Tubal ovarian abscess Name School Questions Interview the client on the following in order to determine the etiology of Tubal Ovarian Abscess (TOA). It is important to ask the client about the history of the pelvic inflammatory disease (PID). TOA is a complication of PID (Goodwin Fleming & Dumont 2013). Goodwin Fleming & Dumont (2013).posit that microorganisms found within the vagina ascend through the uterus into the fallopian tube and lead to PID which if not resolved complicates to TOA. Kairys further points out that peritonitis infected adjacent organ for example appendix and complicated hysterectomy are other associated TOA or in patients with comorbidities. References Ashrafganjooei T. Harirchi r. & Iravanlo G. (2012). Tubo-ovarian abscess in a virgin girl. Iranian Journal of Reproductive Health 9(3) 247-250. Retrieved from www.ncbi.nlm.nih.gov (2010). CDC - Pelvic Inflammatory Disease - 2010 STD Treatment Guidelines. Cdc.gov. Retrieved 2 March 2018 from www.cdc.gov c. & Wiesenfeld H. (2012). Pathogenesis Diagnosis and Management of Severe Pelvic Inflammatory Disease and Tuboovarian Abscess. Clinical Obstetrics and Gynecology 55(4) 893-903. dx.doi.org K. Fleming N. & Dumont T. (2013). Tubo-ovarian Abscess in Virginal Adolescent Females: A Case Report and Review of the Literature. Journal of Pediatric and Adolescent Gynecology 26(4) e99-e102. http://dx.doi.org/10.1016/j.jpag.2013.02.004 [...]
Ms. Smith is a 23-year-old sexually active female — G0P0, LMP 3 weeks ago on OCPs — who presents with midline suprapubic abdominal pain x 5 days, now with LLQ localization of < 24 hours' duration. The pain is worse with standing and movement; she reports chills/sweating, poor appetite, nausea, and dizziness; she denies abnormal vaginal bleeding and lower/upper urinary-tract symptoms. PE reveals an ill-appearing, woman: T 101, P 126, BP 88/56, with intermittent tachypnea secondary to pain, pelvic exam demonstrates foul vaginal discharge with purulence draining per cervical os, a normal-size uterus, cervical-motion tenderness, and fullness with marked tenderness of the left adnexa. answer the following questions using the latest evidenced based guidelines: 1. Discuss the questions that would be important to include when interviewing a patient with this issue. 2. Describe the clinical findings that may be present in a patient with this issue. 3. Are there any diagnostic studies that should be ordered on this patient? Why? 4. List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each( Primary dx is Tubo-ovarian abscess (TOA)) 5. Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.