANGE } },
rows: [new TableRow({ children: [new TableCell({ shading: { fill: ORANGE, type: ShadingType.CLEAR }, margins: { top: 60, bottom: 60, left: 100, right: 100 }, children: [new Paragraph({ alignment: AlignmentType.CENTER, children: [new TextRun({ text: "PREDISPOSING RISK FACTORS", bold: true, size: 17, font: "Arial", color: WHITE })] })] })] })]
}),
twoColTable(
[
new Paragraph({ spacing: { before: 30 }, children: [new TextRun({ text: "Antepartum:", bold: true, size: 17, font: "Arial", color: TEAL })] }),
bullet("Anaemia", false, DARK),
bullet("Preterm labour"),
bullet("Premature rupture of membranes (\u226518 h)"),
bullet("Prolonged rupture of membranes"),
bullet("Immunocompromised (HIV)"),
bullet("Diabetes"),
],
[
new Paragraph({ spacing: { before: 30 }, children: [new TextRun({ text: "Intrapartum:", bold: true, size: 17, font: "Arial", color: TEAL })] }),
bullet("Repeated vaginal examinations"),
bullet("Traumatic vaginal delivery"),
bullet("Retained placenta / PPH"),
bullet("Prolonged labour"),
bullet("Cesarean delivery"),
bullet("Obstructed labour"),
]
)
]
})
]
})]
}),
spacer(60),
// ─── ROW 2: Clinical Features + Spread of Infection ───────
twoColTable(
[
sectionHeading("CLINICAL FEATURES"),
spacer(30),
label("Local (Wound) Infection", TEAL),
bullet("Slight rise of temperature, malaise/headache"),
bullet("Wound red, swollen; pus formation"),
bullet("Acute: high fever, chills and rigors"),
spacer(20),
label("Uterine Infection", TEAL),
new Paragraph({ spacing: { before: 30, after: 10 }, children: [new TextRun({ text: "Mild:", bold: true, size: 17, font: "Arial", color: AMBER })] }),
bullet("Temp >100.4\u00B0F, pulse >90; offensive lochia"),
bullet("Uterus subinvoluted and tender"),
new Paragraph({ spacing: { before: 30, after: 10 }, children: [new TextRun({ text: "Severe:", bold: true, size: 17, font: "Arial", color: "C62828" })] }),
bullet("Acute onset, high fever, chills & rigor"),
bullet("Rapid pulse out of proportion to temperature"),
bullet("Breathlessness, cough, abdominal pain, dysuria"),
bullet("Lochia may be scanty/odourless; uterus tender"),
spacer(20),
label("Spread of Infection (Extrauterine)", ORANGE),
bullet("Pelvic cellulitis (parametritis) — indurated mass, uterus pushed to opposite side"),
bullet("Peritonitis — bowel distension, dynamic ileus"),
bullet("Salpingitis — interstitial or perisalpingitis"),
bullet("Pelvic abscess — rare; 7-10 days to develop"),
bullet("Septic pelvic thrombophlebitis (SPT) — swinging fever; anticoagulate with heparin"),
bullet("Septicaemia / Septic shock — 30% mortality"),
],
[
sectionHeading("INVESTIGATIONS", ORANGE),
spacer(30),
colorBox("All puerperal pyrexia = genital sepsis until proved otherwise", LIGHT_ORANGE_BG, ORANGE),
spacer(30),
label("Principles: locate site, identify organism, assess severity", TEAL, 17),
spacer(20),
bullet("High vaginal + endocervical swabs (C&S — aerobic & anaerobic)"),
bullet("Midstream urine (MSU) — analysis + culture & sensitivity"),
bullet("Full blood count — WBC, Hb, platelets (low = DIC / septicaemia)"),
bullet("Thick blood film — malarial parasites"),
bullet("Blood culture — if fever with chills & rigor"),
bullet("Serum urea, creatinine, electrolytes"),
bullet("Pelvic ultrasound — retained products, abscess, venous thrombosis"),
bullet("CT / MRI — if pelvic vein thrombosis suspected"),
bullet("Chest X-ray — suspected TB or lung atelectasis"),
spacer(40),
sectionHeading("TOXIC SHOCK / SEPTICAEMIA — RED FLAGS", "C62828"),
spacer(20),
bullet("Fever, headache, vomiting, diarrhoea, skin rash"),
bullet("Organ dysfunction: renal failure, hepatic failure, DIC"),
bullet("Staphylococcal exotoxin activates T cells \u2192 cytokine storm"),
bullet("Bacteraemia \u2192 endotoxin \u2192 hypotension + ARDS"),
colorBox("ICU triggers: Hypotension | Oliguria | Creatinine \u2191 | Lactate \u22654 | Thrombocytopenia | ARDS | Hypothermia", LIGHT_RED_BG, "C62828"),
