00:01
Our topic now brings us
to the convergence point
of pelvic inflammatory disease.
00:06
It’s characterized
by the following:
You want to know these.
00:10
Pelvic pain, adnexal tenderness.
00:12
What’s meant by
adnexal tenderness?
Adnexa means those organs
that are close to or next to
what you’re trying
to feel or palpate.
00:24
So if you’re down at
the pelvic region
and you’re referring to
the adnexal tenderness,
we’re referring to the ovaries.
00:31
Fever and vaginal
discharge, part of PID.
00:35
Usual suspects,
Chlamydia, trachomatis D through
K, Neisseria gonorrhea.
00:41
It can also be polymicrobial
with enteric bacteria,
usually after an abortion
or delivery, look for that.
00:47
And bacteria spreads from the
uterus upward via lymphatics
or the veins, resulting in PID.
00:56
What are my complications?
You may result in peritonitis,
intestinal obstruction
due to adhesions, why?
So you're going to now
group together for me --
Earlier, I walked you
through ectopic pregnancy
and pelvic inflammatory disease.
01:12
Why?
Whenever there’s inflammatory
process or lesion or whatever,
then it’s soon to be followed by repair
and collagen and fibrosis, right?
Fibrosis in the fallopian tube
then predisposes your patient
to develop ectopic pregnancy.
01:29
Fibrosis is not good for
the intestinal area.
01:34
Bacteremia especially
with enteric bacteria
and, unfortunately, infertility.
01:41
Serious consequences and
complications of PID.