Gynae: PID Flashcards
What investigation must be done in any Women presenting with Pelvic/abdominal pain ?
Pregnancy test (Urinary B-HCG)
What are the causes of PID ?
Chlamydia T, N gonorrhoea and mycoplasma
Most common cause of PID
Chlamydia
What is the mnemonic for the presenting complaint of PID ?
PRD FAM + Hx of STIs
What are the symptoms of PID ?
PRD FAM:Pelvic/lower abdominal pain usually occurring bilaterally; Radiating to leg sometimes
Dysmenorrhea, deep dyspaenuria and dysuria
Fever, Abnormal vaginal discharge Menstrual irregularities: PCB or IMB
What will you find on examination of an individual with PID ?
Cervical excitation: adenexal tenderness
What is the gold standard investigation for PID ?
Laparoscopy
What are the bedside tests done in PID ? (3)
Bedside tests (3): Pregnancy test (urinary B-HcG) + swabs for STIs: endocervical swabs, high vaginal swabs and urethral swabs and MSU
The swans taken when investigating PID are analysed using what ?
NAAT
What bloods are done for PID ?
FBC, ESR CRP and blood cultures
What basic imaging is used in PID ?
TVUSS
For PID, why is a TVUSS done ?
To exclude ovarian cysts or abscess
For PID, why is MSU performed ?
To exclude a UTI
For PID, there is a low threshold for treatment, why is this the case ?
To avoid potential long term complications of untreated PID
What is the initial management for PID ?
Oral broad sprectrum antibiotics: e.g oral docyxycline as it covers chlamydia; IV antibiotics if severe