]
),
spacer(60),
// ─── TREATMENT FLOWCHART ──────────────────────────────────
sectionHeading("TREATMENT FLOWCHART"),
spacer(40),
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [
new TableCell({
width: { size: 50, type: WidthType.PERCENTAGE },
margins: { right: 80 },
children: [
label("General Care", TEAL),
flowBox("1", "Isolate patient (esp. if haemolytic Streptococcus)", "1A6B7C"),
arrow(),
flowBox("2", "IV fluids + calories; correct anaemia (iron / transfusion)", "2E7D8A"),
arrow(),
flowBox("3", "Indwelling catheter — monitor urine output", "3A8B9A"),
arrow(),
flowBox("4", "Chart: pulse, temp, lochia, fluid balance", "4699A8"),
arrow(),
flowBox("5", "Empirical antibiotics until C&S results available", "529EB5"),
]
}),
new TableCell({
width: { size: 50, type: WidthType.PERCENTAGE },
margins: { left: 80 },
children: [
label("Antibiotic Regimens", ORANGE),
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: { top: { style: BorderStyle.SINGLE, size: 4, color: "CCCCCC" }, bottom: { style: BorderStyle.SINGLE, size: 4, color: "CCCCCC" }, left: { style: BorderStyle.SINGLE, size: 4, color: "CCCCCC" }, right: { style: BorderStyle.SINGLE, size: 4, color: "CCCCCC" }, insideH: { style: BorderStyle.SINGLE, size: 2, color: "DDDDDD" }, insideV: { style: BorderStyle.SINGLE, size: 2, color: "DDDDDD" } },
rows: [
new TableRow({ children: [
new TableCell({ shading: { fill: ORANGE, type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ alignment: AlignmentType.CENTER, children: [new TextRun({ text: "Scenario", bold: true, size: 17, font: "Arial", color: WHITE })] })] }),
new TableCell({ shading: { fill: ORANGE, type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ alignment: AlignmentType.CENTER, children: [new TextRun({ text: "Regimen", bold: true, size: 17, font: "Arial", color: WHITE })] })] })
]}),
new TableRow({ children: [
new TableCell({ margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Empirical (severe)", size: 17, font: "Arial" })] })] }),
new TableCell({ margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Gentamicin 2 mg/kg IV load \u2192 1.5 mg/kg q8h + Clindamycin 900 mg q8h + Metronidazole 0.5 g q8h", size: 16, font: "Arial" })] })] })
]}),
new TableRow({ children: [
new TableCell({ shading: { fill: "FFF8F5", type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Severe sepsis", size: 17, font: "Arial" })] })] }),
new TableCell({ shading: { fill: "FFF8F5", type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Piperacillin-tazobactam OR carbapenem + clindamycin", size: 16, font: "Arial" })] })] })
]}),
new TableRow({ children: [
new TableCell({ margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "MRSA", size: 17, font: "Arial" })] })] }),
new TableCell({ margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "Vancomycin or Teicoplanin", size: 16, font: "Arial" })] })] })
]}),
new TableRow({ children: [
new TableCell({ shading: { fill: "FFF8F5", type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "SPT", size: 17, font: "Arial" })] })] }),
new TableCell({ shading: { fill: "FFF8F5", type: ShadingType.CLEAR }, margins: { top: 40, bottom: 40, left: 80, right: 80 }, children: [new Paragraph({ children: [new TextRun({ text: "LMWH 1 mg/kg q12h; APTT 1.5-2x normal", size: 16, font: "Arial" })] })] })
]}),
]
}),
spacer(30),
label("Surgical Treatment", TEAL),
bullet("Perineal wound: antibiotics IV, debridement, repeated sitz bath, secondary closure"),
bullet("Retained products (>3 cm): surgical evacuation after 24 h antibiotic cover"),
bullet("Pelvic abscess: colpotomy drainage under USS guidance"),
bullet("Wound dehiscence: debridement + secondary suture"),
bullet("Laparotomy: for unresponsive peritonitis; hysterectomy if rupture/gangrene"),
]
})
]
})]
}),
spacer(60),
// ─── PROPHYLAXIS ──────────────────────────────────────────
