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Ebook ABC of sexually transmitted infections (5/E): Part 2

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Ebook ABC of sexually transmitted infections (5/E): Part 2

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

Ebook ABC of sexually transmitted infections (5/E): Part 2rom the vagina or cervix, which causes inflammation OÍ the lipper genital tract. This can result in any Combination of salpingitis, endometritis, ooph

oritis, parametritis, pelvic peritonitis, and tubo-ovarian abscess formation.The organisms commonly responsible for acute PI I) depend on the local pr Ebook ABC of sexually transmitted infections (5/E): Part 2

evalence of sexually transmitted infections (STIs). chlamydia Irarhomalis is the most common treatable bacterial sn in the United Kingdom ami is impli

Ebook ABC of sexually transmitted infections (5/E): Part 2

cated in more than 50% of cases of acute I’ll). Ten to 20% of cases arc associated with AfaivwfM gmonhMM, this rate will be higher in areas with highe

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

Ebook ABC of sexually transmitted infections (5/E): Part 2stimated that for every overt case ol chlamydial pelvic infection there are three covert (asymptomatic) cases.The role of .Mycoplasma grnilalium and U

rrafilasma tmafftirum in acute pelvic infection is still unclear, but they haw been implicated in the pathogenesis of acute endometritis and chorioamn Ebook ABC of sexually transmitted infections (5/E): Part 2

ionitis associated with pre-term labour.Other organisms connected with acute pelvic infection include anaerobes, Bat leroides fragilis, peptostreptoco

Ebook ABC of sexually transmitted infections (5/E): Part 2

cci, Esdtrnrhia roti, and Lancefield group B haemolytic streptococci. Bacterial vaginosis is associated with ascending infection ami acute I’ll) after

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

Ebook ABC of sexually transmitted infections (5/E): Part 2. Other symptoms associated with I’ll) include in ter menstrual and post-coital bleeding, dysuria, deep dyspareunia, and fever. la»w backache and rect

al discomfort may also be present. Right upper quadrant pain from perihepatitis is a feature of the uncommon Fitz-I high-Curt is syndrome in associati Ebook ABC of sexually transmitted infections (5/E): Part 2

on with c trachomatis related PID.The history for pain should include onset, site, and nature, as well as aggravating and relieving factors. A full me

Ebook ABC of sexually transmitted infections (5/E): Part 2

nstrual, contraception, and gynaecological history should be taken to make a risk assessment for unplanned pregnancy, including ectopic pregnancy, and

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

Ebook ABC of sexually transmitted infections (5/E): Part 2ptoms.Differential diagnosis of lower abdominal pain•Ectopic pregnancy•Urinary tract infection•Ovarian cyst complications—torsion and rupture•Endometr

iosis•Ovarian malignancy•Bowel disease•Irritable bowel syndrome•AppendicitisRisk factors for PID in patient's historyPresence of an STI•New sexual par Ebook ABC of sexually transmitted infections (5/E): Part 2

tner in past month•Frequent change of sexual partner•No condom use•Age under 25 years•Partner with symptoms•Previous medical history of an STI•Involun

Ebook ABC of sexually transmitted infections (5/E): Part 2

tary infertilityGynaecological interventions that can cause ascending infection•Intrauterine contraceptive device insertion or c hange in 20 days•Term

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

Ebook ABC of sexually transmitted infections (5/E): Part 2of conceptionClinical diagnosis of PIDPresenting symptoms•Lower abdominal pain

8 Pelvic inflammatory disease and pelvic painHelen MitchellAcute pelvic inflammatory disease (I’ll)) is most commonly caused by infection ascending fr

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