Pelvic Inflammatory Disease

Question 1

Cause?

Answer 1

Ascending infection from endocervix, commonly from chlamydia, gonorrhoea, or mycoplasma.

Question 2

Symptoms?

Answer 2

Abdominal pain, fever, discharge, menstrual changes, dyspareunia, dysuria.

Question 3

Tests?

Answer 3

Rule out pregnancy, high vaginal swab and STI screen

Question 4

Management?

Answer 4

Oral ofloxacin and oral metronidazole
OR
IM ceftriaxone, oral doxycycline and oral metronidazole

Question 5

Complications?

Answer 5

Perihepatitis (sharp RUQ pain often misdiagnosed as cholecystitis), infertility, chronic pain, future ectopic pregnancy.