sectionHeading("PROPHYLAXIS", "2E7D32"),
spacer(30),
twoColTable(
[
label("Antenatal", "2E7D32"),
bullet("Improve nutritional status (raise Hb)"),
bullet("Eradicate any septic focus (skin, throat, tonsils)"),
label("Intranatal", "2E7D32"),
bullet("Full surgical asepsis during delivery"),
bullet("Screen for Group B Streptococcus in high-risk patients"),
bullet("Prophylactic antibiotic at cesarean section (reduces wound infection, endometritis, UTI)"),
],
[
label("Postpartum", "2E7D32"),
bullet("Aseptic precautions for at least 1 week"),
bullet("Restrict visitors; sterile sanitary pads"),
bullet("Isolate infected mother and baby"),
bullet("Adequate hand hygiene by all attendants"),
label("Necrotising Fasciitis (Rare but Fatal)", ORANGE),
bullet("Polymicrobial; Group A beta-haemolytic Streptococcus"),
bullet("Risk: diabetes, obesity, hypertension"),
bullet("Treatment: rehydration, wide debridement, high-dose broad-spectrum IV antibiotics"),
]
),
spacer(60),
// ─── FOOTER ───────────────────────────────────────────────
new Table({
width: { size: 100, type: WidthType.PERCENTAGE },
borders: TableBorders.NONE,
rows: [new TableRow({
children: [new TableCell({
shading: { fill: "F0F0F0", type: ShadingType.CLEAR },
margins: { top: 60, bottom: 60, left: 200, right: 200 },
children: [new Paragraph({
alignment: AlignmentType.CENTER,
children: [new TextRun({ text: "Source: Abnormalities of the Puerperium — Chapter 30 | Note compiled from uploaded textbook images", size: 16, font: "Arial", color: "888888" })]
})]
})]
})]
}),
]
}]
});
Packer.toBuffer(doc).then(buffer => {
fs.writeFileSync("/home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.docx", buffer);
console.log("Done: Puerperal_Sepsis_Note.docx");
}).catch(err => { console.error(err); process.exit(1); });
Running Command
cd /home/daytona/workspace/puerperal-sepsis && node build.js 2>&1
Running Command
python /home/daytona/skills/docx/scripts/office/validate.py /home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.docx 2>&1
Running Command
python3 -c "import zipfile, sys; z=zipfile.ZipFile('/home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.docx'); print('OK — files:', z.namelist()[:6])"
The file is valid. Here's your one-page Puerperal Sepsis note:
Puerperal Sepsis Note
Word Document · DOCX
Here's what's packed into the note:
Structure of the document:
-
Title banner (teal header) - Puerperal Sepsis, Ch. 30
-
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
-
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
-
Clinical Features - structured by Local / Mild / Severe uterine infection / Extrauterine spread (parametritis, peritonitis, SPT, septicaemia)
-
Investigations - listed in order with a highlighted principle box, plus a Red Flags / ICU triggers box
-
Treatment Flowchart - 5-step general care ladder on the left; antibiotic regimen table (empirical, severe sepsis, MRSA, SPT) + surgical options on the right
-
Prophylaxis - Antenatal / Intranatal / Postpartum split, with a note on Necrotising Fasciitis
Make it a pdf file
Running Command
python /home/daytona/skills/docx/scripts/office/soffice.py --headless --convert-to pdf /home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.docx --outdir /home/daytona/workspace/puerperal-sepsis/ 2>&1
Running Command
cp /home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.docx /tmp/ps_note.docx && python /home/daytona/skills/docx/scripts/office/soffice.py --headless --convert-to pdf /tmp/ps_note.docx --outdir /tmp/ 2>&1 && cp /tmp/ps_note.pdf /home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.pdf && echo "PDF copied OK"
Done! Here's your PDF:
Puerperal Sepsis Note
PDF Document · PDF
Same full content as the Word version - title banner, definition, pathogenesis flowchart, clinical features, investigations, treatment flowchart, and prophylaxis - all in a single PDF file.
