PID

Question 1

Define PID

Answer 1

A bacterial infection that spreads beyond the cervix to the upper female reproductive tract or peritoneal cavity

Question 2

Risk factors of PID x5

Answer 2

Unprotected sex
Multiple sexual partners
Prior Hx of STI
Intrauterine devices
Vaginal dysbiosis

Question 3

Presentation x5

Answer 3

Adnexal tenderness
Cervical motion tenderness
Abnormal vaginal discharge
Pelvic pain
Fever

Question 4

PID triad

Answer 4

Lower abdominal tenderness
Cervical motion tenderness
Uterine/adnexal tenderness

Question 5

Investigations x5

Answer 5

PT, FBC, ESR, Syphilis, HIV

Question 6

Differential diagnosis for PID x5

Answer 6

Ectopic
Appendicitis
Kidney stones
Ovarian torsion
Ovarian cyst rupture

Question 7

Treatment for PID x3

Answer 7

Gentamycin 240 IM stat
Doxycycline 100mg bd x14days
Metronidazole 400mg tds x14days

Question 8

Inpatient management of PID x2

Answer 8

Gentamycin
Clindamycin

Question 9

Which stages of PID require laparotomy

Answer 9

3- 5

Question 10

Indications for surgery x4

Answer 10

Proven tubo ovarian abscess
Ruptured tubo ovarian abscess
Not improving on treatment
Septic shock

Question 11

Short term complications for PID x3

Answer 11

Pelvic peritonitis
Fitz hugh syndrome- peri hepatitis
Tubo ovarian abscess

Question 12

Long term complications of PID x3

Answer 12

Tubal infertility
Ectopic pregnancy
Intestinal adhesions