Please enable JavaScript.
Coggle requires JavaScript to display documents.
PID - Coggle Diagram
PID
Signs and symptoms
Patient looks ill exhausted and dehydrated
• Sudden lower abdominal pain
• Urinary urgency and frequency
• Mucopurulent and malodorous vaginal discharge • Abnormal discharge
• Pyrexia and tachycardia
Nausea and vomiting
• Dyspareunia
• Abscess may be formed
• Abdominal distension
• Lower abdominal tenderness with guarding • Denoting peritonitis
Pathophysiology
Acute infection colonize the vagina and cervix
• Causing vaginitis and cervicitis
• Infection ascends to the uterus and fallopian tubes
• Causing endometritis, salpingitis and oophoritis
• Endometrium may be necrotic
• Salpingitis and oophoritis due to tubes congestion, Edematous and occluded
• Causing limited mobility
Ovaries inflamed and oedematous and adhere to the Fimbria of the tubes
• Inflammation may suppurate and develop into an abscess • Abscess may burst into the peritoneum
• Infection may run through the bloodstream
Definition
Clinical Syndrome
• Describes simultaneous infection of several organs in the female reproductive system
• With or without the involvement of the pelvic peritoneum
• Several infective organisms
• The infection is ascending
• Infection is acquired through sexual intercourse
Risk factors
Other Sexually transmitted infections • Pregnancy
• Abortion
• childbirth
Pharmacological management
Ciprofloxacin 500mg stat dose
• Doxycycline100mg bd orally for 10 days • Metronidazole 400mg tds. orally
• Analgesia as per Doctors prescription