Pelvic inflammatory disease
| Headline | |
|---|---|
| Etiology | polymicrobial disease of upper genital tract - classically Neisseria gonorrhoea and chlamydia trachomatis, but endogenous flora may also be involved |
| Epidemiology | Risk factors: prior infection with chlamydia or gonorrhoea or PID, young age at onset of sexual activity, unprotected sexual intercourse with multiple sexual partners, IUD use |
| Clinical presentation | Cervical excitation, adnexal tenderness, vaginal discharge |
| Pathogenesis | Infection in cervix |
| Diagnostic investigations | Vaginal wet mount: neutrophilia |
| Management | Empirical abx (confirmed with microguide): Ceftriaxone, doxycycline, metronidazole for 14 days |