PID

Question 1

In younger women the cervical squamous epithelium is

Answer 1

less pronounced, more columnar epithelium

Question 2

3 ways in which initial infectious agents ascend into uterus and tubes

Answer 2

1- cell to cell mediated
2- tubal transport
3- adhesion molecules

Question 3

Pathogenesis of PID

Answer 3

1- epithelial cell degeneration and deciliation along fallopian tube submucosal inflammator infiltrate
2- edema of the tube augments the intraluminal agglutination –> endosalpingitis

Question 4

Clinical presentation of PID

Answer 4

1- lower abdominal pain/may be subtle
2- abnormal discharge
3- dyspareunia
4- dysuria 
5- N/V
- RAREly right upper quadrant pain

Question 5

What are lab tests that are NOT specific for PID

Answer 5

• CBC, differential and ESR/C-RP - helpful for TOA

Question 6

what finding is low in culture positive PID

Answer 6

Fever! only 3% present as such

Question 7

Diagnostic criteria minimum

Answer 7

1- Lower abdominal tenderness
2- Adnexal tenderness
3- cervical motion tenderness

Question 8

Complications of PID

Answer 8

Tubo-ovarian abscess
Pelvic abcess
adhesions throughout pelvis
Chronic pain
Infertility increases 10 fold
Ectopic pregnancy

Question 9

Outpatient antibiotic regimens should include

Answer 9

1- Ceftriaxone and Dox -/Metronidazole
2- Ofloxacin and metronidazole (FQ resistance
3. Levofloxacin and metronidazole

Question 10

Inpatient Abx

Answer 10

1- IV Cephalosporin and Dox
2- Clindamycin IV + Gentamicin
3- Ofloxacin IV and Metro IV

Question 11

Dox is for

Answer 11

Chalmydia

Question 12

2 cephalosporins IV for inpatients

Answer 12

Cefoxitin and Cefotetan