Case 3

A 26-year-old female presents to you in the STD clinic with a complaint of fever of three days duration, nausea, and lower abdominal pain. She denies a history of dysuria, hematuria, or genital ulcerations. She denies that she may be pregnant. She has an intrauterine device for 2 years. She takes no prescribed medications and she has no allergies.

On examination, she has a temperature of 390C, pulse rate of 110 per minute, respiration rate of 28 per minute, and B/P of 100/60. She is ill appearing and diaphoretic. There is no lymphadenapathy. She has right lower quadrant tenderness to deep palpation. Bowel sounds are present but hypoactive. Her pelvic examination reveals right adnexal tenderness and cervical motion tenderness. The uterus is tender and slightly enlarged. Thick yellow vaginal discharge is sent for microbiological studies.

Questions

1. What is pelvic inflammatory disease (PID)?    Answer

2.  How do microorganisms reach the upper genital tract?  Answer

3. What conditions can present with the patient's complaints of fever and lower abdominal pain?  Answer

4. What are the minimum clinical criteria needed for the diagnosis of pelvic inflammatory disease?  Answer

5. What is the Empiric treatment of PID   Answer

6. Listed are the routine criteria for diagnosing PID:  Answer

7. What is the relationship between PID and intrauterine devise?  Answer

8. Name the common pathogens implicated in PID.  Answer

9. How would you treat this patient?  Answer