PID Flashcards

1
Q

What is PID

A

inflammation of the female reproductive tract beyond the cervix

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2
Q

what is PID due to

A

a bacterial infection

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3
Q

What is oophoritis

A

inflammation of the ovaries

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4
Q

what is inflammation of the uterus called

A

endometritis

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5
Q

parametritis is what ?

A

inflammation of the mesenteries

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6
Q

inflammation of the tubes is called

A

salpingitis

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7
Q

Aetiology of PID

A
Polymicrobial 
pyogenic (pus producing bacteria)
-chlamydia, gonococci, staphylococci, streptococci
untreated bacterial infections
-10% gon 20% chlam
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8
Q

Patho of PID

A

Microbe enter the cervix when it is dilated during menstruation
rapid proliferation occurs as endometrium sloughs
it is an ascending infection

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9
Q

What is a common complication that arises from PID

A

Pelvic abscesses occur that may lead to peritonitis

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10
Q

Manifestations of PID

A
lower abdominal pain
heavy purulent vaginal discharge
adnexal tenderness 
dyspareunia 
bleeding 
fever
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11
Q

what are you at risk for with PID

A

leukocytosis (elevated white blood cells)
and
infertility (d/t scar tissue formation, fibrosis)

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12
Q

Diagnosis of PID

A

presentation is important (tenderness, discharge, ^WBC)
an elevated ESR (erythrocyte sediment rate - when antibodies are present E will cluster together)
an elevated CRP (another inflammatory protein)
Laparoscopy (to take a look)

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13
Q

Treatment of PID

A

AB (multiple broad spectrum ABs)
evaluate and treat partner (if an STD bacteria)
surgery: remove abscesses and scar tissue (reduce the risk for complications to arise)

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