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PELVIC INFLAMMATORY DISEASE (SIGNS AND SYMPTOMS (lower abdominal pain,…
PELVIC INFLAMMATORY DISEASE
DEFINATION
is an infection of the upper part of the female reproductive system, namely the uterus, fallopian tubes, and ovaries, and inside of the pelvis.
MANAGEMENT
reduce the risk of transmission of infection to new sexual partners. In addition
hiv testing should ne done
minimise chronic pelvic pain
ensure genital care
eradication of current infection
CAUSES
chlamydia infections
intrauterine contraceptive device (coil
gonorrhea
PATHOPHYSIOLOGY
. Infection and inflammation may spread to the abdomen, including perihepatic structures
the uterus, fallopian tubes, and adjacent pelvic structures.
Pelvic inflammatory disease (PID) is an infectious and inflammatory disorder of the upper female genital tract,
The classic high-risk patient is a menstruating woman younger than 25 years who has multiple sex partners
PID is initiated by infection that ascends from the vagina and cervix into the upper genital tract. Chlamydia trachomatis is the predominant sexually transmitted organism associated with PID
SIGNS AND SYMPTOMS
lower abdominal pain
fever
, Heavy vaginal discharge with an unpleasant smell
burning with urination
pain with sex
bleeding after sex
irregular menstruation
ASSESSMENT AND COMMON FINDINGS
increased body temperature due to infection
tenderness in your cervix, uterus and phalopian tubes
vaginal discharge
fever
presence of abundant numbers of WBC on saline microscopy of vaginal fluid;
HEALTH EDUCATION
Review contraindications and potential side effects
Identify and discuss potential compliance problems
Emphasize the need for taking all the medication, regardless of symptoms.
Review the medical purpose of follow-up evaluation
Emphasize the need to avoid sex until treatment is completed
Emphasize the need to refer sex partners for evaluation and treatment
CAUSES
• Being in a sexual relationship with a person who has more than one sex partner
• Having sex without a condom
• Having multiple sexual partners
• Douching regularly, which upsets the balance of good versus harmful bacteria in the vagina and might mask symptoms
Being a sexually active woman younger than 25 years old
• Having a history of pelvic inflammatory disease or a sexually transmitted infection
RISK FACTORS
gonnorrhea
Poor perineal care
Bieng sexually active