Presentation
The text is structured to present a logical approach to formulating a pathologic diagnosis from the diverse array of tissue received in the surgical pathology laboratory. [books.google.com]
We recruited 115 women who had presented to a clinic for sexually transmitted diseases in Nairobi, Kenya with pelvic pain that had persisted for 14 days or less, to look for an association between Mycoplasma genitalium and endometritis. [ncbi.nlm.nih.gov]
Histologically, neutrophilic infiltration of the endometrial tissue is present during acute endometritis. The clinical presentation is typically high fever and purulent vaginal discharge. There could be edema and hyperemia of the endometrium. [99eyao.com]
Endometritis Patients with endometritis often present with the clinical features of PID. [clinicalgate.com]
Entire Body System
- Fever
[…] pelvic Thrombophlebitis Consider Drug Fever XI. [fpnotebook.com]
Patients with low-grade fever and no abdominal pain are evaluated for other occult causes, such as atelectasis, breast engorgement, breast infection, UTI, and leg thrombophlebitis. Fever due to breast engorgement tends to remain ≤ 39 ° C. [msdmanuals.com]
The clinical presentation is typically high fever and purulent vaginal discharge. There could be edema and hyperemia of the endometrium. [99eyao.com]
Women who develop a fever can also experience flu-like symptoms, such as body discomfort or malaise. [livestrong.com]
A 48-year-old female presented to the emergency department with a 3-day history of lower abdominal pain and fever. On physical examination she was tachycardic, hypotensive and had fundic tenderness to palpation. [ncbi.nlm.nih.gov]
- Swelling
In acute inflammation of the mucous membrane of the uterus thickens, there are sharp hyperplasia, tissue swelling and polynuclear infiltration (Fig. 1). [medicalency.com]
Inflammation of the uterus can also cause abdominal distention or swelling in women with chronic endometritis. Left untreated, sensations of pain within the lower abdomen can become worse. [livestrong.com]
Symptoms may include: Swelling of the abdomen Abnormal vaginal bleeding or discharge Discomfort with bowel movement (including constipation) Fever General discomfort, uneasiness, or ill feeling Pain in lower abdomen or pelvic region (uterine pain) You [medlineplus.gov]
The clinical manifestation of endometritis are including acute onset; shaking chill, fever(36℃~40℃); quickening pulse; general weakness; sweating; pain in lower abdomen; swelling; soreness of waist; plenty of full-blooded, purulence or watery leucorrhea [forums.netdoctor.co.uk]
Redness – Increased blood flow to the affected area causes the red appearance Warmth – Increased blood flow to the affected area also results in warmth locally Swelling – caused by the leakage of fluid from the local blood vessels Immobility – this mostly [ivf1.com]
- Chills
[…] proper lung maturity of the baby) Miscarriage or abortion (postabortal endometritis) Fever with temperature above 100.4°F [7] Lower abdominal pain [8] Constipation or diarrhea Uterine pain and tenderness [7] Aching pain all over the body Pelvic pain Chills [pregmed.org]
[…] endometritis; it is due to the endometrial inflammation. [5] Urinary Symptoms Key urinary symptoms include dysuria, frequency and urgency; these occur when the mucosa of the adjacent urinary tract becomes involved. [1] Fever This may be associated with chills [explainmedicine.com]
[…] syringing, vaginal contraceptives) Using tampons (when soaking up menstrual blood, favourable conditions occur for infectious bacteria to develop) Residue from tissues, blood or ovule promotes bacterial flora growth in number Symptoms: High temperature Mild chill [evromedika.ru]
The disease begins with fever to 38-38,5 degrees and chills. Pulse Ochsen, corresponds to the temperature. Patients complain of weakness, abdominal pain, headache, loss of appetite. [medicalency.com]
The clinical manifestation of endometritis are including acute onset; shaking chill, fever(36℃~40℃); quickening pulse; general weakness; sweating; pain in lower abdomen; swelling; soreness of waist; plenty of full-blooded, purulence or watery leucorrhea [forums.netdoctor.co.uk]
- Rigor
[…] it is due to the endometrial inflammation. [5] Urinary Symptoms Key urinary symptoms include dysuria, frequency and urgency; these occur when the mucosa of the adjacent urinary tract becomes involved. [1] Fever This may be associated with chills and rigors [explainmedicine.com]
Signs and symptoms include lower abdominal pain (suprapubic), rigors, fever, and the discharge of pus on introduction of a sound into the uterus. Pyometra is treated with antibiotics, according to culture and sensitivity. [en.wikipedia.org]
Respiratoric
- Aspiration
