Chapter 22 Vulvovaginitis, Sti, Pid Flashcards

0
Q

Sexual intercourse with semen introduction increases the ph to

A

7.2

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1
Q

Vaginal ph

A

3.5-4.5

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2
Q

Vaginal transudate during intercourse has same ph as blood and attracts bacteria.

A

Ph of 7

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3
Q

How to diagnose pid?

A

Elevated esr erythrocytes sedimentation rate, C-reactive protein, fever

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4
Q

Pid criteria for hospitalization an patenteral treatment

A
  1. Surgical emergencies (appendicitis not rule out)
  2. Pregnancy
  3. failed outpatient treatment, no improvement with short term treatment
  4. Compliance question
  5. Severe illness, nausea, vomiting
  6. Tubo-ovarian abscess shown
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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:

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6
Q

Outpatient management may be used for PTs, if no improvements are seen within

A

24-48 hrs rtc

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