PID Flashcards
prevalence
about 1 mill women in US / yr
ex of risk factors
Hx PID, STD, IUR, multiple partners
bacterial vaginosis, low SES, OCP use
most cases of PID are___
polymicrobial
Most common pathogens of PID
N. gonorrhoeae
C. trachomatis
common gram - pathogens
e coli
common anaerobe pathogens
Bacteriodes, Prevotella, peptostreptococcus
common gram + organisms
streptococcus spp.
pathway of ascendant infection
cervicitis
endometritis
salpingitis/oophoritis
peritonitis
subclinical dz
60% of time no sx
s/s
lower abdominal pain pelvic pain cramping dysuria uterine tenderness
severe PID s/s
fever chills purulent vaginal discharge N/V, high WBC ESR up CRP also up
about__% of women with PID will have ___
sequelae: ectopic preg, infertility or chronic pelvic pain
risk of ectopic preg. increased ___ after PID
6-10X higher risk
tubal infertility after one episode of PID
8%
tubal infertility after 3 episodes
50%
most sensitive physical exam finding
acute adnexal tenderness
dx criteria
uterine / adnexal tenderness with cervical motion tenderness
fitz hugh Curtis syndrome def
complication of gonococcal or chlamydial salpingitis
fitz hugh Curtis s/s
RUQ pain with association with acute salpingitis indicating perihepatitis
if PID and BV are present tx must include
anaerobic coverage
when hospitalize
- cant exclude surgical emergenices
- pregnancy
- non-response to oral therapy
- severe illness, N/V, TOA
- HIV infxn with low CD4 count
all dx with PID should be tested for..
HIV, GC and CHL using NAAT
all dx with gono or chlamydia should be retested by___ after tx regardless of whether their partner has been treated
3 mo
t/f male partner of women with PID should be examined and treated if they had contact 60 days prior to sx onset
true
