CH. 45 Adnexa Path Flashcards

1
Q

What does PID stand for?

A

Pelvic Inflammatory disease

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2
Q

PID is most commonly associated with..?

A

STDs (gonorrhea and Chlamydia)

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3
Q

what are some less common causes of PID?

A
  • ruptured appendix
  • post surgical infection
  • appendicitis
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4
Q

is PID unilateral or bilateral?

A

bilateral usually

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5
Q

what are the long-term consequences of PID?

A

pelvic pain, infertility, increased risk of ectopic pregnancy

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6
Q

what are the risk factors for PID?

A
  • early sexual contact
  • multiple sexual partners
  • History of STDs
  • douching
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7
Q

what is endometritis?

A

inflammation of endometrium

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8
Q

what is salpingitis?

A

inflammation of fallopian tubes

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9
Q

what is hydrosalpinx?

A

fallopian tube is blocked by fluid

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10
Q

what is pyosalpinx?

A

fallopian tubes filled with pus

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11
Q

what is periovarian inflammation?

A

infection or inflammation that has spread to the fallopian tube, ovary and broad ligament

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12
Q

what is a Tubo-Ovarian Abscess? (TOA)

A

infection of a pocket of pus that forms in the fallopian tube and ovary, involving the broad ligament

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13
Q

what is peritonitis?

A

inflammation of the peritoneum

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14
Q

how does PID spread?

A

spreads along the mucosa of pelvic organs

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15
Q

where does PID infect first?

A

cervix

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16
Q

how does PID progress from the Cervix?

A

the endometrium, then fallopian tubes, ovaries, and finally the peritoneum

17
Q

what are the clinical signs for PID?

A
  • pelvic pain
  • fever
  • vaginal discharge
  • increased WBC count
18
Q

How does PID appear on ultrasound?

A
  • fluid/ pus in the posterior cul-de-sac
  • thickened endo
  • fluid in fallopian tubes
  • complex abscess
19
Q

what are the stages of PID?

A

1) endometritis
2) salpingitis
3) severe PID in broad ligament and ovarian involvement
4) chronic long-standing PID

20
Q

what are the clinical signs for salpingitis?

A
  • asymptomatic pelvic discomfort
  • low-grade fever
21
Q

how does salpingitis appear on ultrasound?

A
  • dilated tubes
  • tortuous tubes
22
Q

define TOA

A

tubo-ovarian abscess, this is where adhesions cause the ovary to be stuck to the fallopian tube &/or the broad ligament, leaving scars

23
Q

define peritonitis

A

inflammation of the peritoneum and the serous membrane lining of the abdominal cavity.

24
Q

list several causes for peritonitis

A

when infectious process spreads OUTSIDE the pelvis; ovaries and tubes to involve bladder, ureter, bowel, and adnexal area.

25
Q

what is the sonographic appearance of peritonitis?

A
  • gas forming bubbles
  • loculated areas of fluid
26
Q

what is the most common cause of endometritis in a non-OB patient?

A

STDs

27
Q

what is the most common cause of fever after delivery?

A

c-section endometritis

28
Q

what is the ultrasound appearance of endometritis?

A
  • endo >20mm
  • thick endo
  • fluid, air, clot in the endo
29
Q

what is endometriosis?

A

fuctional endometrial tissue in abnormal locations

30
Q

what are the symptoms of endometriosis?

A
  • dysmenorrhea
  • pelvic pain
31
Q

How does endometriosis appear on ultrasound?

A
  • hypoechoic
  • ill-defined borders
  • ground glass (endometrioma)
32
Q

what is a chocolate cyst?

A

endometrioma

33
Q

what are the two main reasons for ultrasound intervention with PID?

A
  • biopsy and access abscess drainage
  • evaluate post-op pelvic masses