PID Flashcards
Risk factors
STIs Pelvic surgery IUCD POP Previous PID Termination or miscarriage
Most common cause of PID
Chlamydia
Causative organism of PID
Chlamydia trichomonas
Neisseria gonorrhoea
Gardnerella vaginalis
Mycoplasma genitalium
Presentation of PID
Fever Pelvic pain Abdominal tenderness Dyspareunia Abnormal discharge Abnormal bleeding - IMB - PCB
Investigations for PID
Abdominal exam Pelvic exam Speculum Swabs and gram stain Urine NAAT USS Pregnancy test
Abx management of PID
IM ceftriaxone
+
Doxycycline bds + metronidazole bds 14 days
Complications
Infertility Ashermans syndrome Fitz Hugh Curtis syndrome Ectopic pregnancy Chronic pelvic pain Tubo-ovarian abscess
Cause of PID
Ascending genital tract infection
PID examination features
Adnexal swelling Adnexal tenderness Cervical motion tenderness Shoulder tip pain Abnormal vaginal discharge
PID caused by gonorrhoea
Often more severe than chlamydia PID
Associated with abscess formation
Fitz Hugh Curtis syndrome
RUQ pain
Perihepatitis
- raised LFTs
Differentials for PID
UTI STI IBS Appendicitis Ovarian torsion Endometriosis Ectopic
Advise for PID
Rest
Analgesia
Abstain until patient and partner has been treated
When to admit for PID
Severe disease
Pregnant
Suspected tubo-ovarian abscess
PID if treated in hospital
IV ceftriaxone
+
IV Doxycycline
Followed by:
Doxycycline bds + metronidazole bds 14 days
