Pelvic Inflammatory Disease
|
Symptoms
|
Low abdominal pain, pyrexia,
vaginal discharge, intermenstrual bleeding, Previous history of GUM
attendance |
|
Clinical Features
|
Abdominal tenderness, peritonism, tenderness right sub
costal in
Fitzhugh-Curtis syndrome, cervical discharge, cervicitis, cervical excitation
tenderness, adnexal tenderness |
|
Aetiology
|
Chlamydia trachomatis, Gonococcus, Mycoplasmas, Ureaplasmas,
Streptococci, often mixed with
Gram negatives and
anaerobes (previous GUM
attendance - increases likelihood of Chlamydia or
Gonococcal infection)
Uncommon: Tuberculous PID and actinomycosis
Also: secondary
to appendicitis or diverticulitis, following IUCD insertion (the highest
risk of developing PID is within the first three weeks)
|
The Full Guideline "Antibiotic Guideline for Acute Pelvic Inflammatory
Disease" is available
here.
|
