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Pelvic Inflammatory Disease
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Slides STD Female Repro.pdf
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Reference List Pathology.pdf
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Download Lecture Overview
00:01
Our topic now brings us
to the convergence point
of pelvic inflammatory disease.
00:06
It’s characterized
by the following:
You want to know these.
00:10
Pelvic pain, adnexal tenderness.
00:12
What’s meant by
adnexal tenderness?
Adnexa refers to the structures adjacent to the uterus.
00:18
Specifically, these include the ovaries, fallopian tubes, and the supporting ligaments and connective tissues.
00:25
Fever and vaginal
discharge, part of PID.
00:30
Usual suspects,
Chlamydia, trachomatis D through
K, Neisseria gonorrhea.
00:35
It can also be polymicrobial
with enteric bacteria,
usually after an abortion
or delivery, look for that.
00:41
And bacteria spreads from the
uterus upward via lymphatics
or the veins, resulting in PID.
00:49
Pelvic inflammatory disease (PID) encompasses infections that are both acute and less obvious,
affecting the upper reproductive tract in women.
00:59
It may affect the uterus, fallopian tubes, and ovaries, either individually or collectively.
01:06
It is frequently associated with the involvement of adjacent structures within the pelvic region.
01:12
The conditions that may arise from PID include:
Endometritis
Salpingitis with hydrosalpinx or pyosalpinx
Oophoritis
Tubo-ovarian abscess
Bacteremia
Peritonitis
Perihepatitis
Ectopic pregnancy, Intestinal obstruction due to adhesions, Infertility
What are my complications?
You may result in peritonitis,
intestinal obstruction
due to adhesions, why?
So you're going to now
group together for me --
Earlier, I walked you
through ectopic pregnancy
and pelvic inflammatory disease.
01:51
Why?
Whenever there’s inflammatory
process or lesion or whatever,
then it’s soon to be followed by repair
and collagen and fibrosis, right?
Fibrosis in the fallopian tube
then predisposes your patient
to develop ectopic pregnancy.
02:08
Fibrosis is not good for
the intestinal area.
02:13
Bacteremia especially
with enteric bacteria
and, unfortunately, infertility.
02:20
Serious consequences and
complications of PID.
About the Lecture
The lecture Pelvic Inflammatory Disease by Carlo Raj, MD is from the course Sexually Transmitted Diseases (STDs).
Included Quiz Questions
Which group of organisms are all known to cause pelvic inflammatory disease?
- C. trachomatis, N. gonorrhoeae, enteric bacteria
- N. gonorrhoeae, N. meningitidis, T. pallidum
- C. trachomatis, H. ducreyi
- Herpes simplex virus (HSV), Human papillomavirus (HPV), E. coli
- Gardnerella vaginalis, N. gonorrhoeae, Trichomonas vaginalis
How does PID lead to infertility and ectopic pregnancy?
- PID can cause scarring and fibrosis in the fallopian tubes, leading to occlusion.
- PID can cause adhesions in the uterine cavity.
- PID can cause ovarian failure.
- PID can cause destruction of follicles in the ovary.
- PID can cause persistent inflammation impeding implantation.
Author of lecture Pelvic Inflammatory Disease
Carlo Raj, MD
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