Gynaecology

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Author:
Anonymous
ID:
146307
Filename:
Gynaecology
Updated:
2012-04-07 22:40:51
Tags:
Gynaecology
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Description:
Gynaecology
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  1. List 5 signs/symptoms of PID.
    • Abnormal vaginal discharge
    • Abnormal vaginal bleeding
    • Lower abdominal pain
    • Dyspaerunia
    • Adnexal tenderness
    • Cervical motion tenderness
  2. List 5 RFs for PID.
    • Unprotected sex
    • Young age
    • Smoking
    • Bacterial vaginosis
    • Peri-menstrual sex
    • IUD insertion
  3. How would you diagnose PID?
    • Laparoscopy = gold standard
    • Adnexal tenderness (not v specific)
    • Cervical motion tenderness + lower abdominal pain (not v sensitive)
  4. Management of PID in sexually active female with no other RFs .
    • ABs:
    • - Azithromycin 1g stat
    • - Ceftriaxone 250mg IM stat or ciprofloxacin 500mg PO stat
    • - Doxycycline 100mg bds 14d
    • - Metronidazole 400mg bds 14d
    • Contact tracing
    • Prevent future cases - barrier contraception & screening
  5. Investigations in PID?
    • Chlamydia - PCR - urine, vaginal or endoCx
    • Gonorrhea - endocervical MCS
    • Bacterial vaginosis - pH, whiff test, gram stain & mount (clue cells)

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