Name
OOPHORITIS
DESCRIPTION
DETAIL
D.D. : - ADNEXAL TUMORS - APPENDICITIS - CYSTITIS - DIVERTICULITIS - ECTOPIC PREGNANCY - GASTROENTERITIS, VIRAL - GASTROENTERITIS, BACTERIAL - MESENTERIC LYMPHADENITIS* WET SMEAR OF CERVICAL DISCHARGE FOR DIRECT EXAMI & CULTURE STUDY * DIAGNOSTIC LAPAROSCOPY
TYPENOTES
Medical Care: Outpatient treatment is appropriate for patients who are (1) hemodynamically stable, (2) sufficiently reliable to return for follow-up care, (3) immunocompetent, (4) not pregnant, (5) tolerant of oral medication, and (6) without clinical suspicion of a tubo-ovarian abscess (TOA). Inpatient treatment is required for patients who (1) have already failed outpatient treatment, (2) are pregnant, (3) are infected with HIV or otherwise immunocompromised, (4) are exhibiting evidence of a TOA, (5) are hemodynamically unstable or appear septic, or (6) are unable to tolerate oral medications. Surgical Care: Oophoritis may be managed with surgery when medical treatment fails to ameliorate symptoms after 48-72 hours. Surgical options may include laparoscopy with drainage of the abscess, removal of adnexa, and total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAH/BSO). Factors that influence the choice of surgery include extent of the abscess, degree of immunocompromise of the patient, and preservation of fertility for future childbearing potential. Interventional radiology can sometimes be used for drainage of abscesses in patients who are not surgical candidates or in patients who prefer a less invasive procedure than surgery. DRUG TREATMENT : 1. ANTIBIOTICS : - CEFTRIAXONE - DOXYCYCLINE - GENTAMICIN - CLINDAMYCIN - AMPICILLIN
RELATED DISEASE
Not Available Disease
DISEASE
INVESTIGATION
URINE PREGNANCY TEST, URINE ROUTINE, ULTRA SOUND WHOLE ABDOMEN - FEMALE, COMPLETE BLOOD COUNT