SAEM M4 Curriculum 2:2024/2025

SAEM M4 Curriculum 2:2024/2025 PID cause - answer-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 - answer--lower abd pain -purulent vag d/c -vag bleed when getPID sx - answer-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 - answer-more likely to appear toxic (fever, N/V) dont forget one risk factor pid - answer--recent instrumentation of uterus common exam findings pid - answer--b/l adenexal tenderness -cervical d/c cervical motion tenderness -uterine tender -lower abd tenderness if pain is u/l think more - answer-TOA if RUQ tender think - answer-Fitz-Hugh Curtis (perihepatitis, inflamation of liver capsule)