PID

Question 1

DDx for acute PID

Answer 1

Sx - acute appendicitis, acute cholecystitis, diverticulitis

Obs - ruptured ectopic, criminal abortion

Gyn - twisted ovarian cyst, ruptured endometriotic cyst

Question 2

Culture for Chlamydia

Answer 2

Long wire swab tipped with calcium alginate

To collect specimens from tubes, urethra & endocervix

It is inoculated on cycloheximide-treated McCoy cells for culture

Question 3

Difference in pelvic mass b/w acute PID & pelvic abscess

Answer 3

Acute PID - tender FIXED mass felt in the lateral fornices

Pelvic abscess - tender FLUCTUATING mass in the pouch of Douglas, bulging into posterior fornix

Question 4

Organisms causing Fitz Hugh Curtis syndrome

Answer 4

Gonococcus

Chlamydia