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Pelvic Inflammatory Disease-PID PowerPoint Presentation

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Description : Check out this medical PowerPoint presentation titled "Pelvic Inflammatory Disease (PID)” by Candi Douthit, BSN.

This medical PowerPoint presentation is about Pelvic Inflammatory Disease (PID), a serious infection of the female reproductive system, including the uterus, ovaries, fallopian tubes, and surrounding tissues. It is typically caused by sexually transmitted infections (STIs), such as chlamydia and gonorrhea, but can also be caused by other types of bacteria.

PID can cause inflammation, scarring, and damage to the reproductive organs, which can lead to infertility, chronic pelvic pain, and other complications. Symptoms of PID may include lower abdominal pain, fever, vaginal discharge with an unpleasant odor, painful intercourse, and irregular menstrual bleeding.

If you suspect that you may have PID, it is important to seek medical attention immediately. Your healthcare provider may perform a pelvic exam, blood tests, and imaging tests to diagnose PID. Treatment typically involves a course of antibiotics to clear the infection, and in severe cases, hospitalization may be necessary.

Preventing PID involves practicing safe sex, using barrier methods such as condoms, and getting regular STI testing. It is also important to seek prompt treatment for any STIs to prevent the spread of infection to the reproductive organs.

Tags : Pelvic Inflammatory Disease, female reproductive system, uterus, ovaries, fallopian tubes, sexually transmitted infections, STIs, chlamydia, gonorrhea, Obstetrics and Gynecology, Obstetrics and Gynecology PowerPoint presentation

Published on : Jun 20, 2023 | Views : 2275 | Downloads : 5

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Slide 1-

Pelvic Inflammatory Disease(PID) King Khalid University Hospital Department of Obstetrics & Gynecology Course 481
Slide 2-

Spectrum disease involve cx, uterus, tubes Most often  ascending spread of microorganisms from vagina & endocervix to endometrium, tubes, contiguous structures Incidence acute PID 1-2% of young sexually active women each year PID
Slide 3-

Etiology Neisseria gonorrhoeae common cause of PID 85% of infection  sexually active female of reproductive age 15% of infection occur after procedures that break cervical mucous barrier Bacteria culture direct from tubal fluid common : N. gonorrhoeae, C. trachomatis, endogenous aerobic, anaerobic, genital mycoplasma spp.
Slide 4-

C. trachomatis produce mild form of salpingitis slow growth (48-72 hr) intracellular organism insidious onset remain in tubes for months/years after initial colonization of upper genital tract more severe tubes involvement PID
Slide 5-

N. gonorrhoeae gram –ve diplococcus rapid growth (20-40 min) rapid & intense inflammatory response 2 major sequelae infertility & ectopic pregnancy, strong asso. with prior Chalamydia infection PID
Slide 6-

Risk factors Strong correlation between exposure to STD Age of 1st intercourse Frequency of intercourse Number of sexual partners Marital status ; 33%  nulliparous
Slide 7-

Increase risk IUD user (multifilament string surgical procedure previous acute PID Reinfection  untreated male partners 80% Decrease risk - barrier method - OC Risk factors
Slide 8-

Diagnosis Common clinical manifestation lower abdominal pain 90% cervical motion tenderness adnexal tenderness Fever cervical discharge leukocytosis
Slide 9-

Differential Diagnosis acute appendicitis Endometriosis torsion/rupture adx mass ectopic preg lower genital tract infection
Slide 10-

75% asso. endocervical infection & coexist purulent vaginal d/c Fitz-Hugh-Curtis syndrome : 1-10% perihepatic inflammation & adhesion s/s ; RUQ pain, pleuritic pain, tenderness at RUQ on palpation of the liver mistaken dx ; acute cholecystitis, pneumonia PID
Slide 11-

Fitz-Hugh-Curtis
Slide 12-

CBC ESR C-reactive protein Vaginal & cervical swab U/S, CT, MRI Culdocentesis Laparoscopic visualization most accurate method for confirm PID all pt. with uncertain dx, not response to Rx * -ve gram smear not R/O PID PID Dx
Slide 13-

PID
Slide 14-

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Slide 15-

Sequelae Infertility ¼ of pt have acute salpingitis occur 20% infertility rate increase direct with number of episodes of acute pelvic infection
Slide 16-

Ectopic pregnancy increase 6-10 fold 50% occur in fallopian tubes (previous salpingitis) mechanism ; interfere ovum transport entrapment of ovum Sequelae
Slide 17-

Chronic pelvic pain 4 times higher after acute salpingitis caused by hydrosalpinx, adhesion around ovaries should undergo laparoscope  R/o other disease TOA 10% Mortality acute PID 1% rupture TOA 5-10% Sequelae
Slide 18-

Treatment Therapeutic goal eliminate acute infection & symptoms prevent long-term sequelae
Slide 19-

Empirical ABx cover wide range of bacteria Treatment start as soon as culture & diagnosis is confirmed/suspected - failure rate, OPD oral ATB  10-20% - failure rate, IPD iv ATB  5-10% reevaluate 48-72 hrs of initial OPD therapy Medication
Slide 20-

Criteria for hospitalization
Slide 21-

CDC Recommended treatment regimens for OPD of acute PID
Slide 22-

CDC Recommended treatment regimens for IPD of acute PID
Slide 23-

Rx male partners & education for prevention reinfection Rx male partners  regimens for uncomplicated gonorrhoeae & chlamydial infection Ceftriaxone 125 mg im follow by doxycycline (100) 1x2ʘ pc x7days or azithromycin 1gmʘ or ofloxacin (300) 1x2ʘ pc x7days Treatment
Slide 24-

Laparotomy for surgical emergencies definite Rx of failure medical treatment Laparoscopy consider in all pt with ddx of PID & without contraindication R/O surgical emergency Evidence of current / previous abscess Acute exacerbation of PID with bilateral TOA Surgical treatment
Slide 25-

Ruptured Pelvic Abscess Mortality rate 10% Can rupture spontaneous into Rectum sigmoid colon Bladder Peritoneal cavity Almost never in vagina
Slide 26-

The End