What are the examination items for acute pelvic peritonitis?

When the female body's resistance is reduced, or the female's natural defense function is damaged due to other reasons, pelvic peritonitis will occur. So how to diagnose pelvic peritonitis? The following gynecologists will explain this issue to you. According to gynecologists, female friends can diagnose pelvic peritonitis based on the clinical signs and symptoms of pelvic peritonitis and gynecological examinations:

1. Typical symptoms: Typical symptoms are fever, lower abdominal pain that refuses to be pressed, and a large amount of leucorrhea with purulent discharge. It may be accompanied by fatigue, back pain, and menstrual disorders.

2. Physical signs: The uterus is often posteriorly located, with limited mobility or adhesions. If it is salpingitis, thickened fallopian tubes can be felt on one or both sides of the uterus, in a cord-like shape, with mild tenderness. If it is hydrosalpinx or tubo-ovarian cysts, cystic masses can be felt on one or both sides of the pelvic cavity, with limited mobility. If it is pelvic connective tissue inflammation, there is flake thickening and tenderness on one or both sides of the uterus, and the uterosacral ligaments are thickened, hardened, and tender.

3. Gynecological examination: The vagina and cervix are congested, with a large amount of purulent secretions, and the cervix is ​​painful when lifted. The uterus is tender and limited in movement. In case of salpingitis, the uterus may be thickened in a cord-like manner on one or both sides, with obvious tenderness. In case of connective tissue inflammation, the uterus may be thickened in a sheet-like manner on one or both sides, and the uterosacral ligament may be thickened, with obvious tenderness. When a pelvic abscess is formed, a cystic mass with unclear boundaries may be palpated, with tenderness.

4. Ultrasound examination: shows exudation or inflammatory mass in the pelvic cavity.

5. Routine blood examination: increased white blood cell count, mainly neutrophil count.