pelvic inflamatory disease

Question 1

what is Fitz Hugh Curtis syndrome?

Answer 1

10% of patients with PID present with RUQ, which is secondary to inflammation of the liver capsule, also known as Fitz Hugh Curtis syndrome
Laparoscopy is required for a definitive diagnosis and treatment involves the use of antibiotics.

Question 2

what are complications of PID?

Answer 2

Chronic pelvic pain (40%)
Infertility (15%)
Ectopic pregnancy (1%)

fits hugh curtis syndrome

Question 3

how is diagnosis of PID made?

Answer 3

The diagnosis is made clinically.

Symptoms include: bilateral abdominal pain, discharge, post coital bleeding.

Signs include: Adnexal tenderness, cervical motion tenderness on bi-manual, fever

Question 4

which investigations would you do for PID?

Answer 4

Investigations include pelvic examination, pregnancy test, swabs for gonorrhoea and chlamydia, bloods and transvaginal ultrasound

Question 5

how is fita hugh curtis syndrome managed?

Answer 5

Treatment occurs in the outpatient setting, and involves ofloxacin + metronidazole