But this is not supported
Reading File
Reading File
Writing File
~/puerperal-sepsis/build_pdf.py
from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import mm, cm
from reportlab.lib.styles import ParagraphStyle
from reportlab.platypus import (
SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle, HRFlowable
)
from reportlab.lib.enums import TA_LEFT, TA_CENTER, TA_RIGHT
from reportlab.pdfbase import pdfmetrics
# ─── Colours ──────────────────────────────────────────────────────
TEAL = colors.HexColor("#1A6B7C")
TEAL_LT = colors.HexColor("#EAF4F7")
ORANGE = colors.HexColor("#D4550E")
ORANGE_LT = colors.HexColor("#FFF3E8")
AMBER = colors.HexColor("#F5A623")
GREEN = colors.HexColor("#2E7D32")
GREEN_LT = colors.HexColor("#E8F5E9")
RED = colors.HexColor("#C62828")
RED_LT = colors.HexColor("#FDECEA")
BLUE_LT = colors.HexColor("#E3F2FD")
BLUE = colors.HexColor("#1565C0")
AMBER_LT = colors.HexColor("#FFF8E1")
GREY_LT = colors.HexColor("#F5F5F5")
WHITE = colors.white
BLACK = colors.HexColor("#1A1A2E")
GREY_TEXT = colors.HexColor("#888888")
W, H = A4 # 595 x 842 pts
# ─── Paragraph styles ─────────────────────────────────────────────
def ps(name, parent=None, **kw):
defaults = dict(fontName="Helvetica", fontSize=8, leading=10,
textColor=BLACK, spaceAfter=2, spaceBefore=2)
defaults.update(kw)
return ParagraphStyle(name, **defaults)
title_st = ps("title", fontName="Helvetica-Bold", fontSize=14,
textColor=WHITE, alignment=TA_CENTER, spaceAfter=0, leading=17)
sub_st = ps("sub", fontName="Helvetica", fontSize=7,
textColor=colors.HexColor("#CCE8EF"), alignment=TA_CENTER, spaceAfter=0, leading=9)
hdr_st = ps("hdr", fontName="Helvetica-Bold", fontSize=8.5,
textColor=WHITE, spaceAfter=0, spaceBefore=0, leading=10)
body_st = ps("body", fontName="Helvetica", fontSize=7.2, leading=9.2)
bold_st = ps("bold", fontName="Helvetica-Bold", fontSize=7.5, leading=9.5)
small_st = ps("small", fontName="Helvetica", fontSize=6.8, leading=8.5, textColor=colors.HexColor("#444444"))
note_st = ps("note", fontName="Helvetica-Oblique", fontSize=6.5, leading=8,
textColor=GREY_TEXT, alignment=TA_CENTER)
label_st = ps("label", fontName="Helvetica-Bold", fontSize=8, leading=10)
red_st = ps("red", fontName="Helvetica-Bold", fontSize=7.5, textColor=RED, leading=9)
orange_st = ps("orng", fontName="Helvetica-Bold", fontSize=7.5, textColor=ORANGE, leading=9)
teal_st = ps("teal", fontName="Helvetica-Bold", fontSize=7.5, textColor=TEAL, leading=9)
green_st = ps("grn", fontName="Helvetica-Bold", fontSize=7.5, textColor=GREEN, leading=9)
blue_st = ps("blue", fontName="Helvetica-Bold", fontSize=7.5, textColor=BLUE, leading=9)
# ─── Helpers ──────────────────────────────────────────────────────
def sp(h=3): return Spacer(1, h)
def section_bar(text, bg=TEAL, col=WHITE):
t = Table([[Paragraph(text, ParagraphStyle("sh", fontName="Helvetica-Bold",
fontSize=8.5, textColor=col, leading=10))]],
colWidths=[W - 2*cm])
t.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), bg),
("TOPPADDING", (0,0), (-1,-1), 4),
("BOTTOMPADDING", (0,0), (-1,-1), 4),
("LEFTPADDING", (0,0), (-1,-1), 8),
("RIGHTPADDING", (0,0), (-1,-1), 8),
]))
return t
def bullet_p(text, bold=False, color=BLACK, indent=8):
st = ps("bp", fontName="Helvetica-Bold" if bold else "Helvetica",
fontSize=7.2, leading=9.2, textColor=color,
leftIndent=indent, firstLineIndent=-indent)
return Paragraph(f"\u2022 {text}", st)
def color_box(text, bg, tc=BLACK):
t = Table([[Paragraph(text, ps("cb", fontName="Helvetica", fontSize=7,
textColor=tc, leading=8.5))]],
colWidths=[W - 2*cm])
t.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), bg),
("TOPPADDING", (0,0), (-1,-1), 4),
("BOTTOMPADDING", (0,0), (-1,-1), 4),
("LEFTPADDING", (0,0), (-1,-1), 7),
("RIGHTPADDING", (0,0), (-1,-1), 7),
("BOX", (0,0), (-1,-1), 0.5, colors.HexColor("#CCCCCC")),
]))
return t
def flow_step(num, text, bg):
