Endometritis 1B

Question 1

what is endometritis

Answer 1

inflammation of the inner lining of the uterus (endometrium); often associated with PID

Question 2

what are the typical causes of acute endometritis

Answer 2

compromised abortion, delivery, medical instruments (IUD) and retention of placenta fragments

Question 3

what are the most common causative agents

Answer 3

chlamydia, gonorrhoea, Group B streptococcus, mycoplasma, tuberculosis

Question 4

what infective organism usually causes chronic endometritis

Answer 4

tuberculosis

Question 5

Pyometra can be seen endometritis, what is it?

Answer 5

This is stenosis of the cervical OS and accumulation of discharge and infection seen in elderly women

Question 6

what are the symptoms of pyometra

Answer 6

abdominal pain

Question 7

symptoms of endometritis

Answer 7

blood stained discharge, occasional pain, fever (low grade or high grade)

Question 8

endometritis vs endometriosis

Answer 8

Endometritis = inflammation of the uterus lining caused by infection

Endometriosis = lining of the uterus grows outside the uterus causing abdominal and pelvic pain

Question 9

what are major causes

Answer 9

normal vaginal bacteria and STDs

Question 10

what is seen on examination of endometritis

Answer 10

cervical motion tenderness
adnexal tenderness 
uterine tenderness
presence of risk factors 
lower abdominal pain
fever 
abnormal cervical or vaginal discharge

Question 11

what does a bimanual examination of endometritis show

Answer 11

uterine tenderness

Question 12

blood investigations may show increase of what?

Answer 12

increase in white blood cells due to the presence of infection

Question 13

severe disease may be treated with

Answer 13

IV clindamycin + gentmycin

Question 14

mild disease may be treated with

Answer 14

ceftriaxone + oral metronidazole

Question 15

chronic disease may be treated with

Answer 15

doxycycline