PID

Question 1

What are the Sx of PID?

Answer 1

Abnormal bleeding
Mucopurulent discharge
Abdominal pain
Dyspareunia 
Fevers
\+/-N/V
Sepsis

Question 2

What are the signs of PID?

Answer 2

Bilateral abdominal tenderness
Cervical motion tenderness
Adnexal tenderness

Question 3

What are the Ix for PID?

Answer 3

Endocervical swab
High vaginal swab (to look for non-sexually acquired PID)
PAP if due
Inflammatory markers
MSU
STI screening: chlamydia, gonorrhoea, Hep B, C, HIV, Syphilis
bHCG to exclude ectopic pregnancy
U/S to look for abscesses or pelvic collections
Laparoscopy

Question 4

How do you dx PID?

Answer 4

Laparoscopy

Question 5

What is the management for PID?

Answer 5

Empirical ABx: azithromycin, doxycycline, cephtriaxone, metronidazole

Question 6

What are the complications of PID?

Answer 6

Subfertility - tubal damage, adhesions
Chronic pain
Increased risk of ectopic pregnancy
Sepsis