Upper genital tract infections Flashcards
infection ascending from the cervix to the endometrium, most often presents as part of PID
nonpuerpueral endometritis
treatment for nonpuerperal endometritis
Cefexime
Azithromycin + metronidazole
gold standard for the diagnosis of non puerperal endometritis
endometrial biopsy
Infection of the upper genital tract that is not associated
with pregnancy or intraperitoneal pelvic operations.
PID
PID is rare among which group
those w/o menses
premenarchal
pregnant
post menopausal
PID usually occurs on what age group
16-25
minimum criteria for PID infection with chlamydia trachomatis
Lower ab tenderness
adnexal tenderness
cervical motion tenderness
most accurate but expensive form of diagnosis for PID
laparoscopy
oral treatment for PID
ceftriaxone + Doxycycline
Doxy +/- Metro
when would you decide to hospitalize px with PID
surgical emergencies Pregnant no clinical response to oral ab severe illness, nausea vomiting tubo ovarian abscess
this infection is associated with the presence of IUD. px presents with foul smelling vaginal discharge, adhesions, induration and fibrosis
Actinomyces infection
Treatment for actinomycin inf
pen
doxy
fluoroquin
remove IUD
Pelvic TB is usually found in which group of women
premenopausal
primary/predominant site of infection in the pelvis after hematogenous spread of TB
oviducts
what would you expect on histopath after endometrial Biopsy in px with Pelvic TB
classic giant cell
caseous necrosis
granuloma
