Pelvic Inflammatory Disease (100% Errorless Answers)

PID correct answers Acute infection of the upper female genital tract, including the uterus, Fallopian tubes and ovaries Infection can spread to correct answers Abdomen Perihepatic structures (Fitz-Hugh-Curtis syndrome) - RUQ tenderness PID is initiated ___ and most commonly caused by ____ correct answers By infection that ascends from the vagina and cervix; STD chlamydia and gonorrhea Facilitated by spillage of purulent material from Fallopian tube OR via lymphatic spread which can lead to peritonitis and acute perihepatitis (Fitz-Hugh-Curtis) Fitz-Hugh-Curtis Syndrome correct answers Caused by C. Trachomatis and gonorrhea Infection of the liver capsule and peritoneal surfaces of RUQ Violin string adhesions Diagnosed via laparoscopic exam Sxs: RUQ tenderness + pleuritic component - pain radiates to right shoulder (confused with cholecystitis) PID is rare during ____ because _____ correct answers Pregnancy, mucous plug acts as barrier between uterus and bacteria Epidemiology correct answers 1 million women experience 1 episode/year 2.5 million office visits 125-150,000 hospitalizations $2,000 per person to treat Who's at risk? correct answers Younger than 25 yo with multiple sex partners and no contraception Greatest risk factor correct answers Prior history of PID PID Two steps correct answers First Stage - acquisition of vaginal or cervical infection - sexually transmitted, asymptomatic Second Stage - direct ascent of micro organisms from the vagina or cervix to the upper genital tract with infection and inflammation (can spread to parametrial structures including bowels) Etiology correct answers Chlamydia Gonorrhea Usually anaerobes, facultative anaerobes and other bacteria that cause inflammation Risk Factors correct answers Multiple sex partners History of STDs