In acute salpingitis, the uterus is typically what size?

In acute salpingitis, the uterus is typically what size?

• A. Enlarged
• B. Normal size
• C. Small
• D. Not present

Answer: (B)

In acute salpingitis, the infection is primarily in the fallopian tubes rather than the uterus itself, so the uterus usually remains the same size as in health. You’ll often find cervical motion tenderness and adnexal tenderness on pelvic exam, but the uterus itself is typically normal in size. If the uterus were enlarged, that would point toward concurrent endometritis or a more extensive pelvic inflammatory process like a tubo-ovarian abscess, not the usual presentation of isolated acute salpingitis. Therefore, the normal size of the uterus best fits the typical finding.

In acute salpingitis, the infection is primarily in the fallopian tubes rather than the uterus itself, so the uterus usually remains the same size as in health. You’ll often find cervical motion tenderness and adnexal tenderness on pelvic exam, but the uterus itself is typically normal in size. If the uterus were enlarged, that would point toward concurrent endometritis or a more extensive pelvic inflammatory process like a tubo-ovarian abscess, not the usual presentation of isolated acute salpingitis. Therefore, the normal size of the uterus best fits the typical finding.