Unit 15 Flashcards
PID
sev bact infection, inflm of reprod tract beyond cervix
what strs may be inflamed in pid
uterus
tubes
ovaries
salpingitis
inflm of tubes
oophorities
inflm of ovary
endometritis
inflm of uterus
how does pid occur
untx uti/sti travels up and moves into body cavity
et of pid
polymicrobial, pyogenic bact
untx or poorly tx bact infc
which polymicrobial bact ususally cause pid
strep, clap, staph, gonocci
which bact infc may remain and lead to PID
10% gonohrea
20% clap
when do bact enter cervix in pid and why
during menstruation dt dilation at this time
where does PID initially establish
endocervix
what type of inflm is in PID
extensive and covers almost the whole system
most common comp in pid
pelvic abess filled with pus and bact
why are ecoli infcs inc in females
closer proximity to anus and vagina
parametritis
inflm of mesentery
second most common comp in pid
sepsis via distribution of bact by circulation
how does pain in PID present
lower abd pain, acute onset, sharp, aching
early PID mfnts
asymptomatic
what type of discharge is in pid
heavy, purulent exudate leading to inc vaginal dc
dyspareuria
pain during intercourse
adnexal tenderness
pain upon palpation of uterus
mnfts of pid
dyspareuria
adenxal tenderness
inc wbc, fever
occasional vaginal bleeding
if a women is post menopausal, when is bleeding abn
ANY
if a women is premenopausal, when is bleeding abnormal
outside menses, prolonged or heavy menses
3rd complication of pid
infertility dt inflm causing tissue damage and scaring in uterus, ovidcut, and tubes -> dec implantation, ovulation and fertlization
when does infertility rt pid occur
only if pid is untx
dx for pid
pain, discharge, presentation
inc CRP/ESR
lapracscopy
how many proteins are in crp
only one protein marker
esr
erythrocyte sedimentation rate
how does esr works
inflm -> inc protein rls -> clustering of rbc -> clusters settle
how many proteins are in esr
variety
when is prognosis for PID good
if its caught early
tx for pid
broad spec abx
why are broad spec abx used for PID
since it is usally polymicrobial in orig
when is sx used in pid
if there is abcess, scaring, obstr, peritonits
