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Pelvic Inflammatory Disease   Dr. Subha Patel Editable  Presentation will be available on  www.livetalent.org  in download area
Pelvic Inflammatory Disease   ,[object Object],[object Object],[object Object]
Barrier to spread of infection   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
How these barriers are impaired   ,[object Object],[object Object],[object Object],[object Object],[object Object]
How these barriers are impaired (cont...)   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Risk factors   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology Cont...   ,[object Object],[object Object],[object Object],[object Object],[object Object]
Etiology Con..   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Pathogenesis   ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis cont...   ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis cont...   ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis cont...   ,[object Object]
Clinical manifestation   ,[object Object],[object Object],Any time  1 st  half of menses 1 st  half of menses Chronic  Sub acute /chronic Acute  Symp. Onset Older  Young Young Age
Clinical manifestation evolves from history   Abscess formation  Adenexal swelling pelvic abscess  Peri appendicitis  Right upper quadrant pain  Peri appendicitis  Symptoms similar to appendicitis  Peritonitis  Nausea, vomiting, increased abdomen tenderness  Endometritis  Mildine abdominal pain, abnormal vaginal bleeding  Mucopurulent  cervicitis/ bacterial  vaginosis  Yellow / malodorous discharge  Clinical manifestation  History
Physical Examination   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Diagnosis   ,[object Object],[object Object],[object Object],[object Object]
Clinical Diagnosis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Radiological Diagnosis   ,[object Object],[object Object],[object Object],[object Object]
Laparoscopic Diagnosis   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Laparoscopic Diagnosis cont...   ,[object Object],[object Object],[object Object],[object Object]
Etiologic diagnosis   ,[object Object],[object Object],[object Object],[object Object]
Treatment   ,[object Object],[object Object],[object Object]
Regimens for t/t of PID   Regimen B Clindamycin 900 mg IV q8h PLUS Gentamycin, loading dose of 2 mg/kg IV Or IM, then maintainence dose of 1.5 mg/kg q8h  Regimen B Ceftriaxone 250 mg IM once PLUS Doxicycline 100 mg PO bid for 14 days  PLUS Metronidazole 500 mg PO bid for 14 days Regimen A Cefotetan 2 g IV q12h   OR Cefoxitin 2 g IV q6h    PLUS Doxicycline 100 mg IV or PO q12h  Regimen A Ofloxacin 400 mg PO bid for 14 days  OR Levofloxacin 500 mg PO once daily for 14 days PLUS  Metronidazole 500 mg PO bid for 14 days Parenteral regimens  Outpatient regimens
Indication for in-hospital treatment   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Role of surgery   ,[object Object],[object Object],[object Object]
Sequele   ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]

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Pelvic inflammatory disease

  • 1. Pelvic Inflammatory Disease Dr. Subha Patel Editable Presentation will be available on www.livetalent.org in download area
  • 2.
  • 3.
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  • 6.
  • 7.
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15. Clinical manifestation evolves from history Abscess formation Adenexal swelling pelvic abscess Peri appendicitis Right upper quadrant pain Peri appendicitis Symptoms similar to appendicitis Peritonitis Nausea, vomiting, increased abdomen tenderness Endometritis Mildine abdominal pain, abnormal vaginal bleeding Mucopurulent  cervicitis/ bacterial  vaginosis Yellow / malodorous discharge Clinical manifestation History
  • 16.
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  • 18.
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  • 20.
  • 21.
  • 22.
  • 23.
  • 24. Regimens for t/t of PID Regimen B Clindamycin 900 mg IV q8h PLUS Gentamycin, loading dose of 2 mg/kg IV Or IM, then maintainence dose of 1.5 mg/kg q8h Regimen B Ceftriaxone 250 mg IM once PLUS Doxicycline 100 mg PO bid for 14 days PLUS Metronidazole 500 mg PO bid for 14 days Regimen A Cefotetan 2 g IV q12h   OR Cefoxitin 2 g IV q6h   PLUS Doxicycline 100 mg IV or PO q12h Regimen A Ofloxacin 400 mg PO bid for 14 days OR Levofloxacin 500 mg PO once daily for 14 days PLUS Metronidazole 500 mg PO bid for 14 days Parenteral regimens Outpatient regimens
  • 25.
  • 26.
  • 27.
  • 28.