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What is PID?
Infection of the endometrium, fallopian tubes, ovaries, and pelvic peritoneum
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What are the most common organisms involving PID?
Gonorrhea and chlamydia
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How do OCPs relate to PID?
They may be protective
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What is the classical PE finding of PID?
cervical motion tenderness
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What are sx of PID?
- Fever/Chills
- Intermittent vaginal bleeding
- abdominal pain, uterine tenderness, adenxal fullness/tenderness
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Perihepatitis, fever, RUQ
Fitz-Hugh-Curtis syndrome
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High fever, tachycardia, N/V, severe abdominal pain
Tuboovarian abscess
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PID tx
- Test for other STDs
- Drain abscess
- Levofloxacin x14d and Metro x 14 days
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Who gets hospitalized in PID?
- Pregnancy
- No response to PO
- Severe dz
- Abscess
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