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gynecology_pelvic inflammatory disease (investigations (triple swab (high…
gynecology_pelvic inflammatory disease
investigations
triple swab
high vaginal swab
endocervical swab
endocervical swab with culture for Chlamydia trochomatis
other STD
pregnancy test
CBC, CRPESR
MSU
history
vaginal discharge, vaginal bleeding
acute pelvic pain, dyspareunia
fever
physical examination
general
fever
abdominal
tenderness, guarding
vaginal
adnexal tenderness, cervical excitation tenderness
mild: oral
Neisseria gonorrhea
ceftriazone
intramuscular: single dose
Chlamydia trochomatis
doxycycline
14 days
secondary anaerobic
metronidazole
14 days
moderate/severe
Neisseria gonorrhea
ceftriazone
Chlamydia trochomatis
doxycycline
secondary anaerobic
metronidazole
management
no sex, counselling, contact tracing/refer men
analgesics
empirical antibiotics,
drain abscess
remove IUCD, emergency contraception
definition
ascending infection
cervicitis
sepsis
infertility
endometritis, parametritis
pouch of Douglas abscess
ectopic pregnancy
salpingitis, oophoritis (tubo-ovarian abscess)
tubo-ovarian abscess
(adhesion) chronic pelvic pain
peritonitis
SHORT TERM
LONG TERM (prompt diagnosis and treatment!!!)
causes
STD
secondary anaerobic infection
Neisseria gonorrhea and /or Chlamydia trachomatis
risk factors
past history of STD
past history of PID
sexually active, multiple partners, non-use of barrier contraceptives
(high risk adolescents???) smoking, drinking, drug abuse
procedures
IUCD
endometrial sampling (pipelle)