ENDOMETRIUM, ASPIRATION: - PROLIFERATIVE PHASE ENDOMETRIUM WITH A MILD LYMPHOCYTIC INFILTRATE. - SMALL FRAGMENT OF ENDOCERVICAL MUCOSA WITHIN NORMAL LIMITS. - NEGATIVE FOR HYPERPLASIA. [librepathology.org]
In the above we have described the method of treatment for endometritis on the basis of aspiration/irrigation endometrial drainage with dialyzing solution containing dimexide, lidase, calendula tincture, novocaine solution, dimedrol (1). [lomr.org]
Office endometrial aspiration biopsy. Fam Prac Recert 1993; 15:45-55. (2.)Boone MI, Calvert JC, Gates HS Jr. Uterine cancer screening by the family physician. Am Fam Physician 1984; 30(5):157-66. (3.)Chambers JT, Chambers SK. [drplace.com]
(%) with Anti-Ct Cervical IgA Not pregnant 99 17(17.2) Biochemical pregnancy 21 4(19.0) Spontaneous abortion 10 3(30.0) Live birth 68 1(1.5) *Endocervical samples obtained at the time of oocyte aspiration were assayed for IgA antibodies to C. trachomatis [glowm.com]
Gastrointestinal
- Abdominal Pain
Symptoms include lower abdominal pain, fever and abnormal vaginal bleeding or discharge. Caesarean section, prolonged rupture of membranes and long labor with multiple vaginal examinations are important risk factors. [99eyao.com]
For the chronic one, as the usually show the low back pain, vaginal discharge increasing, abdominal pain, the sexual life can make those symptoms intensified, so their sexual life should not be too frequent. [global.fuyanpills.com]
Pressure placed on the lower abdominal region during normal bowel movements can exacerbate abdominal pain symptoms in women with chronic endometritis. [livestrong.com]
A 48-year-old female presented to the emergency department with a 3-day history of lower abdominal pain and fever. On physical examination she was tachycardic, hypotensive and had fundic tenderness to palpation. [ncbi.nlm.nih.gov]
Lower Abdominal Pain This is typically experienced in the suprapubic region, and is due to referral of pain secondary to inflammation of the uterine cavity lining. [1] Dyspareunia This classically manifests as a deep seated pain during sexual intercourse [explainmedicine.com]
- Abdominal Mass
Occasionally, a patient with chronic endometritis is found to have an abdominal mass or an enlarged uterus. However, many women with chronic inflammation of the endometrium have a completely normal physical examination. [drplace.com]
Psychiatrical
- Suggestibility
Our results suggest that infection with M genitalium is strongly associated with acute endometritis in this population. [ncbi.nlm.nih.gov]
To the correspondents and consultants who have contributed valuable observations and suggestions, bringing thereby to our attention omissions in the second edition, we acknowledge our cordial thanks. We thank Dr. [books.google.com]
Please note that opinions, product information, advice or suggestions posted on this bulletin board are not necessarily those of the management at Equine-Reproduction.com nor does the maintenance of the post position indicate an implicit or any endorsement [equine-reproduction.com]
In addition, chronic endometritis is strongly associated with C. trachomatis infection.(20)(22)(26)(29) Isolated reports suggest that other agents, such as Mycoplasma species, may also cause chronic endometritis. [drplace.com]
Breast
- Agalactia
The most common organisms are Chlamydia, Neisseria Gonorrhea, Streptococcus Agalactiae (Group B Streptococcus), Mycoplasma Hominis, tuberculosis, and various viruses. • Most of these agents are capable of causing chronic (PID). [slideshare.net]
The most common organisms are Chlamydia trachomatis ( chlamydia ), Neisseria gonorrhoeae ( gonorrhea ), Streptococcus agalactiae ( Group B Streptococcus ), Mycoplasma hominis, tuberculosis, and various viruses. [en.wikipedia.org]
Tests for C. trachomatis, Neisseria gonorrhoeae and Streptococcus agalactiae (group B Streptococcus) are indicated. All of these tests may have normal results, but the following abnormalities may be noted. [drplace.com]
Microorganisms that comprise the vaginal flora (e.g., anaerobes, G. vaginalis, Haemophilus influenzae, enteric Gram-negative rods, and Streptococcus agalactiae ) have been associated with PID ( 731 ). [cdc.gov]
Urogenital
- Vaginal Discharge
The symptoms of endometritis When one get the acute endometritis, the symptoms of fever, abdominal pain, vaginal discharge increasing will appear. [global.fuyanpills.com]
Unusual, discolored vaginal discharge can also develop and emit a strong or unpleasant odor. [livestrong.com]
There may also be evidence of vaginal discharge. [en.wikivet.net]
Common symptoms of endometritis include pain or cramping in the lower abdomen, abnormal vaginal bleeding, abnormal vaginal discharge, increased vaginal discharge that is abnormal in quantity, colour, consistency, or smell, high fever, constipation, and [tummytrouble.co.uk]
- Salpingitis
