PELVIC INFLAMMATORY DISEASE скачать в хорошем качестве

PELVIC INFLAMMATORY DISEASE

Pelvic inflammatory disease (PID) Pathophysiology Acute inflammation of the upper genital tract – the uterus or adnexa – from an ascending infection – usually chlamydia or gonorrhea (25%). May lead to epithelial damage thus allowing further pathogen entry. Involves any combination of endometritis, salpingitis, tubo-ovarian abscess, or pelvic peritonitis. Rarer causes: Gardnerella vaginalis, H. influenzae, Strep agalactiae (Group B Strep), CMV. Often no pathogen is found. Signs and symptoms Symptoms: Varies from asymptomatic to severe. Pain: lower abdominal (often bilateral), lower back, and deep dyspareunia. Systemic: fever, nausea and vo himiting. Discharge and bleeding: cervical or vaginal mucop Sexually active, especially if unprotected. History opi. Age 18-25. IUCD Investigations Initial tests: Bloods: ↑WBC, ↑ESR/CRP. Vaginal or e #pid #infection #disease #gynecologist