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An 18 year old female is being seen in the office for lower abdominal pain and...

An 18 year old female is being seen in the office for lower abdominal pain and irregular menstrual bleeding. The physician wants to rule out PID and endometriosis. What are the sign and symptoms, and etiology of PID and endometriosis? What diagnostic test would the physician order? The physician also orders a CA125, what is this test used for?

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Answer #1

PELVIC INFLAMMATORY DISEASE (PID)

SIGN AND SYMPTOMS

LOWER ABDOMINAL PAIN

HEAVY VAGINAL DISCHARGE WITH UNPLEASANT ODOUR

ABNORMAL UTERINE BLEEDING ESPECIALLY DURING OF AFTER INTERCOURSE

BOWEL DISCOMFORT

FEVER, CHILLS ETC

ETIOLOGY

Chlamydia trachomatis , Neisseria gonorrhoea , Mycoplasma hominis , Actinomyces israellii.

DIAGNOSIS

Ultra sound .Laproscopic surgery

ENDOMETRIASIS

SIGN AND SYMPTOMS

DYSMENORRHEA

PAIN WITH INTERCOUSE

PAINFUL URINATION AND BOWEL MOVEMENT

IRREGULAR/HEAVY MENSTURATION

INFERTILITY

BLOODY URINE

LOW BACK PAIN

ETIOLOGY

Retrograde mensturation

Transformation of peritoneal cells

Immune system disorder

Endometrial cell transport

Surgical scar implantation

DIAGNOSIS

Medical imaging ,biopsy

CA125

CA125 test measure the amount of protein cancer antigen 125 present in the blood .this test is used to monitor certain cancers especially to monitor overian cancer

CA125( carcinoma antigen125) is a biochemical  marker that may get elevated in some type of cancer.it get elevated during luteal phase and during mensturation.

elevated CA125 concentration during pid and endomrtriasis

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