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Pelvic inflammatory disease By Asmaa kadhim

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Page 1: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Pelvic inflammatory disease

By

Asmaa kadhim

Page 2: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 3: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 4: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 5: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 6: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Presentation of PID

Page 7: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 8: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 9: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 10: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Treatment of PID

Hospital admition in sever cases

Rest

Exclude pregnancy

Adequate analgesia Adequate analgesia

Avoid sexual contact until the partner is fully

treated and traced

Antibiotics

Page 11: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Antibiotics in PID

•Outpatient regimen

-Oral ofloxacine 400 mg and metrondazole 400

mg twice daily for 14 days

•Intamuscular ceftriaxone 500 mg single dose +

oral doxycyclline 100 mg + oral metronidazole

400 mg both twice daily for 14 days

Page 12: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Inpatient regimen

Intravenous ceftriaxone 2 gm + doxcycline 100 mg twice daily until 24 hrs after clinical improvement then shift to oral therapy improvement then shift to oral therapy

Doxycycline and metronidazole fot 14 days

Intravenous ofloxacin 400 mg twice daily + i.vmetronidazole 500 mg 3 times daily for 14 days

Page 13: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 14: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 15: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 16: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 17: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 18: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 19: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 20: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 21: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 22: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Diagnosis of genital tuberculosis

Page 23: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Genital tubercuosis , diagnostic criteria

Page 24: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Differential diagnosis

Page 25: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 26: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

Treatment of Genital tuberculosis

Medical treatment

Antitubercoulus drugs ( adequate dose and

duration )

Surgical Surgical

As in chronic PID

Failure of medical treatment for 9 months

Page 27: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium
Page 28: Pelvic inflammatory disease · Definition PID is a chmcal spectrum of infection that may involve one or more or the following structures: (7) The cervix (cervicitis), the endometrium

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