PID

Question 1

what is it?

Answer 1

is a term used to describe infection and inflammation of the female pelvic organs including the uterus, fallopian tubes, ovaries and the surrounding peritoneum

Question 2

cause

Answer 2

It is usually the result of ascending infection from the endocervix.

Question 3

causative organisms

Answer 3

Causative organisms
Chlamydia trachomatis

+ the most common cause
Neisseria gonorrhoeae
Mycoplasma genitalium
Mycoplasma hominis

Question 4

features

Answer 4

lower abdominal pain
fever
deep dyspareunia
dysuria and menstrual irregularities may occur
vaginal or cervical discharge
cervical excitation

Question 5

ix

Answer 5

a pregnancy test should be done to exclude an ectopic pregnancy
high vaginal swab
these are often negative
screen for Chlamydia and Gonorrhoea

Question 6

mx

Answer 6

low threshold for tx

oral ofloxacin + oral metronidazole or intramuscular ceftriaxone + oral doxycycline + oral metronidazole

Question 7

what do you do with IUD?

Answer 7

leave IUD in if mild

Question 8

complications

Answer 8

1. perihepatitis Fitz-Hugh Curtis Syndrome
2. infertility
3. chronic pelvic pain
4. ectopic pregnancy