Unit 15 Flashcards

1
Q

PID

A

sev bact infection, inflm of reprod tract beyond cervix

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2
Q

what strs may be inflamed in pid

A

uterus
tubes
ovaries

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3
Q

salpingitis

A

inflm of tubes

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4
Q

oophorities

A

inflm of ovary

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5
Q

endometritis

A

inflm of uterus

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6
Q

how does pid occur

A

untx uti/sti travels up and moves into body cavity

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7
Q

et of pid

A

polymicrobial, pyogenic bact

untx or poorly tx bact infc

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8
Q

which polymicrobial bact ususally cause pid

A

strep, clap, staph, gonocci

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9
Q

which bact infc may remain and lead to PID

A

10% gonohrea

20% clap

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10
Q

when do bact enter cervix in pid and why

A

during menstruation dt dilation at this time

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11
Q

where does PID initially establish

A

endocervix

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12
Q

what type of inflm is in PID

A

extensive and covers almost the whole system

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13
Q

most common comp in pid

A

pelvic abess filled with pus and bact

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14
Q

why are ecoli infcs inc in females

A

closer proximity to anus and vagina

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15
Q

parametritis

A

inflm of mesentery

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16
Q

second most common comp in pid

A

sepsis via distribution of bact by circulation

17
Q

how does pain in PID present

A

lower abd pain, acute onset, sharp, aching

18
Q

early PID mfnts

A

asymptomatic

19
Q

what type of discharge is in pid

A

heavy, purulent exudate leading to inc vaginal dc

20
Q

dyspareuria

A

pain during intercourse

21
Q

adnexal tenderness

A

pain upon palpation of uterus

22
Q

mnfts of pid

A

dyspareuria
adenxal tenderness
inc wbc, fever
occasional vaginal bleeding

23
Q

if a women is post menopausal, when is bleeding abn

24
Q

if a women is premenopausal, when is bleeding abnormal

A

outside menses, prolonged or heavy menses

25
3rd complication of pid
infertility dt inflm causing tissue damage and scaring in uterus, ovidcut, and tubes -> dec implantation, ovulation and fertlization
26
when does infertility rt pid occur
only if pid is untx
27
dx for pid
pain, discharge, presentation inc CRP/ESR lapracscopy
28
how many proteins are in crp
only one protein marker
29
esr
erythrocyte sedimentation rate
30
how does esr works
inflm -> inc protein rls -> clustering of rbc -> clusters settle
31
how many proteins are in esr
variety
32
when is prognosis for PID good
if its caught early
33
tx for pid
broad spec abx
34
why are broad spec abx used for PID
since it is usally polymicrobial in orig
35
when is sx used in pid
if there is abcess, scaring, obstr, peritonits