SAEM m4 curriculum 2/ 300+ Quizzes & Correct
Answers 2025 Guaranteed pass
PID cause - (answer)originates as a cervical infection with Neisseria
gonorrheaand/or Chlamydia trachomatis, and becomes polymicrobial as it
ascends into the uterus, fallopian tubes and ovaries.
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3 sx PID - (answer)-lower abd pain
-purulent vag d/c
-vag bleed
when getPID sx - (answer)Symptoms begin shortly after the start of the menstrual
cycle, when there are fewer defenses by the cervical mucosal barrier to ascending
infections.
PID with gonnoccal - (answer)more likely to appear toxic (fever, N/V)
dont forget one risk factor pid - (answer)-recent instrumentation of uterus
common exam findings pid - (answer)-b/l adenexal tenderness
-cervical d/c
cervical motion tenderness
-uterine tender
-lower abd tenderness
, 2
if pain is u/l think more - (answer)TOA
if RUQ tender think - (answer)Fitz-Hugh Curtis (perihepatitis, inflamation of liver
capsule)
best test for gonorrohea and chlaymida - (answer)NAAT with PCR or DNA probes
(either urine or cervical secretions)
if suspect TOA get - (answer)US
ruptured ovarian cyst shows - (answer)free fluid in pouch of douglas
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ovarian torsion shows - (answer)absence of blood flow to one ovary on pelvic
ultrasound with doppler
why US>CT - (answer)CT cannot eval for torsion bc there is no doppler
who gets abx for PID - (answer)-lower abdominal or pelvic pain coupled with
adnexal, uterine or cervical motion tenderness on exam, in a patient at risk for
STDs with no other discernible cause for the illness identified
complications of pid - (answer)-chronic pelvic pain
, 3
-infertility
-ectopic
-toa
-fitz-hiugh curtis
toa process - (answer)walled-off abscess that originates in the infected fallopian
tube and extends to involve the ovary
how confirm dx of Fitz hugh curtis - (answer)elevated liver fxn tests
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inpatient abx pid - (answer)-cefoxitin + doxy
or
-cefotentan + doxy
or
clinda+gentamycin
outpatient abx pid? add if 2 - (answer)-ceftriaxone
-doxy
-add metro if severe infection or hx of uterine instrumentation
who getsa dmitted - (answer)-toa
-fitz hugh curtis
, 4
-septic
-peritontiis
-pre-pubertal kid
-iud (which needs to be removed)
-pregnant
d/c with PID need what testing - (answer)test for other STD
describe whats going on in ovarian torsion - (answer)ovary, and often the
fallopian tube as well (adnexal torsion) become twisted around their vascular
pedicle.
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progression of torsion - (answer)twisting initially obstructs venous flow, which
causes engorgement and edema. The engorgement can progress until arterial
flow is compromised, leading to ischemia and infarction
risk factors for torsion - (answer)ovary with a mass or cyst is more prone to
twisting by virtue of its asymmetry
classic present torsion - (answer)sudden onset of unilateral lower abdominal pain
which is initially visceral in character (ie, vague and poorly localized) and may be
accompanied by nausea and vomiting. It may radiate to the groin or flank.