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

A

ANY

24
Q

if a women is premenopausal, when is bleeding abnormal

A

outside menses, prolonged or heavy menses

25
Q

3rd complication of pid

A

infertility dt inflm causing tissue damage and scaring in uterus, ovidcut, and tubes -> dec implantation, ovulation and fertlization

26
Q

when does infertility rt pid occur

A

only if pid is untx

27
Q

dx for pid

A

pain, discharge, presentation
inc CRP/ESR
lapracscopy

28
Q

how many proteins are in crp

A

only one protein marker

29
Q

esr

A

erythrocyte sedimentation rate

30
Q

how does esr works

A

inflm -> inc protein rls -> clustering of rbc -> clusters settle

31
Q

how many proteins are in esr

A

variety

32
Q

when is prognosis for PID good

A

if its caught early

33
Q

tx for pid

A

broad spec abx

34
Q

why are broad spec abx used for PID

A

since it is usally polymicrobial in orig

35
Q

when is sx used in pid

A

if there is abcess, scaring, obstr, peritonits