Experts explain how to make clinical diagnosis of adnexitis

Clinically, the diagnosis of adnexitis is mainly based on whether female friends have symptoms of adnexitis. A relatively accurate diagnosis of adnexitis is beneficial for timely treatment of adnexitis. What are the common diagnostic bases for adnexitis ? The following is a brief introduction to the common diagnostic bases for adnexitis.

In general, the diagnosis of adnexitis is based on:

1. Fever. When the disease occurs, the high fever is 39-40℃. There may be chills or shivering, followed by irregular remittance fever. If the inflammatory lesions are isolated due to adhesion, the body temperature can drop quickly; if the high fever drops once and then rises again, it indicates that the inflammation has spread or purulent lesions have formed. The pulse rate acceleration is positively proportional to the body temperature. If the two are not proportional, the inflammation may be widely spread. This is the common basis for the diagnosis of adnexitis.

2. Abdominal pain, which is initially limited to the lower abdomen, is usually bilateral, with little vomiting, and is of great significance for the diagnosis of adnexitis. Different from the metastatic pain of appendicitis, the abdominal pain is aggravated during bowel movements, and sometimes accompanied by urinary pain. There is often constipation, abdominal distension, and mucus in the stool, which is the result of inflammatory stimulation of the colon wall.

3. Signs: Significant tenderness in the lower abdomen, most obvious at 1.5-2 cm above the midpoint of the inguinal ligament. Severe cases refuse to press, abdominal muscles are rigid, and rebound pain is obvious. Gynecological examination shows purulent vaginal discharge and varying degrees of redness and swelling of the cervix. Bimanual examination shows severe cervical lifting pain, and the pelvic condition is difficult to ascertain due to tense abdominal muscles. In general, the uterus is relatively fixed, with severe tenderness and significant tenderness in the adnexal areas on both sides, and it is not easy to feel the adnexal mass. This is a common basis for the diagnosis of adnexitis.

The above is the common diagnosis basis of adnexitis. I believe everyone should know about it. If you are diagnosed with adnexitis, you must go to the hospital for treatment immediately to avoid missing the best time for treatment, which will be detrimental to the patient's condition.