How to diagnose acute pelvic inflammatory disease or chronic pelvic inflammatory disease

How to diagnose acute pelvic inflammatory disease or chronic pelvic inflammatory disease? Acute and chronic pelvic inflammatory disease can be diagnosed based on medical history, symptoms and signs. However, differential diagnosis must be done well.

1. Symptoms of acute pelvic inflammatory disease

Acute and severe illness may cause lower abdominal pain, fever, chills, headache, and loss of appetite. During examination, the patient is found to be acutely ill, with high temperature, rapid heart rate, muscle tension, tenderness, and rebound pain in the lower abdomen. Pelvic examination: There is a large amount of purulent secretions in the vagina with obvious tenderness, tenderness and rebound pain in the uterus and bilateral adnexa, or thickening of one side of the adnexa.

The main diagnoses of acute pelvic inflammatory disease include acute appendicitis, ectopic pregnancy, ovarian cyst pedicle torsion, etc.

2. Symptoms of chronic pelvic inflammatory disease

The disease progresses slowly and lasts a long time. The systemic symptoms are mostly not obvious, but may include low fever, fatigue, and lower abdominal pain. During examination, the uterus is often posterior, with limited movement or fixed adhesions.

The main diagnoses of chronic pelvic inflammatory disease are: endometriosis and ovarian cancer.

Pelvic inflammatory disease hazards

Acute pelvic inflammatory disease may cause nausea, abdominal distension, vomiting, diarrhea, etc. when there is peritonitis. When pus is formed, there may be a lower abdominal mass and local compression and irritation symptoms. If the mass is located in the front, there may be dysuria, frequent urination, urinary pain, etc., and if the mass is located in the back, it may cause diarrhea. Acute pelvic inflammatory disease may cause diffuse peritonitis or sepsis and even septic shock. Chronic inflammation leads to pelvic congestion and menorrhagia, so the consequences of chronic pelvic inflammatory disease are menstrual disorders when ovarian function is damaged, and infertility when fallopian tube adhesions are blocked.