单词 | piding |
释义 | venous access deviceventricular assist deviceAbbreviation: VADposition-indicating deviceAbbreviation: PIDpelvic inflammatory disease,PIDEtiologyChlamydia trachomatis and Neisseria gonorrhoeae are the most frequent causes of PID, although anaerobic microorganisms, Escherichia coli, and other microorganisms also are often involved. SymptomsThe most common symptom is lower abdominal or pelvic pain, typically beginning after the start of a menstrual period. Exquisite tenderness during physical examination of the cervix, fallopian tubes, or ovaries is a common sign. Clear, white, or purulent vaginal discharge is sometimes present. Fevers, chills, nausea, vomiting, vaginal bleeding, dysuria, dyspareunia, or anorectal pain are seen in smaller numbers of patients. DiagnosisDistinguishing PID from other causes of lower abdominal or pelvic pain can be difficult. The disease may be confused with appendicitis, diverticulitis, tubo-ovarian abscess, endometritis, ectopic pregnancy, and other serious illnesses. PID is most likely to be found in young, sexually active patients with multiple sexual partners, esp. if there is a history of previous sexually transmitted illnesses or of substance abuse. Leukocytosis and an elevated sedimentation rate are commonly found, and a mucopurulent discharge is often present on pelvic examination. Cultures from the vagina or cervix may be helpful in identifying the causative organism. In patients for whom the diagnosis is unclear, laparoscopy, ultrasonography, or computed tomography may be needed. ComplicationsPID may result in adhesions or scarring of the fallopian tubes and pelvis, and is a common cause of pelvic pain and ectopic pregnancy. About a third of all women who are infertile have lost the ability to conceive because of PID. Occasionally, PID causes intraperitoneal abscesses. TreatmentAntibiotics effective against gonococci, chlamydiae, anaerobes, and gram-negative rods usually are used to treat PID. Typical therapy includes a tetracycline derivative, like doxycycline, and a cephalosporin. Early therapy prevents infertility caused by fallopian tube adhesions or scarring. In patients with tubal or pelvic abscesses, drainage is required. Sexual partners should be examined for evidence of sexually transmitted diseases and treated if culture results are positive. See: safe sex PIDAbbrev. for prolapsed intervertebral disc or pelvic inflammatory disease.Pelvic inflammatory disease (PID)PIDvenous access deviceventricular assist deviceAbbreviation: VADposition-indicating deviceAbbreviation: PIDpelvic inflammatory disease,PIDEtiologyChlamydia trachomatis and Neisseria gonorrhoeae are the most frequent causes of PID, although anaerobic microorganisms, Escherichia coli, and other microorganisms also are often involved. SymptomsThe most common symptom is lower abdominal or pelvic pain, typically beginning after the start of a menstrual period. Exquisite tenderness during physical examination of the cervix, fallopian tubes, or ovaries is a common sign. Clear, white, or purulent vaginal discharge is sometimes present. Fevers, chills, nausea, vomiting, vaginal bleeding, dysuria, dyspareunia, or anorectal pain are seen in smaller numbers of patients. DiagnosisDistinguishing PID from other causes of lower abdominal or pelvic pain can be difficult. The disease may be confused with appendicitis, diverticulitis, tubo-ovarian abscess, endometritis, ectopic pregnancy, and other serious illnesses. PID is most likely to be found in young, sexually active patients with multiple sexual partners, esp. if there is a history of previous sexually transmitted illnesses or of substance abuse. Leukocytosis and an elevated sedimentation rate are commonly found, and a mucopurulent discharge is often present on pelvic examination. Cultures from the vagina or cervix may be helpful in identifying the causative organism. In patients for whom the diagnosis is unclear, laparoscopy, ultrasonography, or computed tomography may be needed. ComplicationsPID may result in adhesions or scarring of the fallopian tubes and pelvis, and is a common cause of pelvic pain and ectopic pregnancy. About a third of all women who are infertile have lost the ability to conceive because of PID. Occasionally, PID causes intraperitoneal abscesses. TreatmentAntibiotics effective against gonococci, chlamydiae, anaerobes, and gram-negative rods usually are used to treat PID. Typical therapy includes a tetracycline derivative, like doxycycline, and a cephalosporin. Early therapy prevents infertility caused by fallopian tube adhesions or scarring. In patients with tubal or pelvic abscesses, drainage is required. Sexual partners should be examined for evidence of sexually transmitted diseases and treated if culture results are positive. See: safe sex PIDAbbrev. for prolapsed intervertebral disc or pelvic inflammatory disease.Pelvic inflammatory disease (PID)PID |
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