Pelvic Inflammatory disease Flashcards

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1
Q

what is pelvic inflammatory disease?

A

inflammation beyond the cervix

d/t an ascending infection (cervix & beyond)

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2
Q

what is pelvic inflammatory disease due to?

A

due to an ascending infection from cervix and beyond:

  • uterus (endometritis)-infection of uterus
  • tubes (salpingitis)-infection of fallopian tubes/oviducts
  • ovary (oophoritis)-infection of ovary’s
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3
Q

what is endometritis

A

infection of the uterus

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4
Q

what is salpingitis

A

infection of the fallopian tubes/oviducts

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5
Q

what is oophoritis

A

infection of the ovarys

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6
Q

what is the etiology of PID

A

-Polymicrobial (many types of bacteria cause), pyogenic microbes (pus producing microbes)

  • untreated bacterial infections:
    - may be sexually transmitted eg. chlamydia (20%), gonorrhea (10%) any microbe can get in and cause PID
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7
Q

what are pyogenic microbes?

A

-pus producing micorobes

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8
Q

what is the patho of PID

A
  • cervix dilated at menstruation
  • microbes enter uterus (through cervix)
  • rapid multiplication as endometrium sloughs off
  • microbes ascend to tube, ovary and peritoneum
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9
Q

what are the manifestations of PID

A
  • back and lower abdm pain
  • fever
  • heavy, purulent vaginal discharge
  • adnexal tenderness (towards, close proximity to uterus)
  • leukocytosis (elevated leukocyte content in the blood)
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10
Q

what does adnexal mean?

A

close proximity to uterus

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11
Q

what is leukocytosis

A

elevated leukocyte content in the blood

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12
Q

what are common complications of PID?

A
  • pelvic abscesses (which can lead to peritonitis, will only occur if not intervened with early on)
  • infertility
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13
Q

diagnosing PID

A
  • presentation(heavy purulent discharge)
  • increase in CRP (c-reactive protein, indicator of inflm)
  • Increase in ESR ( increase in proteins with infection/iflm, RBCs group together and become heavier)
  • laparascopy (incision in body wall abdomen and view through abdomen)
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14
Q

treatment of PID

A
  • multiple broad spectrum antibiotics (90% success)
  • treat partner (many from sexually transmitted infections)
  • may need surgery (drain ulcers) (adhesions) (obstruction of oviduct)
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