Pelvic Infections

Question 1

What are some signs of PID on exam?

Answer 1

Cervical excitation

Adnexal tenderness

Question 2

What are some causes of tenderness of the uterus?

Answer 2

Adenomyosis

Question 3

What swabs do you take for PID?

Answer 3

High vaginal and endocervical

Question 4

What are the bacteria that cause PID?

Answer 4

Chlamydia
Gonorrhea
Mycoplasma genitalium
Trichomonas vaginalis

Question 5

What is Fitz-Hugh-Curtis?

Answer 5

Rare complicated of chlamydia PID causing adhesions between liver and diaphragm

Question 6

How is chlamydia screened for?

Answer 6

Annual screening for under 25s

Question 7

How is chlamydia treated?

Answer 7

1g of azithromycin stat, repeat in 1 week if symptomatic

Question 8

Which infection do you worry about when a mirena is present?

Answer 8

Actinomyosis

Question 9

What is the most common cause of post coital bleeding?

Answer 9

Ectropian

But must exclude infections and malignancy

Question 10

How does the abx treatment of PID differ between sexually and non-sexually required PID?

Answer 10

Sexually

• Ceftriaxone
• Metronidazole
• Azithromycin

Non-sexually

• Augmentin
• Azithromycin
• +/- Doxycyclin

Question 11

When do you treat bacterial vaginosis and what with?

Answer 11

If pregnant, symptomatic, before gynaecological procedure

Metronidazole oral or gel or clindamycin gel