Pelvic Inflammatory Disease

Question 1

defined as acute infection of

Answer 1

the upper genital tract including the uterus, fallopian tubes, and/or ovaries

Question 2

The majority of cases are caused by

Answer 2

sexually transmitted pathogens, most commonly Neisseria gonorrhea and Chlamydia trachomatis.

Question 3

Clinical findings include

Answer 3

pelvic or lower abdominal pain, cervical motion tenderness with chandelier sign on exam, and signs of infection

Question 4

Long-term sequelae of PID may include:

Answer 4

infertility, ectopic pregnancy, and chronic pelvic pain.

Question 5

Outpatient tx

Answer 5

ceftriaxone and doxycycline

Question 6

Indications for inpatient treatment of PID

Answer 6

Pregnancy
Failure of outpatient therapy or nonadherence
Inability to tolerate oral medications (nausea, vomiting)
Severe clinical symptoms or presence of tubo-ovarian abscess (TOA)

Question 7

inpatient treatment

Answer 7

cefoxitin or cefotetan plus doxycycline.

.- penicillin allergic patients, treat with gentamicin and clindamycin.