t = Table([[
Paragraph(num, ps("fn", fontName="Helvetica-Bold", fontSize=8,
textColor=WHITE, leading=10, alignment=TA_CENTER)),
Paragraph(text, ps("ft", fontName="Helvetica", fontSize=7,
textColor=WHITE, leading=9))
]], colWidths=[14, (W/2 - cm - 14 - 6)])
t.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), bg),
("BACKGROUND", (0,0), (0,0), colors.HexColor("#00000033")),
("TOPPADDING", (0,0), (-1,-1), 4),
("BOTTOMPADDING", (0,0), (-1,-1), 4),
("LEFTPADDING", (0,0), (-1,-1), 5),
("RIGHTPADDING", (0,0), (-1,-1), 5),
("VALIGN", (0,0), (-1,-1), "MIDDLE"),
("BOX", (0,0), (-1,-1), 0.5, colors.HexColor("#AAAAAA")),
]))
return t
def arrow_p():
return Paragraph("▼", ps("arr", fontSize=8, textColor=TEAL,
alignment=TA_CENTER, leading=10))
# ─── Build story ──────────────────────────────────────────────────
story = []
# ── TITLE BAR ─────────────────────────────────────────────────────
title_tbl = Table([[
Paragraph("PUERPERAL SEPSIS", title_st),
],[
Paragraph("Chapter 30 — Abnormalities of the Puerperium | Quick Reference Note", sub_st),
]], colWidths=[W - 2*cm])
title_tbl.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,-1), TEAL),
("TOPPADDING", (0,0), (-1,-1), 7),
("BOTTOMPADDING", (0,0), (-1,-1), 7),
("LEFTPADDING", (0,0), (-1,-1), 10),
("RIGHTPADDING", (0,0), (-1,-1), 10),
]))
story.append(title_tbl)
story.append(sp(5))
# ── ROW 1: Definition | Vaginal Flora ─────────────────────────────
half = (W - 2*cm - 4) / 2
def_content = [
section_bar("DEFINITION"),
sp(3),
Paragraph("<b><font color='#D4550E'>Puerperal Pyrexia:</font></b> Temp ≥100.4°F (38°C) on 2 separate occasions, >24 h after delivery, within the first 10 days postpartum.", body_st),
sp(2),
Paragraph("<b><font color='#D4550E'>Puerperal Sepsis:</font></b> Infection of the genital tract occurring as a complication of delivery.", body_st),
sp(3),
Paragraph("<b><font color='#1A6B7C'>Primary infection sites:</font></b>", body_st),
bullet_p("Perineum & vaginal wounds"),
bullet_p("Cervix"),
bullet_p("Uterus (endometrium / placental site)"),
]
flora_content = [
section_bar("VAGINAL FLORA AT ONSET OF LABOUR", ORANGE),
sp(3),
bullet_p("Doderlein's bacillus (60-70%)"),
bullet_p("Candida albicans (25%)"),
bullet_p("Staphylococcus albus / aureus"),
bullet_p("Streptococcus — anaerobic & beta-haemolytic"),
bullet_p("E. coli, Clostridium welchii (occasional)"),
bullet_p("Bacteroides group"),
sp(3),
color_box("Most infections are POLYMICROBIAL — mix of aerobic and anaerobic organisms.", TEAL_LT, TEAL),
]
row1 = Table([[def_content, flora_content]], colWidths=[half, half],
rowHeights=[None])
row1.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "TOP"),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,0), (-1,-1), 0),
("BOTTOMPADDING",(0,0), (-1,-1), 0),
("INNERGRID", (0,0), (-1,-1), 0, WHITE),
("RIGHTPADDING", (0,0), (0,-1), 3),
("LEFTPADDING", (0,0), (1,-1), 3),
]))
story.append(row1)
story.append(sp(5))
# ── PATHOGENESIS FLOWCHART ─────────────────────────────────────────
story.append(section_bar("PATHOGENESIS FLOWCHART"))
story.append(sp(4))
src_box = Table([
[Paragraph("SOURCE OF INFECTION", ps("s", fontName="Helvetica-Bold",
fontSize=7.5, textColor=WHITE, leading=9, alignment=TA_CENTER))],
[Table([
[Paragraph("<b><font color='#1565C0'>Endogenous</font></b>",
ps("e1", fontSize=7, leading=8.5)),
Paragraph("Flora present in genital tract before delivery",
ps("e2", fontSize=7, leading=8.5))],
[Paragraph("<b><font color='#D4550E'>Autogenous</font></b>",
ps("a1", fontSize=7, leading=8.5)),
Paragraph("Skin/throat flora migrate via bloodstream",
ps("a2", fontSize=7, leading=8.5))],
[Paragraph("<b><font color='#C62828'>Exogenous</font></b>",
ps("x1", fontSize=7, leading=8.5)),
Paragraph("Hospital staff/attendants — Strep, Staph, E. coli",
ps("x2", fontSize=7, leading=8.5))],
], colWidths=[None, None],
style=TableStyle([
