saem m4 curriculum 2 EXAM (2026) UPDATE
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Terms in this set (362)
PID cause originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and
becomes polymicrobial as it ascends into the
uterus, fallopian tubes and ovaries.
3 sx PID -lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx Symptoms begin shortly after the start of the
menstrual cycle, when there are fewer defenses
by the cervical mucosal barrier to ascending
infections.
PID with gonnoccal more likely to appear toxic (fever, N/V)
dont forget one risk factor pid -recent instrumentation of uterus
, common exam findings pid -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver
capsule)
best test for gonorrohea and NAAT with PCR or DNA probes (either urine or
chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst shows free fluid in pouch of douglas
ovarian torsion shows absence of blood flow to one ovary on pelvic
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
who gets abx for PID -lower abdominal or pelvic pain coupled with
adnexal, uterine or cervical motion tenderness
on exam, in a patient at risk for STDs with no
other discernible cause for the illness identified
complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
Verified Questions And Answers | With 100%
Correct Answers graded A+ Guaranteed
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Save
Terms in this set (362)
PID cause originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and
becomes polymicrobial as it ascends into the
uterus, fallopian tubes and ovaries.
3 sx PID -lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx Symptoms begin shortly after the start of the
menstrual cycle, when there are fewer defenses
by the cervical mucosal barrier to ascending
infections.
PID with gonnoccal more likely to appear toxic (fever, N/V)
dont forget one risk factor pid -recent instrumentation of uterus
, common exam findings pid -b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
if pain is u/l think more TOA
if RUQ tender think Fitz-Hugh Curtis (perihepatitis, inflamation of liver
capsule)
best test for gonorrohea and NAAT with PCR or DNA probes (either urine or
chlaymida cervical secretions)
if suspect TOA get US
ruptured ovarian cyst shows free fluid in pouch of douglas
ovarian torsion shows absence of blood flow to one ovary on pelvic
ultrasound with doppler
why US>CT CT cannot eval for torsion bc there is no doppler
who gets abx for PID -lower abdominal or pelvic pain coupled with
adnexal, uterine or cervical motion tenderness
on exam, in a patient at risk for STDs with no
other discernible cause for the illness identified
complications of pid -chronic pelvic pain
-infertility
-ectopic
-toa
-fitz-hiugh curtis
