06.2 Pelvic Inflammatory Disease Flashcards
1
Q
Define salpingitis
A
Fallopian tube inflammation
2
Q
Define parametritis
A
Uterine ligament inflammation
3
Q
Define oophoritis
A
Ovary inflammation
4
Q
How does pelvic inflammatory disease occur?
A
Ascending infection from the vagina or endocervix
5
Q
What are risk factors for pelvic inflammatory disease?
A
Young age Lack of barrier contraception Multiple sexual partners Low socioeconomic class Insertion/removal of IUCD
6
Q
What is a classic history of PiD?
A
Pain Discharge Pyrexia Bleeding Prior STI Lack of contraception
7
Q
What is found on examination of PiD?
A
Bilateral lower abdo tenderness Cervical discharge (purulent) Cervicitis
8
Q
What investigations need to be performed?
A
Pregnancy test
NG/CT presence supports diagnosis
WBC/CRP levels
9
Q
What are potential long term problems of PiD?
A
Ectopic pregnancy due to damaged cilia Infertility Chronic pain Fitz-Hugh-Curtis syndrome Reiter Syndrome
