Pelvic Inflammatory Disease (PID) Flashcards
1
Q
pelvic inflammatory disease
A
infection & inflm beyond the cervix (entire female reprod system)
2
Q
endometritis
A
inflamed uterus
3
Q
salpingitis
A
inflamed fallopian tubes
4
Q
oophoritis
A
inflamed ovaries
5
Q
etiology
A
- ascending polymicrobial infection
- untreated bacterial infections
6
Q
what untreated bacterial infections can cause PID
A
- STIs
- chlamydia (20%)
- gonorrhea (10%)
7
Q
patho
A
- microbes enter cervix –> move up uterus & proliferate as endometrium sloughs off providing nutrition for microbes –> ascends to tubes, ovaries, peritoenum –> peritonitis
8
Q
mnfts
A
- fever (d/t infection)
- heavy, purulent vaginal discharge
- inflm pain in back & lower abd
- adnexal tenderness
- leukocytosis
9
Q
adnexal tenderness
A
pain upon palpation in uterus region
10
Q
cmplx
A
peritonitis
11
Q
Dx
A
- clinical presentation
- labs
- laparoscopy
12
Q
what labs tested
A
- CBC
- WBC
- inc CRP
- inc ESR
13
Q
ESR
A
erythrocyte sedimentation rate = measures amount of time it takes for RBCs to settle down
14
Q
Tx
A
- multiple broad-spectrum Abx
- evaluate sexual partners and treat them
- Sx (drain pelvic abscesses)
- infertility testing
