Reproductive Disorders - F Flashcards
Pelvic Inflammatory Disorder
infectious condition of the pelvic cavity
Cervix, fallopian tubes, pelvic peritoneum
PID - patho
caused by untreated cervicitis
organisms gain entrance by sexual intercourse and after pregnancy termination, surgery or childbirth
PID organism
Chlamydia
Neisseria gonorhea
PID causes…
Pain
Infertility
PID - Manifestations
Lower abd pain (with intercourse)
Spotting after intercourse
Purulent cervical or vaginal discharge
Fever and chills
PID complications
Septic shock Fitz-Hugh-Curtis syndrome (spreads to liver) Pelvic generalized peritonitis Embolisms Infertility Increased risk of ectopic pregnancy
PID - care
Antibiotics No intercourse for 3 weeks Examination of partner Rest Oral fluids
PID - if hospitalized with abscess
high doses of antibiotics corticosteroids Semi-fowlers drainage of abscess hysterectomy
Endometriosis
presence of endometrial epithelial or stromal cells in sites outside of uterine cavity
Increases risk of ovarian cancer and infertility
Endometriosis - Patho
Tissue attaches to various sites through menstrual flow
OR
Hormones encourage dormant cells to become active
OR
Hereditary
OR
Altered immune function
Endometriosis - Manifestations
Dysmenorrhea Infertility Pelvic pain painful coitus Irregular bleeding
Endometriosis - Diagnosis
Pelvic exam
MRI
Endometriosis - Collaborative care
Conservative approach - watch and wait
Drug therapy
Surgery
Endometriosis - Drug therapy
NSIADs
Oral contraceptives
Danasol
Gonadotropin-releasing hormone agonists
Endometriosis - Surgery
Laparotomy
Hysterectomy and removal of ovaries
