Repro CIS

Question 1

with PID, what testing is recommended?

Answer 1

• C. trachomatis
• N. gonorrhea
• HIV
• hepatitis
• syphilis

Question 2

should male sex partners of women with PID be evaluated and treated

Answer 2

yes

Question 3

does a negative endocervical screening for chlamydia and gonorrhea rule out upper tract infection?

Answer 3

no

Question 4

Treatment for PID?
Add what for pelvic abscess?
add what for outpatient with IUD?
add what for trichomonas vaginalis

Answer 4

• 2nd or 3rd gen cephalosporin and azithromycin or doxycycline
• clindamycin or metronidazole (anaerobic coverage)
• coverage for anaerobe actinomyces israelii
• metronidazole

Question 5

OMM and PID

Answer 5

• not utilized until pt has been on antibiotics for at least 48 hours
• ovaries: T10-11
• Uterus: T9-L2
• Fallopian tubes: T10-L2
• Colon: T9-L2
• parasymp: S2-4 and AA/OA
• also lymphatics