("BACKGROUND", (0,0), (-1,0), BLUE_LT),
("BACKGROUND", (0,1), (-1,1), ORANGE_LT),
("BACKGROUND", (0,2), (-1,2), RED_LT),
("TOPPADDING", (0,0), (-1,-1), 3),
("BOTTOMPADDING", (0,0), (-1,-1), 3),
("LEFTPADDING", (0,0), (-1,-1), 5),
("RIGHTPADDING", (0,0), (-1,-1), 5),
("BOX", (0,0), (-1,-1), 0.5, colors.HexColor("#CCCCCC")),
("INNERGRID", (0,0), (-1,-1), 0.3, colors.HexColor("#DDDDDD")),
]))],
], colWidths=[(W-2*cm)/3 - 4])
src_box.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,0), TEAL),
("TOPPADDING", (0,0), (-1,0), 4),
("BOTTOMPADDING", (0,0), (-1,0), 4),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,1), (-1,1), 0),
]))
# Risk factors
ante = [
Paragraph("<b><font color='#1A6B7C'>Antepartum:</font></b>", body_st),
bullet_p("Anaemia"),
bullet_p("Preterm labour"),
bullet_p("PROM (\u226518 h)"),
bullet_p("Immunocompromised (HIV)"),
bullet_p("Diabetes"),
]
intra = [
Paragraph("<b><font color='#1A6B7C'>Intrapartum:</font></b>", body_st),
bullet_p("Repeated vaginal exams"),
bullet_p("Traumatic vaginal delivery"),
bullet_p("Retained placenta / PPH"),
bullet_p("Prolonged labour"),
bullet_p("Cesarean section"),
]
rf_inner = Table([[ante, intra]], colWidths=[None, None])
rf_inner.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "TOP"),
("TOPPADDING", (0,0), (-1,-1), 2),
("BOTTOMPADDING", (0,0), (-1,-1), 2),
("LEFTPADDING", (0,0), (-1,-1), 4),
("RIGHTPADDING", (0,0), (-1,-1), 4),
]))
rf_box = Table([
[Paragraph("PREDISPOSING RISK FACTORS", ps("rf", fontName="Helvetica-Bold",
fontSize=7.5, textColor=WHITE, alignment=TA_CENTER, leading=9))],
[rf_inner],
], colWidths=[(W-2*cm)*2/3 - 4])
rf_box.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,0), ORANGE),
("TOPPADDING", (0,0), (-1,0), 4),
("BOTTOMPADDING", (0,0), (-1,0), 4),
("BOX", (0,0), (-1,-1), 0.5, colors.HexColor("#CCCCCC")),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
]))
path_row = Table([[
src_box,
Paragraph("►", ps("arr2", fontSize=12, textColor=TEAL,
alignment=TA_CENTER, leading=14)),
rf_box,
]], colWidths=[(W-2*cm)/3 - 4, 16, (W-2*cm)*2/3 - 4])
path_row.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "MIDDLE"),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,0), (-1,-1), 0),
("BOTTOMPADDING", (0,0), (-1,-1), 0),
]))
story.append(path_row)
story.append(sp(5))
# ── ROW 2: Clinical Features | Investigations ─────────────────────
cf_content = [
section_bar("CLINICAL FEATURES"),
sp(2),
Paragraph("<b><font color='#1A6B7C'>Local (Wound) Infection</font></b>", body_st),
bullet_p("Slight rise of temperature, malaise / headache"),
bullet_p("Wound red & swollen; pus formation"),
bullet_p("Acute: high fever with chills and rigors"),
sp(2),
Paragraph("<b><font color='#1A6B7C'>Uterine Infection — Mild</font></b>", body_st),
bullet_p("Temp >100.4\u00b0F, pulse >90; offensive & copious lochia"),
bullet_p("Uterus subinvoluted and tender"),
Paragraph("<b><font color='#C62828'>Severe</font></b>", body_st),
bullet_p("Acute onset, high fever, chills & rigor"),
bullet_p("Rapid pulse out of proportion to temperature"),
bullet_p("Breathlessness, cough, abdominal pain, dysuria"),
bullet_p("Lochia may be scanty / odourless; uterus tender"),
sp(2),
Paragraph("<b><font color='#D4550E'>Spread (Extrauterine)</font></b>", body_st),
bullet_p("Pelvic cellulitis (parametritis) — indurated mass, uterus deviated"),
bullet_p("Peritonitis — bowel distension, dynamic ileus"),
bullet_p("Salpingitis — interstitial or perisalpingitis"),
bullet_p("Pelvic abscess — 7-10 days to develop"),
bullet_p("Septic pelvic thrombophlebitis — swinging fever; treat with LMWH"),
bullet_p("Septicaemia / Septic shock — 30% mortality"),
]
inv_content = [
section_bar("INVESTIGATIONS", ORANGE),
sp(2),
color_box("All puerperal pyrexia = genital sepsis UNTIL proved otherwise", ORANGE_LT, ORANGE),
sp(3),
Paragraph("<b><font color='#1A6B7C'>Principles:</font></b> Locate site | Identify organism | Assess severity", body_st),
