pelvic inflammatory disease

Question 1

What is pelvic inflammatory disease?

Answer 1

A vaginal infection which spreads through the cervix, often causing inflammation of the mucosa of the Fallopian tubes and ovaries.

Question 2

What is the most common organ causing PID?

Answer 2

Most common - Chlamydia trachoma’s

2nd most common - Neisserria Gonorrhoea

Question 3

What are the signs and symptoms of PID?

Answer 3

Asymptomatic
Post coital bleeding
Pelvic Pain
ovarian pain
Adnexal pain 
Vaginal discharge
Temperature
Right upper quadrant pain
Dysuria

Question 4

What are the complications of PID?

Answer 4

Chronic pelvic pain
Infertility
Ectopic pregnancy
FITS- HUGH- CURTIS syndrome (RUQ pain)

Question 5

What are the causes of PID?

Answer 5

Usually transmitted during sex

Can be caused by retrograde menstruation

Question 6

What is fits-hugh-curtis syndrome?

Answer 6

Infection and inflammation of the liver capsule. 
When adhesions (like violin strings) form between the anterior liver with the anterior abdomen or the diaphragm.

Question 7

What is prophylactic treatment?

Answer 7

ALL sexually active women with pelvic pain and adnexal tenderness are treated just incase.

Question 8

What are the risk factors for developing PID?

Answer 8

Multiple sexual partners 
Intra-uterine device
No barrier protection
Previous PID 
younger age

Question 9

What are the investigations for PID?

Answer 9

Pregnancy test (to rule out ectopic)
STI swabs
Vaginal ultrasound
Blood tests

Question 10

What is the treatment for PID?

Answer 10

Injection of ceftriaxone (gonorrhoea)
Oral Doxycycline 100mg, 14 days (chlamydia)
Metronidaozle 400mg, 14 days (other organisms)