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Pelvic Inflammatory Disease (Signs and symptom (Lower abdomen pain that…
Pelvic Inflammatory Disease
Pathophysiology
In the most instances the infection is a cute, where by the infecting organism colonise the vagina and cervix causing a low grade vaginitis and cervicitis.
Subsequently the infection ascends to the uterus and fallopian tubes causing endometrium may be necrotic endometritis, salpingitis and oophoritis.
The endometrium may be necrotic in appearance.
Most noticeable are salpingitis and oophoritis which causes the tube to become eosigested, oedematous and may adhere to the fimbria of the tubes.
The inflammation of the tubes and ovaries may suppurate and develop into an abscess tat will later burst into the pelvic peritoneal cavity.
During pregnancy the increased blood supply to the uterus may provide a variable pathway for the infection.
With blood spectrum antibiotics treatment the infection may resolve with or without sequelae.
Signs and symptom
Lower abdomen pain that ranges from moderate to severe and worse an movement.
Urinary frequency and urgency.
mucopurulent and malodorous vaginal discharge in some there may even be abnormal virginal bleeding.
Pyrexia and tachycardia.
Nausea and Vomiting.
Dyspareuria.
If an abscess form there is abdominal distension and rigidity.
On palpation there may be lower abdominal tenderness with guarding denoting peritorotis.
Fever.
Painful sex.
Irregular bleeding.
Management
Administrate prescribed medication.
The antibiotics of choice will depend on the infecting organism as identified in the culture and sensitivity test.
A single dose of ciprofloxacin 500mg orally may be prescribed to treat gonorrhoea.
Doxcyycline 100mg twice a day for ten days will treat chlamydia and metronidazole 400mg three times a day will be prescribed for anaerobic organism.
Provide plenty of water to drink specially in presence of pyrexia.
Monitor and accurately record vital signs and provide the care required to promote comfort.
Using gloves observe vaginal discharge by recording a pad check every time this changed and discarded the pa safety
Maintain the patient personal hygiene by giving a dairy bath doing a valva swabbing and changing underclothes daily or more frequently if necessary
Wash hand after attending the patient.
Risk factors
Having sex under the age of 25 years.
Having multiple sex partners.
Having sex without a condo.
Douching.
Having a history of inflammatory disease.
Intrauterine device.
Definition
Pelvic inflammatory disease is an inflammation of the female reproductive organs.
It can lead to scar formations with fibrous band that forms between tissue and organs.