Pelvic Inflammatory Disease



Pelvic Inflammatory Disease


Anh Do



Introduction



  • Inflammatory disorders of upper genital tract:



    • Endometritis


    • Salpingitis


    • Oophoritis


    • Tubo-ovarian abscess


    • Pelvic peritonitis


  • Broad spectrum of clinical presentation


  • Highest rate of PID in adolescents 15-19 years


Etiology



  • Gonorrhea


  • Chlamydia


  • Anaerobes


  • Enteric Gram-negative bacilli


  • Mycoplasma


  • Ureaplasma


Risk Factors



  • Young age


  • Multiple sexual partners


  • Sexually transmitted infection (gonorrhea, chlamydia)


  • Nonuse of barrier methods


  • Prior history of pelvic inflammatory disease


  • Intrauterine device

Possible risk factors: douching, low socioeconomic status



Clinical Presentation



  • May be asymptomatic to severe


  • Symptoms include:

    Malodorous discharge, dyspareunia, irregular vaginal bleeding, dysuria, nausea, vomiting, fever


Exam



  • Lower abdominal tenderness, peritoneal signs


  • Pelvic exam:



    • Cervical, vaginal discharge


    • Uterine tenderness, adnexal tenderness, cervical motion tenderness

Tags:
Jun 22, 2016 | Posted by in EMERGENCY MEDICINE | Comments Off on Pelvic Inflammatory Disease

Full access? Get Clinical Tree
Get Clinical Tree app for offline access