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6 Cards in this Set
- Front
- Back
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What causes PID (STI) |
Gonorrhea Chlamydia Bacterial vaginosis also a risk factor |
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What causes non-STI PID |
IUD insertion TOP intrauterine instrumentation tubal damage |
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What are the definite dx criteria for PID
and- what other features support dx? |
Tubo-ovarian abscess evidence histopathological evidence of endometritis consistent laparoscopic abnormality
Elevated temperature Elevated CRP, ESR, positive STI screen Vaginal discharge Abnormal bleeding Negative pregnancy Dyspareunia |
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How to treat PID outpatient? |
CD ME! Ceftriaxone Doxycycline Metronidazole
STI screen and treat empirically for chlamydia with azithromycin 1g If woman positive for gonorrhea or trichomonas, treat partner |
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Why would you admit someone with PID to hospital? |
-Acute abdomen -tubo-ovarian abcess -nausea, vomiting, fever, systemic symptoms
-pregnant -not compliant or tolerating therapy -failure of therapy |
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When to initiate immediate antibiotic therapy? |
Lower abdominal discomfort +: - cervical motion tenderness - uterine tenderness - adnexal tenderness |
