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Jason's MD3 Women's > PID > Flashcards

Flashcards in PID Deck (30):
1

2 ways to get it

Sexually: chlamydia

Non-SExually: endogenous
-post surgical

2

Why pelvic ultrasound in PID?

Check for pyosalpinges, oophritis, Cervicitis

3

The most common presentation of chlamydia?

ASYMPTOMATIC

4

How many chlamydia go symptomatic?

10% of symptomatic infections progress to PID

5

Rx for chlamydia?

Azithromycin 1g stat

Resistance is rare

CONTACT TRACING

6

When do you need test of cure?

If not Rx with Azithromycin?
6-12 weeks

Pregnant women

7

If getting PID, what Rx? Mod

Ceftriaxone plus metronidazole plus Azithromycin
Then Azithromycin a week later

8

If Severe PID?

IV antis, admit

9

Mirena too long in, problems?

-Stuck and infected - 10 years
-No longer have contraception

10

Actinomyeses? Ix?

Actinomyosis culture (takes 2 weeks)
No PCR for it.

11

PID in IUD RX?

Remove IUD
Antibiotics

12

If PID with abscess Rx? And she's unwell.

Drain it. U/S guided
Laparoscopy
Give ABx prior to prevent sepsis

13

If confirmed actinomyces? Rx?

Prolonged Abx
Colonization: check ID

14

PID non sexually acquired risks?

Ascending infection
Post surgical, D&C hysterosalpingogram, IUD inserition
Retained products

15

PID and IUD

Take swabs
Risk of PID doesn't increase once it's in.
Mirena may be protective b/c progesterone

16

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

17

Actinomyces Is?

Gram+ve anaerobic bacillus
Normal flora
LOVES IUD colonization
Can cause tubo ovarian abcess, drain: then IV Abx 1-2 days prior.

18

Cervicitis presentation?

Discharge
Post-coital bleeding
Abnormal Pap smear-inflammatory cells causing abnormal pap

19

What worries about post-coital bleeding?

Cervical cancer

20

Most common cause of post-coital bleeding?

Ectropion

21

If have post-coital bleeding and pap smear is normal, safe?

Nope. Screening test only. Need colposcopy if ongoing symptoms

22

Likely organism for bacterial vaginosis?

Mixed anaerobes - Endogenous imbalance

23

What increase risk of bacterial vaginosis?

Douching,
Increasing pH
Sex worker

24

Vaginosis Rx?

Metronidazole
Metronidazole gel
Clindamycin
Treat only if
Symptomatic, pregnant, before gynaecological
High recurrence

25

Vaginal candidiasis

Albicans
Candida GalbraTa

26

Chronic vaginal thrush?

More than 4 per year
Grows into vulva, swabs are negative, but has it

27

Non-Albicans Candida Rx?

Boric acid pessary, FATAL if oral.

28

Candidiasis prevalence?

More in high oestrogen if state
Rare in post-menopausal
Progesterone OCP may help

29

Trichomonas is presentation?

Yellow green 'FISHY' smell

30

Rx of trichomonas is?

Metronidazole