sp(2),
bullet_p("HVS + endocervical swabs — aerobic & anaerobic C&S"),
bullet_p("MSU — urinalysis + culture & sensitivity"),
bullet_p("FBC — WBC, Hb, platelets (low = DIC/septicaemia)"),
bullet_p("Thick blood film — malarial parasites"),
bullet_p("Blood culture — if fever + chills/rigor"),
bullet_p("Urea, creatinine & electrolytes"),
bullet_p("Pelvic USS — retained products, abscess, venous thrombosis"),
bullet_p("CT/MRI — if pelvic vein thrombosis suspected"),
bullet_p("Chest X-ray — suspected TB or lung collapse"),
sp(3),
section_bar("ICU RED FLAGS", RED),
sp(2),
bullet_p("Fever, vomiting, diarrhoea, skin rash, organ dysfunction", color=RED),
color_box("Hypotension | Oliguria | Creatinine \u2191 | Lactate \u22654 mmol/L | Thrombocytopenia | ARDS | Hypothermia", RED_LT, RED),
]
row2 = Table([[cf_content, inv_content]], colWidths=[half, half])
row2.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "TOP"),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,0), (-1,-1), 0),
("BOTTOMPADDING",(0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (0,-1), 3),
("LEFTPADDING", (0,0), (1,-1), 3),
]))
story.append(row2)
story.append(sp(5))
# ── TREATMENT FLOWCHART ────────────────────────────────────────────
story.append(section_bar("TREATMENT FLOWCHART"))
story.append(sp(4))
steps_col = [
Paragraph("<b><font color='#1A6B7C'>General Care</font></b>", body_st),
sp(2),
flow_step("1", "Isolate patient (esp. if haemolytic Streptococcus cultured)", TEAL),
arrow_p(),
flow_step("2", "IV fluids + calories; correct anaemia (oral iron / transfusion)", colors.HexColor("#2E7D8A")),
arrow_p(),
flow_step("3", "Indwelling catheter — monitor urine output", colors.HexColor("#3A8B9A")),
arrow_p(),
flow_step("4", "Chart pulse, temp, lochia, fluid balance", colors.HexColor("#4699A8")),
arrow_p(),
flow_step("5", "Empirical antibiotics pending C&S — continue 7-10 days", colors.HexColor("#529EB5")),
]
abx_data = [
[Paragraph("Scenario", ps("h", fontName="Helvetica-Bold", fontSize=7, textColor=WHITE, leading=9)),
Paragraph("Regimen", ps("h", fontName="Helvetica-Bold", fontSize=7, textColor=WHITE, leading=9))],
[Paragraph("Empirical severe", small_st),
Paragraph("Gentamicin 2 mg/kg IV load then 1.5 mg/kg q8h + Clindamycin 900 mg q8h + Metronidazole 0.5 g q8h", small_st)],
[Paragraph("Severe sepsis", small_st),
Paragraph("Piperacillin-tazobactam OR carbapenem + clindamycin", small_st)],
[Paragraph("MRSA", small_st),
Paragraph("Vancomycin or Teicoplanin", small_st)],
[Paragraph("SPT", small_st),
Paragraph("LMWH 1 mg/kg q12h; maintain APTT 1.5-2x normal", small_st)],
]
abx_tbl = Table(abx_data, colWidths=[None, None])
abx_tbl.setStyle(TableStyle([
("BACKGROUND", (0,0), (-1,0), ORANGE),
("BACKGROUND", (0,1), (-1,1), WHITE),
("BACKGROUND", (0,2), (-1,2), ORANGE_LT),
("BACKGROUND", (0,3), (-1,3), WHITE),
("BACKGROUND", (0,4), (-1,4), ORANGE_LT),
("TOPPADDING", (0,0), (-1,-1), 3),
("BOTTOMPADDING", (0,0), (-1,-1), 3),
("LEFTPADDING", (0,0), (-1,-1), 5),
("RIGHTPADDING", (0,0), (-1,-1), 5),
("BOX", (0,0), (-1,-1), 0.5, colors.HexColor("#CCCCCC")),
("INNERGRID", (0,0), (-1,-1), 0.3, colors.HexColor("#DDDDDD")),
]))
surg_col = [
Paragraph("<b><font color='#D4550E'>Antibiotic Regimens</font></b>", body_st),
sp(2),
abx_tbl,
sp(4),
Paragraph("<b><font color='#1A6B7C'>Surgical Treatment</font></b>", body_st),
sp(2),
bullet_p("Perineal wound: IV antibiotics, debridement, sitz bath, secondary closure"),
bullet_p("Retained products (>3 cm): evacuate after 24 h antibiotic cover"),
bullet_p("Pelvic abscess: colpotomy drainage under USS guidance"),
bullet_p("Wound dehiscence: debridement + secondary suture"),
bullet_p("Laparotomy: unresponsive peritonitis; hysterectomy if gangrene/rupture"),
]
tx_row = Table([[steps_col, surg_col]], colWidths=[half, half])
