Pelvic Inflammatory Disease

Question 1

What is pelvic inflammatory disease?

Answer 1

An ascending infection/inflammation beyond the cervix

Question 2

What is it called when the uterus is infected?

Answer 2

Endometritis

Question 3

What is it called when fallopian tubes are infected?

Answer 3

Salpingitis

Question 4

What is it called when ovary are infected?

Answer 4

oophoritis

Question 5

What is the Et of pelvic inflammatory disease?

4

Answer 5

• Bacterial infection
• Polymicrobial
• Pyogenic (microbes producing pus in abundance)
• Usually sexually transmitted
  
  • ~20% chlamydia
  • ~10% gonorrhea

Question 6

Brief overview of the patho of pelvic inflammatory disease:

Answer 6

• Cervix dilated at menstruation
• Microbe enters cervix
  
  • Proliferation as endometrium sloughs
• Microbes ascend from tubes -> ovarys -> body cavity?

Question 7

What are the mnfts of pelvic inflammatory disease?

Answer 7

• Abdm and lower back pain
• Heavy, purulent discharge
• Fever
• Adnexal tenderness (uterus and associated structures)

Question 8

What are 3 complications that may arise as a result of pelvic inflammatory disease?

Answer 8

• Peritonitis
• Infertility ??
• Pelvic abscesses

Question 9

What Dx are used for pelvic inflammatory disease?

Answer 9

• Mnfts
• Labs (ESR, CRP)
• Laparoscopy

Question 10

T or F:

A laparoscopy involves scoping through the vagina.

Answer 10

F, this is done through the body wall

Question 11

What are the Tx options for Pelvic inflammatory disease?

2

Answer 11

• Antibiotics (90% success)
  
  • Multiple
  • Broad spectrum used, keep in mind this may also
    affect the normal flora, but is good for targeting
    varieties of bacteria
• Surgery ??