pelvic inflammatory diseases

Question 1

PID pathogenesis

Answer 1

**PID is an ascending infection that
starts within the cervix and moves
up to involve the uterus, fallopian
tubes and ovaries.

Question 2

The most common initial
organisms of PID

Answer 2

chlamydia and
gonorrhea.

Question 3

PID symptoms

Answer 3

lower abdominal pain
abnormal bleeding

Question 4

PID on physical examination and clinical presentation

Answer 4

cervical motion tenderness (key word )
fever > 38.3
mucopurulent discharge (key word)
**multisexual parter,
abdominal pain,
vaginal bleeding
cervical motion tenderness , young woman

Question 5

PID treatment

Answer 5

• third generation cephalosporins (ceftriaxone )
  *plus azithromycin or doxycycline

Question 6

PID complications

Answer 6

• tubo-ovarian abscess
  *infertility (recurrent inflammation leads to adhesions )
  *ectopic pregnancy
  *perihepatitis (RUQ pain ,if liver capsule involvement is present =hospitalization +IV ABX )