Medical-surgical Nursing Demystified

(Sean Pound) #1

(^516) Medical-Surgical Nursing Demystified
Bacteroides. Most infections are due to a mix of bacteria. PID occurs most often in
sexually active women and is more common in adolescents. PID is more common
with multiple sexual partners, a young age, unprotected sex, and a history of sexu-
ally transmitted disease.
PROGNOSIS
About one in ten sexually active women will experience PID in her lifetime and
25 percent of those will experience a major complication such as infertility, ectopic
pregnancy, abscess, or chronic pain.
HALLMARK SIGNS AND SYMPTOMS



  • Abdominal tenderness

  • Adnexal tenderness (ovaries and fallopian tubes)

  • Cervical motion tenderness (pain on movement of the cervix) due to an
    infection

  • Fever

  • Vaginal discharge

  • Dyspareunia (pain during intercourse)

  • Elevated white blood cell count


INTERPRETING TEST RESULTS



  • CBC will show an elevated WBC

  • Pregnancy test—beta hCG

  • Chlamydia test

  • Gonorrhea test

  • Venereal Disease Research Laboratory (VDRL) test for syphilis

  • Rapid Plasma Reagin (RPR) test for syphilis

  • Fluorescent Treponema Antibody (FTA–ABS) test used to confirm syphilis

  • Chandelier sign—a great amount of pain is elicited when the cervix is
    touched (the woman will jump to the chandelier)

Free download pdf