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10 Cards in this Set
- Front
- Back
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these two are diffuse disease processes of the pelvic cavity that display very diff. clinical presentations and pathologies
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endometriosis and PID
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can be caused by std; are most commonly associated with gonorrhea and chlamydia
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PID
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early in the disease the clinical presentation is nonspecific; may mimic functional bowel disease (2)
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PID and endometriosis
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is an inclusive term that refers to all pelvic infections (i.e. endometritis, salpingitis, hydropyosalpinx, and tuboovarian abscess); infection occurs bilaterally and may be found in the endometrium, uterine wall, uterine serosa, broad ligaments, ovary, as well as the most common location-fallopian tubes
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PID
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has limited value during acute PID; cannot dx until pt. has tubo-ovarian abscess or hydro- or pyosalpinx; in the chronic setting it can identify dilated fallopian tubes, abscess, and complex intraperitoneal fluid
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ultrasound
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the presence of endometrial glands or stroma in an abnormal location; occurs in two locations; within the myometrium (internal) and within the adnexal region (external)
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endometriosis
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in many cases this is diagnosed on clinical grounds and is not detectable sonographically; especially if diffuse
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endometriosis
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*anyone with history of PID and has positive preg. test has a high chance of ____
* the occurence of PID is becoming more common; the incidence of PID occurs in ___ of reproductive aged women; affects more ____ females and a million american women each year |
ectopic pregnancy
10% afican american |
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*risk factors for PID (4)
the causes of pid vary from std, abscess collections that have ruptured into pelvis, IUDs, post-abortion complications, and ____ (childbirth) |
*early sexual contact, hx of pid, multiple sex partners, douching
*puerperal |
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PID caused by gonorrhea may ascend to the right flank causing a perihepatic fluid collection called ____
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fitz-hugh-curtis syndrome
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