Pelvic Inflammatory Disease Flashcards
1
Q
What organisms can cause PID?
A
Chlamydia Gonorrhoea Mycoplasma genitalium Gardnerella Anaerobes
2
Q
What are risk factors for PID?
A
Sexually active <25 years No barrier contraception use Previous PID/STI IUD
3
Q
What are features of PID?
A
Pelvic/lower abdo pain Dyspareunia Abnormal vaginal discharge Fever IMB
4
Q
What is seen on examination in PID?
A
Pelvic tenderness
Cervical excitation/tenderness
Fever
Abnormal discharge
5
Q
How is suspected PID investigated?
A
Pregnancy test
STI screen
Urine dip
Bloods
- FBC
- U&Es
- CRP
- Cultures
6
Q
How is PID managed?
A
Refer to GUM - contact tracing
Antibiotics
- 1g IM ceftriaxone
- 100mg PO doxycycline BD 14 days
- 400mg PO metronidazole BD 14 days
Abstain from sex until abx complete
7
Q
What are complications of PID?
A
Subfertility Sepsis Chronic pelvic pain Increased risk of ectopic pregnancy Fitz-High-Curtis syndrome
8
Q
What is Fitz-Hugh-Curtis syndrome?
A
Perihepatitis due to peritonitic spread of PID
Presents with RUQ pain