tx_row.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "TOP"),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,0), (-1,-1), 0),
("BOTTOMPADDING",(0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (0,-1), 3),
("LEFTPADDING", (0,0), (1,-1), 3),
]))
story.append(tx_row)
story.append(sp(5))
# ── PROPHYLAXIS ────────────────────────────────────────────────────
story.append(section_bar("PROPHYLAXIS", GREEN))
story.append(sp(4))
ante_p = [
Paragraph("<b><font color='#2E7D32'>Antenatal</font></b>", body_st),
bullet_p("Improve nutritional status (raise Hb)"),
bullet_p("Eradicate septic foci (skin, throat, tonsils)"),
sp(2),
Paragraph("<b><font color='#2E7D32'>Intranatal</font></b>", body_st),
bullet_p("Full surgical asepsis during delivery"),
bullet_p("Screen for Group B Streptococcus in high-risk patients"),
bullet_p("Prophylactic antibiotic at CS (reduces wound infection & endometritis)"),
]
post_p = [
Paragraph("<b><font color='#2E7D32'>Postpartum</font></b>", body_st),
bullet_p("Aseptic precautions for at least 1 week"),
bullet_p("Restrict visitors; sterile sanitary pads"),
bullet_p("Isolate infected mother and baby"),
sp(2),
Paragraph("<b><font color='#D4550E'>Necrotising Fasciitis (rare but fatal)</font></b>", body_st),
bullet_p("Polymicrobial; Group A beta-haemolytic Strep"),
bullet_p("Risk factors: diabetes, obesity, hypertension"),
bullet_p("Tx: rehydration, wide debridement, high-dose broad-spectrum IV antibiotics"),
]
proph_row = Table([[ante_p, post_p]], colWidths=[half, half])
proph_row.setStyle(TableStyle([
("VALIGN", (0,0), (-1,-1), "TOP"),
("LEFTPADDING", (0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (-1,-1), 0),
("TOPPADDING", (0,0), (-1,-1), 0),
("BOTTOMPADDING",(0,0), (-1,-1), 0),
("RIGHTPADDING", (0,0), (0,-1), 3),
("LEFTPADDING", (0,0), (1,-1), 3),
]))
story.append(proph_row)
story.append(sp(5))
# ── FOOTER ─────────────────────────────────────────────────────────
story.append(HRFlowable(width="100%", thickness=0.5, color=colors.HexColor("#CCCCCC")))
story.append(sp(2))
story.append(Paragraph(
"Source: Abnormalities of the Puerperium — Chapter 30 | Note compiled from uploaded textbook images",
note_st))
# ─── Build PDF ─────────────────────────────────────────────────────
OUT = "/home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.pdf"
doc = SimpleDocTemplate(
OUT,
pagesize=A4,
leftMargin=1*cm, rightMargin=1*cm,
topMargin=1*cm, bottomMargin=1*cm,
)
doc.build(story)
print(f"PDF saved: {OUT}")
Running Command
cd /home/daytona/workspace/puerperal-sepsis && python3 build_pdf.py 2>&1
Running Command
python3 -c "from pypdf import PdfReader; r=PdfReader('/home/daytona/workspace/puerperal-sepsis/Puerperal_Sepsis_Note.pdf'); print(f'Pages: {len(r.pages)}, Size: {r.pages[0].mediabox}')"
Running Command
cd /home/daytona/workspace/puerperal-sepsis && python3 -c " from pypdf import PdfReader r = PdfReader('Puerperal_Sepsis_Note.pdf') for i, p in enumerate(r.pages): print(f'Page {i+1}: {p.extract_text()[:200]}') "
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Running Command
cd /home/daytona/workspace/puerperal-sepsis && sed -i 's/story\.append(sp(5))/story.append(sp(3))/g' build_pdf.py && python3 build_pdf.py 2>&1
Reading File
Searching Content
"story.append(sp(" in ~/puerperal-sepsis
Editing File
~/puerperal-sepsis/build_pdf.py
Error: String not found in file: 'story.append(sp(5))
story.append(sp(4))
story.append(section_bar("PATHOGENESIS FLOWCHART"))'Reading File
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Reading File
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Reading File
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Reading File
Editing File
~/puerperal-sepsis/build_pdf.py
Successfully replaced 1 instance(s) of the string in '/home/daytona/workspace/puerperal-sepsis/build_pdf.py'
Reading File
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