gyn-infx uterine dis
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| endometritis is most commonly seen when? | after C-section
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| endometritis is a _______ infection | polymicrobial
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| basics of dxing acute endometritis | uterine tenderness, fever >100.4 on 2nd/3rd day postpartum, elevated WBC, recent hx of procedure, foul smell of vaginal discharge
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| tx of endometritis of postpartum pts and pts who have not recently been pregnant | postpartum: IV antibiotics (clinda and gent until 24hrs afebrile) others: PID protocol
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| chronic endometritis dx and tx? | dx: endometrial biopsy, tx: doxycycline x10-14d
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| general term for bacterial infx of the female pelvic organs | PID
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| main organisms of PID | N. gonorrhoeae and C. trachomatis
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| PID can lead to what? | infertility and increased risk of ectopic pregnancy; pelvic adhesions, chronic pelvic pain and dyspareunia
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| PID RUQ pain may indicate what? | spread of infx to the liver
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| CDC diagnostic criteria for PID | hx of pelvic or low abd pain in sexually active women, +CMT, no competing dx
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| a pt that does not have the hx of pain but has discharge and CMT would likely be dx with what? | cervicitis
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| admit PID pt if... | HIV +, tubo-ovarian abscess present, prego, didn't respond to outpt therapy, cannot follow outpt therapy, severe illness, N/V, or high fever, other surgical emergency not ruled out (appendicitis)
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| outpt tx of PID | ceftriaxone IM + doxy x14d (add Metronidazole if they have Trich). TREAT PARTNER!
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| a complication arising from persistent PID | tubo-ovarian abscess
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| how does a pt w/ tubo-ovarian abscess present? | w/ PID plus an adnexal or rectouterine pouch mass or fullness and usually has a fever and leukocytosis
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| test of choice for dx of tubo-ovarian abscess? | US
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| tx of tubo-ovarian abscess? | pt admitted to hospital for IV abx and possible surgical excision
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Created by:
rjerome09
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