Pelvic inflammatory disease

Question 1

treatment for mild/moderate PID ?

Answer 1

single dose i/m ceftriaxone + 14 days of metronidazole + doxycycline

or

ofloxacin + metronidazole for 14 days

Question 2

treatment for severe PID ?

Answer 2

IV ceftriaxone + IV doxycycline followed by 14 days oral doxycycline + metronidazole

Question 3

complications of PID ?

Answer 3

tube-ovarian abscess
ectopic pregnancy
tubal factor infertility

Question 4

investigations for suspected PID ?

Answer 4

pelvic exam (speculum + bimanual)
STI screen 
FBC 
serum/urine bHCG
transvaginal USS

Question 5

side effects of doxycycline ?

Answer 5

oesophagitis 
oesophageal ulcer 
diarrhoea 
headache 
dyspnoea 
hypotension 
tachycardia 
peripheral oedema

Question 6

side effects of metronidazole ?

Answer 6

myalgia 
dry mouth 
nausea 
oral disorders
taste metallic 
vomiting

Question 7

side effects of ofloxacin ?

Answer 7

tendon damage

small risk of aortic aneurysm, dissection

Question 8

what drugs shouldn’t be concomitantly taken with ofloxacin (quinolone) ?

Answer 8

steroids

Question 9

what is fits hugh curtis syndrome ?

Answer 9

adhesions form between the liver capsule and the anterior abdominal wall on a background of PID
causes RUQ pain, pelvic pain, adnexal tenderness

LFT’s normal

diagnosis = laparoscopy 
treatment = antibiotics