Obstetrics and Gynaecology Flashcards
(8 cards)
1
Q
What is pelvic inflammatory disease? (PID)
A
inflammation and infection of the organs of the pelvis, caused by infection spreading up through the cervix
2
Q
Which STIs most commonly cause PID? (3)
A
- neisseria gonorrhoeae (tends to be more severe also)
- chlamydia trachomatis
- mycoplasma genitalium
3
Q
What non-STIs can cause PID? (3)
A
- gardnerella vaginalis (assoc w/BV)
- haemophilus influenzae
- escherichia coli (UTI)
4
Q
What are RF for PID? (6)
A
- not using barrier contraception
- multiple sexual partners
- younger age
- existing sexually transmitted infections
- previous PID
- IUD
5
Q
How does PID present? (6)
A
- pelvic/lower abdo pain
- abnormal vaginal discharge
-abnormal bleeding (intermenstrual/postcoital) - dyspareunia
- fever
- dysuria
6
Q
What ix should be done in PID pts to identify causative organism/other infections? (4)
A
- NAAT swabs for gonorrhoea and chlamydia
- NAAT for mycoplasma genitalium if available
- HIV test
- syphilis test
7
Q
What are potential complications of PID? (6)
A
- sepsis
- abscess
- infertility
- chronic pelvic pain
- ectopic pregnancy
- Fitz-Hugh-Curtis syndrome
8
Q
What is Fitz-Hugh-Curtis syndrome?
A
inflammation and infection of the liver capsule (Glisson’s capsule) leading to adhesions between the liver and peritoneum
