PID

Question 1

What is PID

Answer 1

inflammation of the female reproductive tract beyond the cervix

Question 2

what is PID due to

Answer 2

a bacterial infection

Question 3

What is oophoritis

Answer 3

inflammation of the ovaries

Question 4

what is inflammation of the uterus called

Answer 4

endometritis

Question 5

parametritis is what ?

Answer 5

inflammation of the mesenteries

Question 6

inflammation of the tubes is called

Answer 6

salpingitis

Question 7

Aetiology of PID

Answer 7

Polymicrobial 
pyogenic (pus producing bacteria)
-chlamydia, gonococci, staphylococci, streptococci
untreated bacterial infections
-10% gon 20% chlam

Question 8

Patho of PID

Answer 8

Microbe enter the cervix when it is dilated during menstruation
rapid proliferation occurs as endometrium sloughs
it is an ascending infection

Question 9

What is a common complication that arises from PID

Answer 9

Pelvic abscesses occur that may lead to peritonitis

Question 10

Manifestations of PID

Answer 10

lower abdominal pain
heavy purulent vaginal discharge
adnexal tenderness 
dyspareunia 
bleeding 
fever

Question 11

what are you at risk for with PID

Answer 11

leukocytosis (elevated white blood cells)
and
infertility (d/t scar tissue formation, fibrosis)

Question 12

Diagnosis of PID

Answer 12

presentation is important (tenderness, discharge, ^WBC)
an elevated ESR (erythrocyte sediment rate - when antibodies are present E will cluster together)
an elevated CRP (another inflammatory protein)
Laparoscopy (to take a look)

Question 13

Treatment of PID

Answer 13

AB (multiple broad spectrum ABs)
evaluate and treat partner (if an STD bacteria)
surgery: remove abscesses and scar tissue (reduce the risk for complications to arise)