Pelvic Infalmmatroy Disease Flashcards
What is the defination of pelvic inflammatory disease?
The result of infection ascending from the endocervix, causing endometritis, salpingitis, parameturitis, tubovarian abscesses nd pelvic petriontitis
What is the usual progression of pelvic inflammotry disease?
Cervicity, to endometritis, to slapnigitis
What is cervictitis?
Infalmmation of the cervix, resulting in thick murocpurlent discahrage from a firey red external os
Wha tis enometritis?
An inflammationa nd infection of the endometrium
Wha tis salpingitis?
An inflammaiton fo the fallopian tube, that can reuslt in floss of function and the formation of a fibrous exudate
What is a tubo-ovarina abscess?
A late complication of PID, consists of an encapulsated or a confined pocket of pus with defined boundaries that forms during infection of the fallopian tube or ovary
What are the causes of pelvic inflammatory disease/
Involves an infection rising from the vagina and the cervic, and chylmdia tranchmonatis or nissera gnorhhea are found i 50% of cases
What are some of the risk factors for PID?
Mostly young in teenage years, wiht multiple patners, and people wiht an IUD are at increased risk but barrier and oral contraceptives reduce the risk, and previous PID is a risk factor for future episodes
What are some of the symptoms that should be looked for?
Can cause singificant damage without symptoms-
Lower abdominal pain, dever, cervical motion tenderness, painful sexual intercourse or irregular menstural bleeding, murocopurleunt cervical dischardge may be seen on examination
What are some of the investigations that you would do for a suspected pelvic inflammatory disease?
Urianary or serum pregancy test
Endocervical or high vaginal swabs, presence of NG/CT supports daingosis but absence does not exclude a diangosis, WBC and CRP, and screening for other STIS including HIV
What are the anitbotics that you would use for an inapaitent treatment of PID?
14 days, Ceftrixone IM and doxycylcine and metrodaozole
What antibitotics would you use for an inpaitent treatment?
Cefriaxone, doxycyline, metronidazole
How can PID result in inferitly?
Due to intramural obliterian of the fallopian tubes, occurs in 10-15% of women with a single episode of PIF and depends on severity of infection
How can a PID result in eptotic pregancy?
Due to intramural scarring and distroation of the fallopian tubes
What is chronic PID?
Long term pain from adhesions and hydrospalinges (an distally blocked fallopain tube filled with a serous or clear fluid)
What can be the result of a ruptured tubo-ovarian abscess?
May cause sepsis- can develop after incomplete treatment
What is Fitz- Hugh Crutis syndrome?
RUQ pain and periepatitis following chalymadial PID,and there is a classical violin string appearnace of the adhesions
