REE 119S Lecture Notes - Lecture 48: Laser Ablation, Flatulence, Weight Loss
Document Summary
Pelvic inflammatory disease (pid) is an inflammatory condition of the pelvic cavity that may begin with cervicitis and involve the uterus (endometritis), fallopian tubes (salpingitis), ovaries (oophoritis), pelvic peritoneum, or pelvic vascular system. Infection, which may be acute, subacute, recurrent, or chronic and localized or widespread, is usually caused by bacteria but may be attributed to a virus, fungus, or parasite. Gonorrheal and chlamydial organisms are common causes, but most cases of pid are polymicrobial. The fallopian tubes become narrow and scarred, which increases the risk of ectopic pregnancy (fertilized eggs trapped in the tube), infertility, recurrent pelvic pain, tubo-ovarian abscess (a collection of purulent material), and recurrent disease. Symptoms of pelvic infection usually begin with vaginal discharge, dyspareunia, dysuria, pelvic or lower abdominal pain, tenderness that occurs after menses and postcoital bleeding. Other symptoms include fever, general malaise, anorexia, nausea, headache, and possibly vomiting.