Mehl. PID

Question 1

Mehl. PID causes? 2

Answer 1

Chlamydia or Gonorrhea

Question 2

Mehl. When the infection ascends the uterus and Fallopian tubes, it can lead to inflammation and scarring, thereby increasing the risk for ectopic pregnancy (i.e., loss of Fallopian tube cilia leads to premature implantation usually in the ampulla of the Fallopian tube).

Answer 2

.

Question 3

Mehl. buzzy words?

Answer 3

Adnexal and cervical motion tenderness are buzzy. But particularly the latter. If they say cervical motion tenderness, you know right away they’re talking about PID.

Question 4

Mehl.
USMLE wants you to know that the Fallopian tubes are normally open on both ends, where the release of the ovum from the ruptured Graafian follicle is “caught” by the fimbriae of the Fallopian tube, prior to its transit to the uterus. Because the Fallopian tubes are open on both ends, when a hysterosalpingogram is
performed, spillage of dye bilaterally into the peritoneal cavity is normal.

Answer 4

The USMLE will tell you a hysterosalpingogram is performed and spillage is observed on both sides, and
I’ve seen students choose answers like “rupture of Fallopian tubes.” No. This is normal anatomy.

Question 5

Mehl. If there is Hx of PID and the Fallopian tubes are scarred, one or both may be sealed, where the hysterosalpingogram shows failure of spillage.

Answer 5

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Question 6

Mehl. - If the Q tells you a girl has PID and is treated with antibiotics but has persistent fever and adnexal pain,
next best step =????

Answer 6

ultrasound to look for tubo-ovarian abscess, which is a potential sequela of PID.

Question 7

Mehl. Extension of PID to the liver capsule is called Fitz-Hugh-Curtis syndrome.

Answer 7

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