[…] and oophoritis N70.1 Chronic salpingitis and oophoritis N70.11 Chronic salpingitis N70.12 Chronic oophoritis N70.13 Chronic salpingitis and oophoritis N70.9 Salpingitis and oophoritis, unspecified N70.91 Salpingitis, unspecified N70.92 Oophoritis, unspecified [icd10data.com]
[…] than the treatment of salpingitis per se. [glowm.com]
MD; Aine, Risto MD; Miettinen, Ari MD; Lehtinen, Matti MD; Grönroos, Paul MD Case Reports: PDF Only Abstract A patient who had endometritis confirmed by endometrial biopsy and acute salpingitis confirmed by laparoscopy is reported. [journals.lww.com]
Chronic endometritis is strongly associated with acute or chronic salpingitis. [drplace.com]
The disease can also be the result of severe cervicitis or salpingitis. IUDs, abortion and delivery can also be the causes of the disease. [99eyao.com]
- Pelvic Pain
We recruited 115 women who had presented to a clinic for sexually transmitted diseases in Nairobi, Kenya with pelvic pain that had persisted for 14 days or less, to look for an association between Mycoplasma genitalium and endometritis. [ncbi.nlm.nih.gov]
Pelvic pain is the most common symptom (80%). It is manifested by painful menses and/or painful intercourse and/or a chronic pelvic discomfort that have over a period of several months or years become a nuisance. [drservy.com]
Pelvic pain may occur, but pain and fever are usually more typical of acute endometritis. Treatment of chronic endometritis depends on the cause. If there is no identified cause or if the doctor suspects infection, then antibiotics are given. [sharecare.com]
This can lead to infertility, ectopic pregnancy, pelvic pain, abscesses, and other serious problems. PID is the most common preventable cause of infertility in the United States. [icdlist.com]
11 Replies, Last Reply 07-26-2002, Started By meb » chronic pelvic pain 1 Reply, Last Reply 07-26-2002, Started By coolbreeze » Chronic pain 2 Replies, Last Reply 04-24-2002, Started By debJean » back, hip pain chronic 16 Replies, Last Reply 05-27-2001 [hystersisters.com]
- Uterine Tenderness
Uterine tenderness is often difficult to distinguish from incisional tenderness in patients who have had a cesarean delivery. [msdmanuals.com]
Sometimes, it is also accompanied with bloody stench, uterus slightly large than usual or even uterine tenderness. While the chronic one’s performance is basically the same with the acute. [global.fuyanpills.com]
Pain and uterine tenderness, which may radiate to the adnexae. Tachycardia. Investigations Blood cultures should be performed. FBC may reveal a raised white cell count. Check midstream urine. [patient.info]
Less common symptoms include fever, vaginal discharge and infertility.(12)(13)(15) The most common physical finding in women with biopsy results showing chronic endometritis is uterine tenderness or cervical motion tenderness. [drplace.com]
[…] or uterine tenderness or adnexal tenderness. [cdc.gov]
- Cervical Motion Tenderness
motion tenderness or uterine tenderness or adnexal tenderness. [cdc.gov]
Less common symptoms include fever, vaginal discharge and infertility.(12)(13)(15) The most common physical finding in women with biopsy results showing chronic endometritis is uterine tenderness or cervical motion tenderness. [drplace.com]
They will have a history of fever and lower abdominal pain, with leukocytosis and bilateral adnexal or cervical motion tenderness on bimanual pelvic examination. [clinicalgate.com]
Workup
[…] histopathologic features with data from ancillary techniques such as immunohistochemistry and cytogenetics and discussions of the relevant clinical manifestations of gynecological diseases to provide you with the necessary tools to make a comprehensive diagnostic workup [books.google.com]
Laboratory
- Leukocytosis
In laboratory blood tests of patients with symptoms of an endometritis of an acute form the leukocytosis, increase in the SOE level and the C-reactive protein indicating an inflammation in an organism is diagnosed. [en.medicalmed.de]
Pallor, tachycardia, and leukocytosis usually occur, and the uterus is soft, large, and tender. Discharge may be decreased or profuse and malodorous, with or without blood. [msdmanuals.com]
In the course of laboratory investigations it was detected leukocytosis, acceleration of ESR, an increase in circulating immune complexes (CIC). [lomr.org]
They will have a history of fever and lower abdominal pain, with leukocytosis and bilateral adnexal or cervical motion tenderness on bimanual pelvic examination. [clinicalgate.com]
Treatment
There should be no sexual intercourses during the treatment in order to prevent from the spread of the inflammation. Acute endometritis can be treatment with proper prescription of traditional Chinese herbs too. [99eyao.com]
But in spite of considerable success achieved in the treatment of inflammatory, incl. gynecological diseases, the problem of efficient treatment of endometritis is not solved yet. [lomr.org]
