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Gynecologic Emergencies

33. Gynecologic Emergencies. Pathophysiology. Pelvic inflammatory disease Community-acquired infection Affects uterus, fallopian tubes, neighboring structures Can cause pain, infertility, uterine bleeding, discharge, foul smell May have fever and chills.

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Gynecologic Emergencies

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  1. 33 Gynecologic Emergencies

  2. Pathophysiology • Pelvic inflammatory disease • Community-acquired infection • Affects uterus, fallopian tubes, neighboring structures • Can cause pain, infertility, uterine bleeding, discharge, foul smell • May have fever and chills

  3. Illustration of the way in which pelvic inflammatory disease (PID) affects the reproductive organs.

  4. Case Study • You are called for a 22-year-old female patient with severe abdominal pain. Upon your arrival, the patient is found lying in her bed in a fetal position. Her parents say she has felt bad for the last 3 days, and now it’s to a point where she can hardly move. The patient greets you when you walk in and verbally confirms the story given to you by her parents.

  5. Case Study (cont’d) • Scene Size-Up • Scene is safe. • Standard precautions taken. • Patient is 22 years old, female, 120 lbs. • Entry and egress from site is unobstructed. • NOI appears to be abdominal pain. • No additional resources needed.

  6. Case Study (cont’d) • Care provided: • Patient placed on low-flow oxygen. • Placed in the most comfortable position attainable on wheeled cot. • Transport initiated to ED. • IV established en route.

  7. Summary • Obstetric emergencies should be considered in any patient of child-bearing years with abdominal pain. • Pain will not always be related to pregnancy. There are also inflammatory and traumatic reasons for the pain and discharge.

  8. Summary (cont’d) • History and physical findings will illustrate the nature of the emergency.

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