Please enable JavaScript.
Coggle requires JavaScript to display documents.
cce_gynecology_pelvic inflammatory disease (counselling (contact tracing…
cce_gynecology_pelvic inflammatory disease
history
vaginal discharge, vaginal bleeding
acute pelvic pain, dyspareunia
fever
investigations
(high vaginal swab, endocervical swab, endocervical swab with culture for Chlamydia trochomatis) triple swab
other STD
mid-stream urine
pregnancy test
CBC, CRP, ESR
physical examination
(tenderness, guarding) abdominal
(adnexal tenderness, cervical excitation tenderness) vaginal
(fever) general
secondary anaerobic
metronidazole (14 days)
counselling
contact tracing (refer male partners)
analgesics
perfect condom use
empirical antibiotics
no coitus
remove IUCD, emergency contraception
drain abscess
Neisseria gonorrhea
ceftriazone (IM: single dose)
Chlamydia trochomatis
doxycycline (14 days)