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Flashcards in Unit 15 Deck (35):
1

PID

sev bact infection, inflm of reprod tract beyond cervix

2

what strs may be inflamed in pid

uterus
tubes
ovaries

3

salpingitis

inflm of tubes

4

oophorities

inflm of ovary

5

endometritis

inflm of uterus

6

how does pid occur

untx uti/sti travels up and moves into body cavity

7

et of pid

polymicrobial, pyogenic bact
untx or poorly tx bact infc

8

which polymicrobial bact ususally cause pid

strep, clap, staph, gonocci

9

which bact infc may remain and lead to PID

10% gonohrea
20% clap

10

when do bact enter cervix in pid and why

during menstruation dt dilation at this time

11

where does PID initially establish

endocervix

12

what type of inflm is in PID

extensive and covers almost the whole system

13

most common comp in pid

pelvic abess filled with pus and bact

14

why are ecoli infcs inc in females

closer proximity to anus and vagina

15

parametritis

inflm of mesentery

16

second most common comp in pid

sepsis via distribution of bact by circulation

17

how does pain in PID present

lower abd pain, acute onset, sharp, aching

18

early PID mfnts

asymptomatic

19

what type of discharge is in pid

heavy, purulent exudate leading to inc vaginal dc

20

dyspareuria

pain during intercourse

21

adnexal tenderness

pain upon palpation of uterus

22

mnfts of pid

dyspareuria
adenxal tenderness
inc wbc, fever
occasional vaginal bleeding

23

if a women is post menopausal, when is bleeding abn

ANY

24

if a women is premenopausal, when is bleeding abnormal

outside menses, prolonged or heavy menses

25

3rd complication of pid

infertility dt inflm causing tissue damage and scaring in uterus, ovidcut, and tubes -> dec implantation, ovulation and fertlization

26

when does infertility rt pid occur

only if pid is untx

27

dx for pid

pain, discharge, presentation
inc CRP/ESR
lapracscopy

28

how many proteins are in crp

only one protein marker

29

esr

erythrocyte sedimentation rate

30

how does esr works

inflm -> inc protein rls -> clustering of rbc -> clusters settle

31

how many proteins are in esr

variety

32

when is prognosis for PID good

if its caught early

33

tx for pid

broad spec abx

34

why are broad spec abx used for PID

since it is usally polymicrobial in orig

35

when is sx used in pid

if there is abcess, scaring, obstr, peritonits