Flashcards in PID Deck (30):
2 ways to get it
Why pelvic ultrasound in PID?
Check for pyosalpinges, oophritis, Cervicitis
The most common presentation of chlamydia?
How many chlamydia go symptomatic?
10% of symptomatic infections progress to PID
Rx for chlamydia?
Azithromycin 1g stat
Resistance is rare
When do you need test of cure?
If not Rx with Azithromycin?
If getting PID, what Rx? Mod
Ceftriaxone plus metronidazole plus Azithromycin
Then Azithromycin a week later
If Severe PID?
IV antis, admit
Mirena too long in, problems?
-Stuck and infected - 10 years
-No longer have contraception
Actinomyosis culture (takes 2 weeks)
No PCR for it.
PID in IUD RX?
If PID with abscess Rx? And she's unwell.
Drain it. U/S guided
Give ABx prior to prevent sepsis
If confirmed actinomyces? Rx?
Colonization: check ID
PID non sexually acquired risks?
Post surgical, D&C hysterosalpingogram, IUD inserition
PID and IUD
Risk of PID doesn't increase once it's in.
Mirena may be protective b/c progesterone
if have IUD, and has chlamydia?
Treat and take it out. Test to make sure it's gone before putting it back in.
especially if nulliparous
Gram+ve anaerobic bacillus
LOVES IUD colonization
Can cause tubo ovarian abcess, drain: then IV Abx 1-2 days prior.
Abnormal Pap smear-inflammatory cells causing abnormal pap
What worries about post-coital bleeding?
Most common cause of post-coital bleeding?
If have post-coital bleeding and pap smear is normal, safe?
Nope. Screening test only. Need colposcopy if ongoing symptoms
Likely organism for bacterial vaginosis?
Mixed anaerobes - Endogenous imbalance
What increase risk of bacterial vaginosis?
Treat only if
Symptomatic, pregnant, before gynaecological
Chronic vaginal thrush?
More than 4 per year
Grows into vulva, swabs are negative, but has it
Non-Albicans Candida Rx?
Boric acid pessary, FATAL if oral.
More in high oestrogen if state
Rare in post-menopausal
Progesterone OCP may help
Trichomonas is presentation?
Yellow green 'FISHY' smell