Notes

pelvic inflammatory disease|pid|tubo-ovarian abscess|salpingitis|acute salpingitis
ectopic pregnancy
appendicitis
hemorrhage|ruptured ovarian cyst
s. aureus vaginitis|toxic shock syndrome
ovarian torsion
The complete diagnosis for this patient is pelvic inflammatory disease, gonorrhea, perihepatitis, anemia and bacterial vaginosis
present1,5 ,7 genuito4,6,13 psychosocial19 medical12,5 lifestyle 1 ,8 git10,13 general12
Pelvic Inflammatory Disease (PID) is a syndrome created by the ascent of microorganisms from the vagina and endocervix to the endometrium, fallopian tubes, ovaries, and associated structures. This very broad diagnosis can include all varieties of upper genital tract infections, which are unrelated to pregnancy or surgical intervention. The included diagnosis encompass salpingitis, salpingo-oophoritis, endometritis, tubo-ovarian inflammatory masses and pelvic or diffuse peritonitis.

The precise mechanism by which organisms ascend the lower genital tract is unknown but there is some speculation. Perhaps chlamydial or gonoccocal endocervicitis alter the defense mechanisms of the cervix. Factors, which predispose patients to PID, include the use of an intrauterine device (IUD) and the hormonal and physical changes associated with menstruation.

Common signs and symptoms include lower abdominal pain, fever, malaise, vaginal discharge, irregular bleeding, cervical motion testing, nausea, and vomiting.