Study your flashcards anywhere!

Download the official Cram app for free >

  • Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off

How to study your flashcards.

Right/Left arrow keys: Navigate between flashcards.right arrow keyleft arrow key

Up/Down arrow keys: Flip the card between the front and back.down keyup key

H key: Show hint (3rd side).h key

A key: Read text to speech.a key


Play button


Play button




Click to flip

13 Cards in this Set

  • Front
  • Back

Who is most commonly affected by PID?

Females age 15-25

How many develop tubal infertility after PID?

>10% after one episode

50% after 3 episodes

Most is the most common cause of PID?


Usually chlamydia (50%) or gonorrhoea

How does acute PID present?

Fever >38


Acute pelvic pain, usually bilateral

Deep dyspareunia


Abnormal vaginal bleeding (heavier periods, intermenstrual, post-coital)

Purulent vaginal discharge

What would you see on examination for acute PID?


Bilateral lower abdominal tenderness

Vaginal discharge

Cervical excitation

Adnexal tenderness

What investigations would you do for acute PID?

HVS and endocervical swab for MC&S

Chamydia/Gonorrhoea screen

Blood tests (FBC may show leukocytosis, raised CRP)

What is the management of acute PID?

Advise rest and sexual abstinence, analgesia

Treat with ofloxacin 400mg bd + metronidazole 400mg bd for 14 days


Ceftriaxome 500mg IM single dose, followed by oral doxycycline 100mg bd and oral metronidazole 400mg bd for 14 days

Arrange contact tracing

What if there is no improvement of PID symptoms after 48 hours?

Admit; if slow recovery, consider referral for laparoscopy to exclude abscess formation

Who should be admitted immediately if they present with PID?

If very systemically unwell, pregnant, or if ectopic pregnancy or other acute surgical emergency cannot be excluded

How is chronic PID caused?

Inadequately treated acute PID

How does chronic PID present?

Pelvic pain




What would you see on examination for chronic PID?

Lower abdominal/pelvic tenderness

Cervical excitation

Adnexal mass

What is the management of chronic PID?

Screen for chlamydia and gonorrhoea

If no obvious cause, refer to gynae

Once diagnosis confirmed, treatment options include long term antibiotics or surgery