PID Flashcards

1
Q

aetiology?

A

infection- usually through ascending infection from cervix

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2
Q

most common causative organisms?

A

chlamydia and gonorrhoea

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3
Q

presentation?

A
  • pelvic pain/ pain in lower abdo
  • fever
  • dysuria
  • vaginal discharge
  • abnormal bleeding
  • deep dyspareunia
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4
Q

Ix?

A
  • FBC,CRP
  • ensure HCG negative
  • high vaginal & endocervical swabs
  • pelvic USS
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5
Q

Mx?

A

Abx as per guidelines:

  • oral ofloxacin + metronidazole
  • IM ceftriaxone + oral doxycycline + metronidazole

surgical –> in severe cases w evidence of pelvic abscess

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6
Q

what other parts of mx should be considered?

A
  • referral to GUM clinic
  • consider removing IUD
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7
Q

complications?

A
  • tubo-ovarian abscess
  • infertility
  • ectopic pregnancy
  • chronic pelvic pain
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