Chapter 22 Vulvovaginitis, Sti, Pid Flashcards
0
Q
Sexual intercourse with semen introduction increases the ph to
A
7.2
1
Q
Vaginal ph
A
3.5-4.5
2
Q
Vaginal transudate during intercourse has same ph as blood and attracts bacteria.
A
Ph of 7
3
Q
How to diagnose pid?
A
Elevated esr erythrocytes sedimentation rate, C-reactive protein, fever
4
Q
Pid criteria for hospitalization an patenteral treatment
A
- Surgical emergencies (appendicitis not rule out)
- Pregnancy
- failed outpatient treatment, no improvement with short term treatment
- Compliance question
- Severe illness, nausea, vomiting
- Tubo-ovarian abscess shown
5
Q
Outpatient treatment for pid
A
Regimen a: ceftriaxone 250 mg im AND doxycycline 100mh bid x14days with/without metronidazole 500mh bidx 14d
Regimen b:
6
Q
Outpatient management may be used for PTs, if no improvements are seen within
A
24-48 hrs rtc