Effective differentiation and four examination methods should be emphasized in acute pelvic inflammatory disease

Acute discitis is a common gynecological disease, and patients may also experience many abnormalities after illness. We must immediately undergo reasonable examinations and make a correct diagnosis.

Symptoms of acute discitis

1. When acute inflammation becomes chronic inflammation, scar adhesion and disc congestion may occur. Causing lower abdominal swelling, pain, and lumbosacral pain. It usually occurs after exhaustion, sexual activity, or before and after menstruation.

2. Abdominal pain occurs during the onset of the disease, accompanied by fever and chills. If there is Peritonitis, there will be abdominal distention, diarrhea, nausea and vomiting.

3. Due to pelvic congestion, there may be symptoms of increased menstruation. When the ovarian function is damaged, Menstrual disorder occurs. When the fallopian tubes become sticky and blocked, women become infertile.

4. There is the formation of an abscess, with symptoms of lower abdominal mass or local compression stimulation. The patient presents with acute symptoms, tension in the lower abdominal muscles, increased body temperature, increased heart rate, abdominal distension, tenderness, and rebound pain.

5. Systemic symptoms are often not obvious, sometimes with low fever and easy fatigue. He has been ill for a long time and has Neurasthenia symptoms such as low spirits, physical discomfort and insomnia. Patients have poor resistance and are prone to acute and subacute attacks.

Acute pelvic inflammatory examination

1. Direct smear of secretions: Samples can be taken from vaginal or cervical secretions, urethral secretions, or abdominal fluid (obtained through the posterior fornix, abdominal wall, or laparoscopy), and a direct thin layer smear is made. After drying, it is stained with methylene blue or Gram.

2. Pathogen culture: Samples from the same source must be incubated in a 35 ℃ incubator for 48h immediately or within 30s on the basis of Thayer Martin culture, and then identified by Glycolysis. The new and relatively fast Chlamydia enzyme detection has replaced traditional Chlamydia detection methods, and can also be used for Chlamydia trachomatis antigen detection through mammalian cell culture. This method of enzyme-linked immunosorbent assay is an important project in the detection of pelvic inflammatory disease. Other aerobic and anaerobic strains can also be obtained by Bacteriology culture, which can be used as the basis for selecting antibiotics.

3. Posterior fornix puncture: Posterior fornix puncture is one of the most commonly used and valuable diagnostic methods for gynecological acute abdomen. Through puncture, the contents of the abdominal cavity and the uterine rectal fossa obtained, such as normal abdominal fluid, blood (fresh, old, clotting, etc.), purulent secretions, and pus, further clarify the diagnosis and require mirror examination and culture of the puncture material.