Pelvic infection

Question 1

What is PID?

Answer 1

Pelvic Inflammatory Dz. Infection of the upper female genital tract: cervix, uterus, fallopian tubes, ovaries.

Question 2

What does infection of the cervix cause?

Answer 2

Mucopurulent discharge

Question 3

What is the aetiology of PID?

Answer 3

Microorganisms ascending from vagina and cervix into endometrium and fallopian tubes. Common organisms:

Chlamydia
Neisseria gonorrhoea
Mycoplasma genitalium

Question 4

What are the RFx for PID?

Answer 4

Previous PID
Presence of bacterial vaginosis or any STD
younger age
non caucasian
low SES
multiple or new partners

Question 5

What are the signs and symptoms of PID?

Answer 5

Lower abdo pain
-fever
-cervical discharge
-abnormal uterine bleeding
esp during or after menses

Question 6

What are the signs and symptoms of cervicitis?

Answer 6

Cervix red and bleeds easily
-Mucuopurulent discharge
(usually yellow green)

Question 7

Which is more severe: PID due to chlamydia or gonorrhoea?

Answer 7

Gonorrhoea usually more symptomatic and clinically apparent. Chlamydia indolent.

Question 8

The APN is treating a pregnant patient who has recently been diagnosed with syphilis. Which is the preferred drug of treatment for this patient?

Answer 8

Benzathine penicillin G 2.4 million units intramuscularly (IM) in a single dose.