10 - Gynae - Genital Tract Infection - Infections of Uterus and Pelvis - Endometritis and Chronic PID Flashcards
Endometritis - infection of ? cavity
if untrt, ? of infection to ? is common
Often due to ? of uterus or ? of preg or both
Organisms include: ? and gonococcus if present in ? tract, but others may be implicated
common after ??, also after ? or ??? - esp if products of conception are ?
uterine spread pelvis instrumentation complx chlamydia genital C/s miscarriage TOP retained
Endometritis - presx - ? and often heavy ? bleed, usually with ?
uterus is ? and cervical os commonly ?
fever may develop with ?
Ix - ? and cervical swabs, FBC, ?? ABx given - evacuation of ?? if Sx dont subside/any products left in ?
persistent pv pain tender open septicaemia vaginal broad spec retained products (ERPC) uterus
Chronic PID - persisting infection from non trt or inadequate trt of ? PID
- typically - dense ? ? and ?? may be obstructed and dilated with ? (hydrosalpinx) or ? (pyosalpinx)
- Common Sx - ???, dysmenorrhea, deep ?, ?MB and ?MB, chronic vaginal ? and ?
- Ex - features similar to ?, ? and ? tenderness, fixed ? uterus.
acute pelvic adhesions fallopian tubes water pus CPP dyspareunia HMB + IMB discharge subfertility endometriosis abdo and adnexal retroverted
Chronic PID - ? may reveal fluid collection in ? ? or surrounding ?
? is best diagnostic tool, culture often ?
Trt w ? and ? if evidence of active infection
Severe cases occasionally respond to ? and sometimes ? may be needed
TVUSS fallopian tubes adhesions laparoscopy -ve analgesia ABx adhesiolysis salpingectomy
