Pelvic inflammatory disease is a common gynecological disease among women of childbearing age. Because of its high incidence rate and impact on women's pregnancy, it is of great significance to make an early diagnosis and determine whether there is a pelvic inflammatory disease in clinical practice to prevent and treat this disease.
In fact, there are not many diagnostic points for pelvic inflammation. However, to understand this disease, we still need to master some skills, especially chronic pelvic inflammation, acute pelvic inflammation, other abdominal inflammation, and vaginitis. These diseases have many similar clinical manifestations to pelvic inflammation. Therefore, to better prevent and treat pelvic inflammation, it is recommended that female friends understand these three diagnostic points as soon as possible, and perhaps they can use them in the future.
Diagnostic point 1: gynecological physical examination
Some basic symptoms can be found through physical examination for many gynecological inflammation problems. For example, women with lower abdominal pain can feel cervical lifting pain during dual or triple diagnosis or have apparent uterine tenderness or discomfort in the accessory area during the initial abdominal diagnosis. These can be the diagnostic criteria for pelvic inflammation, but they are the minimum criteria.
Some patients also complain of pelvic pain. Sometimes the pain lasts a very long, ranging from several days to several months. If it is such a clinical feature, it can become the diagnostic point of pelvic inflammation, which needs to be highly valued by everyone.
Diagnostic point 2: vaginal secretions and clinical signs
Vaginal secretions are also an essential basis for diagnosing pelvic inflammation. Although the pelvic cavity is deep in the abdomen and cannot be touched, vaginal secretions can indirectly reflect whether there is pelvic inflammation.
In the diagnosis of pelvic inflammation, vaginal C-reactive protein can be increased through vaginal mucosa or purulent secretions. At the same time, observe whether the patient's temperature is significantly higher than normal. These can become an essential basis for the diagnosis of pelvic inflammation and an additional standard based on the lowest standard.
If you can find Neisseria gonorrhoeae or Chlamydia positive through laboratory testing, you can also confirm the existence of chronic pelvic inflammation.
Diagnostic point 3: endometrial biopsy or imaging examination
Endometrial biopsy is the "gold standard" for diagnosing diseases. The most direct evidence can often be obtained through biopsy, whether it is inflammation or benign or malignant diseases. In endometrial histological examination, if inflammatory changes are found, it can be diagnosed as endometritis, a pelvic inflammation caused by delay.
In addition, as a representative of non-invasive examination, imaging examination can also obtain more intuitive evidence, especially for pelvic effusion or tubo ovarian abscess, which can be judged by preliminary imaging diagnosis, the general location and extent of the disease, and then combined with laparoscopy to evaluate the specific grading of the disease.
In a word, pelvic inflammatory disease has many causes, but most of its clinical manifestations are not heterogeneous. If you master these diagnostic criteria, you can better prevent and treat pelvic inflammatory disease. Fuyan Pill in Li Xiaoping's TCM clinic is a good choice for treating pelvic inflammation, especially chronic diseases.
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