Flashcards in 10 - Gynae - Genital Tract Infection - Infections of Uterus and Pelvis - Acute Pelvic infection and PID Deck (8):
PID or salpingitis - ST pelvic infection/?
?, poorer, sexually active ? women most at risk. Pelvic infection never occurs with a viable ?
aetiology - ? infection of bacteria in ? and cervix.
sexual factors account for ?%
more common if dont used ??
? is partially protective, as is ? IUS
spread of prev ? STIs to pelvis is usually ? but can be from uterine ? (eg ?, ERPC, laparoscopy and ? test, and ?) and/or complx of ? and ?
descending infection from local organs eg ? can occur.
childbirth and miscarriage
Pathology/bacteriology - what are the two no1 STI culprits?
? and bilateral ? and parametritis occur, ? rarely affected .
chlamydia and gonococcus
-many have no Sx so presx later with ? or ? problems
-what is hallmark Sx? usually with abnormal pv bleed or ?
bilat lower abdo pain w deep dyspareunia
- in severe Ex reveals ? and high ?, signs of lower abdo ? with ? adnexal tenderness and cervical ? (pain on moving the cervix)
Mass (pelvic ?) may be felt ?
more frequently the diagnosis is not clear and can be confused with ? and ovarian ? accidents (usually ? pain) or ?? (preg test ? with unilateral pain)
Ix - ? swabs taken for ? and gonococcus, ?? sent if fever.
WBC and ? may be raised.
Pelvic ??? helps r/o ? or ovarian ?. Laparoscopy with ? biopsy and culture is gold standard
- ? and either a parenteral cephalosporin eg ?? ? , followed by ? and ?
-? pts should be admitted for IV therapy
-review diagnosis after ? if no sing improv - then ? done
- pelvic abscess may not respond to ? therapy and may need ? under ??? or ?
Rupture of large ? ? can be life threatening
doxy and metronidazole
USS / lap