scholarly journals A Need for Standardization of the Diagnosis and Treatment of Pelvic Inflammatory Disease: Pilot Study in an Outpatient Clinic in Quito, Ecuador

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Francisco Cueva ◽  
Andrés Caicedo ◽  
Paula Hidalgo
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Outpatient Clinic ◽  
Inflammatory Disease ◽  
Medical Records ◽  
Clinical Manifestations ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Transvaginal Sonography ◽  
Microbiological Agents ◽  
Cervical Motion

Background. Pelvic inflammatory disease (PID) diagnosis is often challenging as well as its treatment. This study sought to characterize the diagnostic and therapeutic trend among physicians at the outpatient level, in Quito, Ecuador, where currently no nationwide screening or specific clinical guideline has been implemented on PID or its main microbiological agents. Methods. A retrospective analysis of medical records with pelvic inflammatory disease diagnosis in an outpatient clinic was performed. Electronic medical records from 2013 to 2018 with any pelvic inflammatory disease-related diagnoses were retrieved. Information with regard to age, sexually related risk factors, symptoms and physical exam findings, ancillary tests, method of diagnosis, and antibiotic regimens was extracted. Results. A total of 186 records were included. The most frequent clinical manifestations were vaginal discharge (47%) and pelvic pain (39%). In the physical examination, leucorrhea was the most frequent finding (47%), followed by lower abdominal tenderness (35%) and cervical motion tenderness in 51 patients (27%). A clinical diagnosis was established in 60% of patients, while 37% had a transvaginal sonography-guided diagnosis. Antibiotic treatment was prescribed with standard regimens in 3% of cases, while other regimens were used in 93% of patients. Additionally, an average of 1.9 drugs were prescribed per patient, with a range from 1 to 5, all in different combinations and dosages. Conclusions. No standardized methods of diagnosis or treatment were identifiable. These findings highlight the need for standardization of the diagnosis and treatment of PID attributed to chlamydial and gonococcal infections.

scholarly journals Tubocutaneous Fistula

2015 ◽  
Vol 2015 ◽  
pp. 1-2
Author(s):  
Krishnaveni Nayini ◽  
Clive Gie
Keyword(s):  
Early Diagnosis ◽  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Fistulous Tract ◽  
Rare Condition ◽  
Diagnosis And Treatment ◽  
Case Presentation ◽  
Child Birth ◽  
The Right

Introduction. Tubocutaneous fistula is a very rare condition; most cases described in the literature are secondary to endometriosis, tuberculosis, and complications of child birth and gynecological operations.Case Presentation. We report a case of 40-year-old woman who presented with tubocutaneous fistula secondary to pelvic inflammatory disease which was diagnosed in the setting of persistent discharging wound in the right groin.Conclusion. Tubocutaneous fistula is a rare condition. Salpingectomy and resection of fistulous tract is the treatment of choice as is treating the underlying cause. Early diagnosis and treatment of these patients are essential for avoiding long term complications.

Risk factors for the delayed diagnosis of extrapulmonary TB

2021 ◽  
Vol 25 (3) ◽  
pp. 191-198
Author(s):  
M. K. Lee ◽  
C. Moon ◽  
M. J. Lee ◽  
Y. G. Kwak ◽  
E. Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Outpatient Clinic ◽  
Diagnostic Testing ◽  
Delayed Diagnosis ◽  
Clinical Manifestations ◽  
Diagnosis And Treatment ◽  
Delay In Diagnosis ◽  
Microbiological Characteristics ◽  
Significant Difference ◽  
Basic Characteristics

BACKGROUND: Extrapulmonary TB (EPTB) is more difficult to diagnose than pulmonary TB. The delayed management of EPTB can lead to complications and increase the socio-economic burden.METHODS: Patients newly diagnosed with EPTB were retrospectively enrolled from 11 general hospitals in South Korea from January 2017 to December 2018. The basic characteristics of patients were described. Univariable and multivariable analyses were performed between early and delayed diagnosis groups to identify risk factors for delayed diagnosis and treatment in EPTB.RESULTS: In total, 594 patients were enrolled. Lymph node TB (28.3%) was the predominant form, followed by abdominal (18.4%) and disseminated TB (14.5%). Concurrent lung involvement was 17.8%. The positivity of diagnostic tests showed no significant difference between the two groups. Acute clinical manifestations in disseminated, pericardial and meningeal TB, and immunosuppression were associated with early diagnosis. Delayed diagnosis was associated with outpatient clinic visits, delayed sample acquisition and diagnostic departments other than infection or pulmonology.CONCLUSION: The delay in diagnosis and treatment of EPTB was not related to differences in microbiological characteristics of Mycobacterium tuberculosis itself; rather, it was due to the indolent clinical manifestations that cause referral to non-TB-specialised departments in the outpatient clinic and delay the suspicion of TB and diagnostic testing.