Treatment of an endometritis In treatment of an endometritis of an acute form use of antibacterial therapy as the reason of primary inflammation of a mucous uterus in most cases an infectious etiology is obligatory. [en.medicalmed.de]
Treatment PID treatment regimens must provide empiric, broad spectrum coverage of likely pathogens. [cdc.gov]
Once endometritis has been confirmed proper treatment can be prescribed. Treatment of Endometritis The most common treatment for endometritis is the prescribing of antibiotics. [tummytrouble.co.uk]
Prognosis
Prevention Employment of strict hygiene measures during breeding, reproductive examinations and parturition Adherence to the Codes of Practice Surgical correction of any existing conformational abnormalities Prognosis The prognosis of this condition vary [en.wikivet.net]
The prognosis for acute Meters in most cases favourable. But some patients with acute M. becomes chronic with a long course of the disease. [medicalency.com]
Ectopic pregnancy provides a poor prognosis for fertility. [glowm.com]
Thus, a clear diagnosis and timely treatment can reduce the failure rate of assisted conception and improve the reproduction prognosis of patients. [link.springer.com]
Prognosis [ 1 ] The vast majority of cases of endometritis following delivery treated appropriately with antibiotics improve within 48-72 hours. If this is not the case, the patient should be re-evaluated. [patient.info]
Etiology
Rosenberg SA (eds): AIDS: Etiology, Diagnosis. Treatment, and Prevention. Page 190 - Nonspecific vaginitis. Diagnostic criteria and microbial and epidemiologic associations. Am J Med. Page 193 - Henson D, Tarone R. [books.google.com]
Chronic granulomatous endometritis is most often tuberculous in etiology. The granulomas are small, sparse, and without caseation. [99eyao.com]
Antibiotic therapy is curative in most cases (depending on underlying etiology), with fairly rapid alleviation of symptoms after only 2 to 3 13. [slideshare.net]
The intrauterine device as a factor in the etiology of pelvic inflammatory disease was associated with early forms of the device, in particular, the Dalkon Shield. [emedicine.medscape.com]
Etiology. The reason for metroendometritis more often is infection. [medicalency.com]
Epidemiology
Diagnostic criteria and microbial and epidemiologic associations. Am J Med. Page 193 - Henson D, Tarone R. An epidemiologic study of cancer of the cervix, vagina, and vulva based on the Third National Cancer Survey in the United States. [books.google.com]
Epidemiology Onset postpartum (days 5 to 21 after delivery) IV. Pathophysiology Polymicrobial material into amniotic fluid V. [fpnotebook.com]
While endometrial neutrophils and plasma cells are criteria used to diagnose histologic endometritis in epidemiologic pelvic inflammatory disease (PID) research, plasma cell misidentification and nonspecificity may limit the accuracy of these criteria [ncbi.nlm.nih.gov]
"Limitations of the criteria used to diagnose histologic endometritis in epidemiologic pelvic inflammatory disease research". Pathol. Res. Pract. 207 (11): 680–5. doi : 10.1016/j.prp.2011.08.007. PMC 3215901. PMID 21996319. [librepathology.org]
Epidemiology Postpartum endometritis occurs following 1-3% of vaginal births and up to 27% of caesarean sections [ 1 ]. It is 5-20 times more common after caesarean section [ 2 ]. [patient.info]
Pathophysiology
Pathophysiology Polymicrobial material into amniotic fluid V. [fpnotebook.com]
Pathophysiology Infection of the endometrium, or decidua, usually results from an ascending infection from the lower genital tract. From a pathologic perspective, endometritis can be classified as acute versus chronic. [emedicine.medscape.com]
Prevention
To help prevent endometritis from STIs: Treat STIs early. Make sure sexual partners are treated in the case of a STI. Follow safer sex practices, such as using condoms. [medlineplus.gov]
For prevention of an endometritis the exception of accidental sexual bonds without barrier ways of contraception is recommended. It is desirable to use the same type of contraceptives for pregnancy prevention to prevent use of medical abortion. [en.medicalmed.de]
PID is the most common preventable cause of infertility in the United States. Gonorrhea and chlamydia, two sexually transmitted diseases, are the most common causes of PID. Other bacteria can also cause it. [icdlist.com]
Endometritis prevention Endometritis can’t always be prevented. Even so, there are steps you can take that could help reduce your odds of being affected. [baby-pedia.com]
Even if the inflammation is controlled, the sexual life also needs to be controlled to prevent the relapse when pelvic congestion or resistance decline. [global.fuyanpills.com]