Gynaecology Flashcards
Which bacteria are commonly associated with PID?
STI: Chlamydia trachomatis, Neisseria gonorrhoeae, mycoplasma
Others: E.coli, G. Vaginalis etc.
What are the common symptoms of PID?
Pelvic pain (commonly bilateral, abnormal bleeding/menstruation, discharge, deep dyspareunia, fever
What is the recommended first-line treatment for PID according to NICE?
IM ceftriaxone, PO doxycycline + metronidazole for 14 days.
Cover a range of organisms, including anaerobic.
True or False: PID can only occur in sexually active women.
False
Other organisms e.g. E.coli, G. Vaginalis etc. can cause PID.
What is the significance of early diagnosis and treatment of PID?
It reduces the risk of long-term complications such as infertility, chronic pelvic pain.
When is TVUS considered with PID? What is a clinical finding that might suggest this complication?
? Abscess:
Suspicion of tubo-ovarian abscess.
Clinical examination for suspected PID
Abdo exam: Palpation for pain.
Speculum exam: look for pus, and take a swab.
Bimanual exam: tenderness and masses.
What follow-up is recommended for patients treated for PID?
Follow-up within 72 hours to assess response to treatment.
What counseling should be provided to patients with PID regarding future sexual activity?
Patients should be advised to avoid sexual intercourse until treatment is completed.
True or False: PID can be completely cured with appropriate antibiotic treatment.
True
What is the recommended duration for antibiotic therapy in uncomplicated PID?
14 days.
When should someone with PID be admitted?
- systemic features (severe disease)
- not responding to initial treatment
- social reasons (unable to adhere to medication.
Normal prognosis of PID with antibiotic treatment.
Improves within 24-48 hours.
IUD can stay in if it does.
Which PID patients should get a test for cure (swab)?
STI positive
