Pelvic inflammatory Diseases

Question 1

definition of PID

Answer 1

Pelvic inflammatory disease (PID) is a term that denotes inflammation caused by infection in the upper 
genital tract (which includes structures above the internal os) and not associated with pregnancy or 
intraperitoneal pelvic operation.

Question 2

Gold standard investigation

Answer 2

Laparascopy

Question 3

The Triple therapy for txt

Answer 3

– ampicillin, metronidazole, gentamycin

Question 4

Indications on in-patient treatment of PID

Answer 4

All adolescents
 When uncertain of the diagnosis
 History of operative or diagnostic procedures
 Inadequate response to outpatient therapy
 Presence of tubo ovarian complex or abscess
 Immuno-deficient patients
 Peritonitis
 Presence of an intra-uterine device

Question 5

Chronic pelvic pain

Answer 5

Chronic PID signifies non-treatment or inadequate treatment of a previous acute infection

Question 6

Recurrent PID

Answer 6

This is due to either re-infection or a flare up of previous inadequately treated acute PID

Question 7

What’s the primary dilection for M.bovis

Answer 7

tubes

Question 8

Laparomy findings in TB infection

Answer 8

Laparotomy may show caseous lesions, “tobacco-pouch” appearance of the tubes (i.e. everted distal
ends of the tubes) and ascites in advanced cases. Chest X-ray may be negative.