PID Flashcards
1
Q
What is PID?
A
Pelvic inflammatory disease - infection of the upper genital tract
2
Q
Causes of PID?
A
Ascending infections from endocervix - STIs, postpartum, uterine instrumentation
Descend from infected organs - appendicitis
Chlamydia/ gonorrhoea
Anaerobes/ endogenous bacteria
3
Q
Symptoms of PID?
A
Lower abdo pain Dyspareunia Vaginal discharge Intermenstrual/ post coital bleeding Cervical motion tenderness
4
Q
Investigations for PID?
A
Vulvovaginal/ endocervical swabs - chlamydia and gonorrhoea
FBC and CPR ( increased WBC)
Blood culture if sepsis
5
Q
Management of PID if patient well?
A
Ceftriaxone/ azithromycin plus doxycycline and metronidazole for 14 days
6
Q
Treatment of PID if severe ?
A
Inpatient
Ceftriaxone and doxycycline (IV) followed by oral doxycycline and metronidazole for 14 days
7
Q
Complications of PID?
A
Tubo-ovarian abscess Fitz-hugh-Curtis syndrome Recurrent PID Ectopic pregnancy Subfertility from tubal blockage
