Adnexal Pathologies

Question 1

What is the most common cause of PID?

Answer 1

gonorrhea and chlamydia

Question 2

What pelvic infections are included under PID?

Answer 2

endometriosis, salpingitis, hyrosalpinx, pyosalpinx, periovarian inflammation, tubo-ovarian complex, tubo-ovarian abscess

Question 3

Generally, what does PID look like sonographically?

Answer 3

free fluid in cul-de-sac, increased vascularity with acute diastolic flow
large, bilateral, complex mass

Question 4

Where can PID be found?

Answer 4

endometrium, uterine wall, uterine serosa and broad ligaments, ovary, oviducts

Question 5

What is the most common location for PID?

Answer 5

oviducts

Question 6

What is the peak incidence of PID?

Answer 6

women 20-24 years of age

Question 7

What are possible risk factors for PID?

Answer 7

early sexual contact, multiple sexual partners, history of STD, history of PID

Question 8

What are the clinical symptoms of PID?

Answer 8

intense pelvic pain and tenderness (dull/aching), constant vaginal discharge

Question 9

Salpingitis:

Symptoms

Answer 9

asymptomatic, pelvic fullness, low grade fever

Question 10

Salpingitis:

Sonographic Appearance

Answer 10

dilated tube, tortuous

Question 11

Hydrosalpinx:

Symptoms

Answer 11

asymptomatic, pelvic fullness, low grade fever

Question 12

Hydrosalpinx:

Sonographic Appearance

Answer 12

cog wheel sign, waist sign, pearl on string sign

bilateral

Question 13

Pyosalpinx:

Symptoms

Answer 13

asymptomatic, pelvic fullness, low grade fever

Question 14

Pyosalpinx:

Sonographic Appearance

Answer 14

complex mass, dilated tube, thickened walls, pus within dilated tube, free fluid

Question 15

What is the most common cause of fever in postpartum patients?

Answer 15

endometritis