saem m4 curriculum 2-with correct answers

saem m4 curriculum 2-with correct answers 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. 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 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 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 -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 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 -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.