Pelvic Inflammatory Disease

Question 1

What is pelvic inflammatory disease?

Answer 1

Polymicrobial infection of upper genital tract

Question 2

Pelvic inflammatory disease is commonly associated with what pathogens?

Answer 2

GC
Endogenous organisms including aerobes
HiB
Enteric gram-negative rods
Streptocci

Question 3

What population is pelvic inflammatory disease most common in?

Answer 3

Young, sexually active women with multiple partners

Question 4

What is a leading cause of infertility and ectopic pregnancy?

Answer 4

Pelvic inflammatory disease

Question 5

What contraceptive may provide significant protection from PID?

Answer 5

Barrier method

Question 6

Acute PID is unlikely if intercourse has not taken place within how many days?

Answer 6

60 days

Question 7

Patient presents with cervical motion, uterine and adnexal tenderness with hx of multiple sexual partners, what condition might this patient have?

Answer 7

Pelvic inflammatory disease

Question 8

What labs should be done for a patient with pelvic inflammatory disease?

Answer 8

GC, HcG

Question 9

What imaging should be done for patients with PID?

Answer 9

Vaginal US
Laparoscopy

Question 10

What medications should be given to patients with pelvic inflammatory disease?

Answer 10

Ceftriaxone IM
Doxycycline 100mg

Question 11

When should PID be MEDAVAC?

Answer 11

Pregnant
Systemic sx
Therapy does not help within 72hrs