She claims monogamy. Her WBC, sedimentation, and CRP were elevated. Abdominal exam indicates LLQ pain. A pelvic exam indicates putrid green discharge, a reddish cervix, adnexal pain, and the chandelier sign. Gram-negative diplococci in ER wet preps. The purpose of this paper is to analyze the case of the patient above and mention a diagnosis of PID and how it is associated with infertility.
After checking her vitals and determining that this patient’s body temperature and pulse rate were increased, PID was identified as the cause. Both chlamydia and gonorrhea, if not treated, have the potential to spread to the uterus and fallopian tubes. This may result in pelvic inflammatory disease, often known as PID, which can cause inflammation, scarring, and obstruction in the patient’s reproductive organs, like fallopian tubes (Chitneni et al., 2020).
Tubal scarring may cause the fallopian tubes to become blocked, preventing eggs from being transported to the uterus. Those who have had trauma to their fallopian tubes are often at an increased risk of developing an ectopic pregnancy.
STIs damage the vaginal mucosa, which protects against invasive bacteria and viruses. Receptors on the cell surface or within the cell identify STI infections, causing mucosal inflammation (Rizk et al., 2020). In the example, inflammatory biomarkers like CRP and ESR are elevated. STIs may cause mucosal reactions that can cause discharge, blistering, and warts among others. This response seeks to eliminate infections, but it often fails or causes pathology that weakens the barrier and allows HIV to enter submucosal target cells.
Inflammation is often seen in prostatitis, a disorder that affects the prostate gland. Prostatitis often causes discomfort in the groin, pelvis, or genitalia as well as unpleasant or difficult urinating. Although not all cases of prostatitis are caused by bacterial infections, some cases of the condition are (Li et al., 2021). Acute bacterial prostatitis is often caused by common bacterial strains. The spread of the virus may have originated in the urinary or reproductive systems.
ITP patients’ immune systems kill platelets as alien items. The spleen removes damaged platelets, therefore eliminating it may enable more platelets to circulate (Tahir et al., 2020). Patients with persistent, severe ITP have a splenectomy. After failing various treatments, leading US ITP experts undertake splenectomy. A nuclear medicine department does an indium-labeled platelet spleen scan to see whether the spleen is degrading platelets. If this test shows that the immune system is largely killing platelets elsewhere, a splenectomy won’t help.
When blood produces fewer normal, healthy RBCs than usual, anemia results. With hemoglobin and hematocrit, MCV can be used to categorize anemia as microcytic (MCV below normal range), normocytic, or macrocytic (MCV above normal range) (Tvedten, 2022). Based on the underlying cause, additional forms of anemia include aplastic, hemolytic, and sickle cell anemia.
PID is a common infection that affects sexually active women. Most of the time, STIs like gonorrhea and chlamydia are to blame. If PID is not treated, it can make a person unable to have children. So, if the problem is severe and keeps coming back, the patient might have to have surgery.
Chitneni, P., Bwana, M. B., Owembabazi, M., O’Neil, K., Kalyebara, P. K., Muyindike, W., Musinguzi, N., Bangsberg, D. R., Marrazzo, J. M., Haberer, J. E., Kaida, A., & Matthews, L. T. (2020). Sexually Transmitted Infection Prevalence Among Women at Risk for HIV Exposure Initiating Safer Conception Care in Rural, Southwestern Uganda. Sexually Transmitted Diseases, 47(8), e24–e28. https://doi.org/10.1097/olq.0000000000001197
Li, C., Xu, L., Lin, X., Li, Q., Ye, P., Wu, L., Wang, M., Li, L., Li, L., Zhang, Y., Li, H., & Qin, G. (2021). Effectiveness and safety of acupuncture combined with traditional Chinese medicine in the treatment of chronic prostatitis. Medicine, 100(49), e28163. https://doi.org/10.1097/md.0000000000028163
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