How to diagnose adnexitis clinically

The symptoms of adnexitis vary clinically and are easily confused with the symptoms of other diseases, which makes the diagnosis of adnexitis extremely difficult. So how to diagnose adnexitis clinically?

How to diagnose adnexitis clinically? According to experts from our hospital, the clinical diagnosis of adnexitis is confirmed through the symptoms of clinical adnexitis.

1. Fever

At the onset of the disease, a high fever of 39-40℃ may occur, and 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. If the pulse rate is accelerated and the body temperature is positively correlated, or the two are not proportional, the inflammation may be widely spread.

2. Abdominal pain

Initially, the pain is limited to the lower abdomen, mostly bilateral, with little vomiting. Different from the metastatic pain of appendicitis, the abdominal pain is aggravated during bowel movements, sometimes accompanied by urinary pain, and often with constipation, abdominal distension, and mucus in the stool, which is the result of inflammatory stimulation of the colon wall.

3. General

In acute cases, the face is flushed, but the general condition is good and the pulse does not exceed 100 beats/min. If the disease is prolonged and there are purulent lesions, the general condition becomes worse, the patient becomes weak and fatigued, the pulse is >100 beats/min, the patient sweats, and the face becomes yellow.

4. Physical signs

There is significant tenderness in the lower abdomen, which is most obvious 1.5 to 2 cm above the midpoint of the inguinal ligament. In severe cases, the patient refuses to press, has rigid abdominal muscles, and has obvious rebound pain. 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. The adnexal areas on both sides are tender and it is not easy to feel the adnexal masses.

How to diagnose adnexitis clinically? Through the introduction above, I believe everyone has a certain understanding. In addition, if you find that you or other female relatives have the above symptoms, it is best to go to a regular hospital for examination and diagnosis to avoid delaying treatment.

Special topic on annexitis: http://www..com.cn/fuke/fjy/