Pelvic inflammatory disease

2020 ◽  
pp. 1622-1625
Author(s):  
Jonathan D.C. Ross
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Pelvic Pain ◽  
Inflammatory Disease ◽  
Genital Tract ◽  
Infectious Complication ◽  
Anaerobic Bacteria ◽  
Clinical Manifestations ◽  
Pelvic Abscess ◽  
Tubal Infertility ◽  
Severe Peritonitis

Pelvic inflammatory disease (PID) is an infection of the endometrium, fallopian tubes, and adnexae caused by a wide variety of bacteria, including Chlamydia trachomatis, Neisseria gonorrhoeae, and genital tract bacteria, most notably anaerobes. PID is often asymptomatic but clinical manifestations can range from mild pelvic pain and tenderness to severe peritonitis. Pelvic abscess formation is a serious infectious complication. However, only about 5% of patients with PID have a fever or severe infectious manifestations. An accurate clinical diagnosis of PID is difficult and it is commonly confused with other pelvic conditions, including ectopic pregnancy, appendicitis, and rupture or torsion of an ovarian cyst. Antibiotic therapy is aimed primarily at C. trachomatis, N. gonorrhoeae, and anaerobic bacteria, with prompt identification and treatment of PID recommended in an attempt to reduce the 15% rate of tubal infertility and 40% risk of chronic pelvic pain following this infection.

scholarly journals An Overview on Pelvic Inflammatory Disease Diagnosis and Management Approach

2021 ◽  
Vol 12 (2) ◽  
pp. 103-105
Author(s):  
Shihanah Mansour Alshammari ◽  
Nermeen Nasser Alrajhi ◽  
Shouq Sulaiman Al-Rumayh ◽  
Mohammed Abdullah Alosaimi ◽  
Renad Mohammed Alsharyuf ◽  
...  
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Disease Diagnosis ◽  
Management Approach ◽  
Diagnosis And Management

scholarly journals Doctors' Awareness of Celiac Disease: Survey Results

2021 ◽  
Vol 17 (16) ◽  
pp. 92-100
Author(s):  
S.V. Bykova ◽  
◽  
E.A. Sabelnikova ◽  
E.I. Zadiran ◽  
A.I. Parfenov ◽  
...  
Keyword(s):  
Celiac Disease ◽  
General Practitioners ◽  
Correct Diagnosis ◽  
Clinical Manifestations ◽  
Statistical Processing ◽  
Risk Groups ◽  
Disease Diagnosis ◽  
Diagnosis And Treatment ◽  
Cross Sectional ◽  
Celiac Disease Diagnosis

The aim is to assess the awareness of general practitioners, gastroenterologists and other specialists on the methods of celiac disease diagnosis and treatment. Materials and methods. A single-stage continuous cross-sectional study of celiac disease awareness among general practitioners, gastroenterologists and other specialists was conducted. The level of doctors’ awareness was determined by the anonymous voluntary questionnaire using the questionnaire of 23 items developed on the basis of the Department of Non-Inflammatory Bowel Pathology (supplement). According to the answers to the questionnaire items, the knowledge of doctors in the field of diagnosis, therapy, and tactics of managing patients with celiac disease was evaluated. The study involved 197 doctors of medical organizations in Moscow and the Moscow Region. Statistical processing was performed with the use of Microsoft Excel 2016 software (Microsoft, USA) and the use of descriptive statistics methods. The data is presented in the form of absolute numbers and their fractions. Results. The survey revealed gaps in the doctors’ knowledge on the methods of celiac disease diagnosis and clinical manifestations,the definition of risk groups of patients to be examined to exclude celiac disease, the criteria for prescribing the gluten-free diet, as well as some social aspects. These studies indicate the lack of understanding of the methods of correct diagnosis and the need to improve the knowledge of doctors, the introduction of educational programs, schools for doctors and patients. Conclusion. It is necessary to improve the skills of doctors in celiac disease diagnosis and treatment in order to improve the screening and early diagnosis of celiac disease and related complications

scholarly journals PROFIL DERMATITIS ATOPIK DI POLIKLINIK KULIT DAN KELAMIN RSUP PROF. DR. R.D KANDOU MANADO PERIODE JANUARI 2010 - DESEMBER 2012

