Adenexal Infections Flashcards
S/S diverticulitis
-LLQ pain
-fever
increased WBCs
diverticulitis most common occurs in which portion
sigmoid colon
S/A diverticulitis
- inflamed diverticula
- echogenic areas in wall
- abnormal bowel thickening
___: infectious disease of the female reproductive organs
PID
what is the first symptom of PID
vaginitis
___: inflammation of the utters
metritis
___: inflammation of endometrium
endometritis
PID can lead to what
fritz Hugh Curtis syndrome
what are the 4 stages of PID
- acute endometritis
- acute salpingitis
- acute tube ovarian abscess
- chronic infection
S/A acute endometritis
- endometrial fluid/ debris
- fluid in posterior cul de sac
- increased vascularity
S/A acute salpingitis
- fluid or pus within tubes
- shaggy appearance of tube walls
- thick walled tubes
- cogwheel sign
S/A acute TOA
- multilocular complex retro uterine adnexal mass with debris
- may see comet tail due to air
- septations
- commonly bilateral
S/A chronic infection
- hydrosalpinx
- pyosalpinx
- hematosalpinx
- thin walled Fallopian tubes
- beads on a sting sign
PID is associated with what things
- chlamydia
- gonorrhea
- TORCH infections
- poor hygiene
- tuberculosis
- non sterile surgical instruments
- child birth
- IUD
- intercourse with a man with urethritis
- ruptured appendix
symptoms of PID
- vaginitis
- bleeding
- discharge
- pain
- n/v
- dysuria
- fever
- increased WBCs
- elevated CA 125
- rapid pulse
- palpable mass
S/A acute PID
- enlarged uterus
- prominent or irregular endometrium
- fluid in cul de sac
- hydrosalpinx
- hypervasculaity
- tubal walls may have nodular appearance
S/A chronic PID
- normal sized uterus
- fluid in cul de sac
- ascites
- abscess
- hydro/pyosalpinx
S/S TOA
- pain
- fever
- nausea
- leukocytosis
S/A TOA
- abnormally thickened endo
- hydrosalpinx
- complex adnexal mass
where is the appendix located in relation to the ileum and iliac vessels
-posterior to terminal ileum and anterior to iliac vessels
normal bowel loops will ___
compress
bacterial infection leads to gangrene and possible ___
perforation
perforation can lead to __
peritonitis
S/A appendicitis
- blind end structure that will not respond to compressions
- diameter >6mm wall >2mm
- fluid collection
- increased vascularity to gut walls
- inflamed perinephric fat
- fecalith may be identified
