Adenexal Infections Flashcards

1
Q

S/S diverticulitis

A

-LLQ pain
-fever
increased WBCs

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2
Q

diverticulitis most common occurs in which portion

A

sigmoid colon

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3
Q

S/A diverticulitis

A
  • inflamed diverticula
  • echogenic areas in wall
  • abnormal bowel thickening
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4
Q

___: infectious disease of the female reproductive organs

A

PID

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5
Q

what is the first symptom of PID

A

vaginitis

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6
Q

___: inflammation of the utters

A

metritis

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7
Q

___: inflammation of endometrium

A

endometritis

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8
Q

PID can lead to what

A

fritz Hugh Curtis syndrome

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9
Q

what are the 4 stages of PID

A
  • acute endometritis
  • acute salpingitis
  • acute tube ovarian abscess
  • chronic infection
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10
Q

S/A acute endometritis

A
  • endometrial fluid/ debris
  • fluid in posterior cul de sac
  • increased vascularity
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11
Q

S/A acute salpingitis

A
  • fluid or pus within tubes
  • shaggy appearance of tube walls
  • thick walled tubes
  • cogwheel sign
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12
Q

S/A acute TOA

A
  • multilocular complex retro uterine adnexal mass with debris
  • may see comet tail due to air
  • septations
  • commonly bilateral
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13
Q

S/A chronic infection

A
  • hydrosalpinx
  • pyosalpinx
  • hematosalpinx
  • thin walled Fallopian tubes
  • beads on a sting sign
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14
Q

PID is associated with what things

A
  • chlamydia
  • gonorrhea
  • TORCH infections
  • poor hygiene
  • tuberculosis
  • non sterile surgical instruments
  • child birth
  • IUD
  • intercourse with a man with urethritis
  • ruptured appendix
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15
Q

symptoms of PID

A
  • vaginitis
  • bleeding
  • discharge
  • pain
  • n/v
  • dysuria
  • fever
  • increased WBCs
  • elevated CA 125
  • rapid pulse
  • palpable mass
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16
Q

S/A acute PID

A
  • enlarged uterus
  • prominent or irregular endometrium
  • fluid in cul de sac
  • hydrosalpinx
  • hypervasculaity
  • tubal walls may have nodular appearance
17
Q

S/A chronic PID

A
  • normal sized uterus
  • fluid in cul de sac
  • ascites
  • abscess
  • hydro/pyosalpinx
18
Q

S/S TOA

A
  • pain
  • fever
  • nausea
  • leukocytosis
19
Q

S/A TOA

A
  • abnormally thickened endo
  • hydrosalpinx
  • complex adnexal mass
20
Q

where is the appendix located in relation to the ileum and iliac vessels

A

-posterior to terminal ileum and anterior to iliac vessels

21
Q

normal bowel loops will ___

A

compress

22
Q

bacterial infection leads to gangrene and possible ___

A

perforation

23
Q

perforation can lead to __

A

peritonitis

24
Q

S/A appendicitis

A
  • 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