Ultrasound: Nuchal Translucency

PELVIC INFLAMMATORY DISEASE

Chlamydia Gonorrhea

Bacteria vaginal canal Ruptured abscess

Inflamed adjacent structures

Young females 20-24 y.o Early sexual contact Multiple partners

STD/STI Hx IUCD

Douching PID Hx

PID Hx = Ectopic pregnancy odds

Intense pelvic pain Vaginal discharge

Palpable pelvic fullness Fever

Leukocytosis Long term: Infertility

BILAT = large, complex masses Unilateral = inflamed adjacent structures

Echogenic free fluid Increased vascularity

Endometritis Salpingitis Oophoritis Peritonitis

Tubo-Ovarian Abscess Fitz-Hugh-Curtis Syndrome

“PID” refers to… Any kind of pelvic infection where…

1. Bacteria can enter vagina & spread into… 2. Cervix & into uterus, & spread into… 3. Fallopian tubes & ovaries & spread into… 4. Pelvis

Etiology Risk Factors Clinical Pres. Sonographic Features Pathology