2015 ◽  
Vol 7 (3) ◽  
Author(s):  
Juan P. E. Febriansyah ◽  
Grace M. Kapantow ◽  
Agus Hariyanto
Keyword(s):  
Atopic Dermatitis ◽  
Retrospective Study ◽  
Topical Corticosteroid ◽  
Inflammatory Disease ◽  
Medical Records ◽  
Clinical Manifestations ◽  
Age Group ◽  
Trigger Factors ◽  
Infancy And Childhood ◽  
Almost All

Abstract: Atopic dermatitis (AD) is a chronic and recurrent inflammatory disease most commonly found during infancy and childhood. This disease is very complex and has a variety of clinical manifestations. Its management depends not only on the medication, but also on skin care and avoidance of trigger factors. This study aimed to obtain the profile of atopic dermatitis at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado period January 2010 to December 2012. This was a retrospective study using medical records of new registered patients at the Dermatovenerology clinic. New cases were grouped according to sex, age, occupation, treatment, and coinfection diseases. The results showed that there were 461 (16.26%) new cases of AD out of 2,835 cases, consisted of 289 (62.69%) females and 172 (37.31%) males with a ratio of 1.7:1. The most frequent age group was >12 years old (58.35%); they were commonly students (43.38%). The most frequent treatment was a combination of oral antihistamin and topical corticosteroid (49.67%). No coinfection was recorded among 332 cases (72.02%). Conclusion: Most of the atopic dermatitis cases at the Dermatovenerology Clinic of Prof. Dr. R. D. Kandou Hospital Manado for the last 3 years were females, age group >12 years old, and as students. Combination of oral antihistamin and topical corticosteroid was the most common treatment. Almost all cases had no coinfection.Keywords: atopic dermatitis, profileAbstrak: Dermatitis atopik (DA) merupakan penyakit peradangan kulit kronis dan residif yang sering terjadi pada masa bayi dan kanak-kanak. Penyakit ini sangat kompleks dengan gambaran klinis bervariasi. Penatalaksanaannya tidak hanya bergantung pada pengobatan, namun juga perawatan kulit dan menghindari faktor pencetus. Penelitian ini bertujuan untuk mendapatkan profil DA di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado periode Januari 2010 - Desember 2012. Metode penelitian ini retrospektif dengan menggunakan catatan medik pasien baru di Poliklinik Kulit dan Kelamin tersebut. Kasus baru dikelompokkan menurut jenis kelamin, usia, pekerjaan, pengobatan, dan penyakit penyerta. Hasil penelitian memperlihatkan 461 (16,26%) kasus baru DA dari 2.835 kasus baru, terdiri dari 289 (62,69%) perempuan dan 172 (37,31%) laki-laki dengan rasio 1,7:1. Kelompok usia terbanyak ialah >12 tahun sebesar 269 (58,35%), terbanyak pada pelajar/mahasiswa yaitu 200 kasus (43,38%). Terapi tersering ialah kombinasi antihistamin oral dan kortikosteroid topikal sejumlah 229 kasus (49,67%). Sejumlah 332 (72,02%) kasus tidak disertai penyakit lain. Simpulan: Kasus dermatitis atopik di Poliklinik Kulit dan Kelamin RSUP Prof. Dr. R. D. Kandou Manado selama 3 tahun terakhir tersering pada perempuan, kelompok usia >12 tahun, dan pada pelajar/mahasiswa. Kombinasi anti histamin oral dan kortikosteroid topikal menjadi terapi yang tersering diberikan. Sebagian besar kasus tidak disertai penyakit lain.Kata kunci: dermatitis atopik, profil

Incidental diagnosis of idiopathic gonadal vein thrombosis

VASA ◽  
2012 ◽  
Vol 41 (1) ◽  
pp. 67-69 ◽  
Author(s):  
Tsiouris ◽  
Karam ◽  
D. Shepard
Keyword(s):  
Pelvic Inflammatory Disease ◽  
Inflammatory Disease ◽  
Rare Case ◽  
Post Partum ◽  
Diagnosis And Treatment ◽  
Incidental Diagnosis ◽  
Vein Thrombosis ◽  
Gonadal Vein ◽  
Cesarean Deliveries ◽  
Prompt Diagnosis

Gonadal vein thrombosis is a rare but well recognized entity which predominantly occurs in the post partum period. It is also associated with gynecological malignancies, cesarean deliveries, abortions, hypercoagulability and pelvic inflammatory disease. Prompt diagnosis and treatment is warranted to avoid serious complications. We report the rare case of idiopathic, unprovoked gonadal vein thrombosis.

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