Pathophys
It's Complicated
Seek
And Destroy
Bad to Worse
Potent Potables
100
Most common causative organisms of PID
What are Chlamydia trachomatis and Neisseria gonorrhoeae?
100
Likely complication if concomitant RUQ pain and jaundice are present
What is Fitz-Hugh-Curtis syndrome? (perihepatic capsulitis, affecting 10% of PID cases)
100
Gold standard (controversial) test for diagnosis of PID
What is laparotomy?
100
Outpatient PID treatment
What are ceftriaxone 500 mg IM once, metronidazole 500 mg for 14 days, and doxycycline 100 mg for 14 days?
100
When to suspect TOA
What are no improvement after 72 hours of antibiotics, acutely ill presentation, painful unilateral adnexal mass, and/or severe pain precluding a pelvic exam?
100
This drink, which is neither a cola nor a root beer, has its signature time three times daily at 10 am, 2 pm, and 4 pm according to one famous ad campaign
What is Dr. Pepper?
200
Risk factors for developing PID
What are risky sexual behavior, young age at first intercourse, numerous sexual partners, and age less than 25?
200
Feared PID complication potentially leading to infertility
What is Fallopian tube scarring? (15% risk from just one episode of PID)
200
Classic physical examination findings in PID
What are cervical motion tenderness, uterine tenderness, and adnexal tenderness?
200
Why metronidazole is included in the outpatient treatment regimen
What is to provide anaerobic coverage?
200
Preferred diagnostic modality for TOA
What is a CT scan? (increased sensitivity of 78 to 100 versus 75 to 82 percent compared to US)
200
This beverage is (in)famously, and incorrectly, associated with hallucinations
What is absinthe?
300
PID develops from this infection
What is cervicitis?
300
Most common cause of death from in PID
What is tubo-ovarian abscess rupture?
300
Diagnostic criteria for PID
What are history of sexual activity and positive physical exam findings? (These alone are sufficient for empiric antibiotic treatment)
300
Antibiotic management of TOA
What are ceftriaxone 1 g q24 hours, doxycycline 100 mg q12 hours, and metronidazole 500 mg q12 hours OR cefotetan 2 g q12 hours and doxycycline 100 mg q12 hours OR cefoxitin 2 g q6 hours and doxycycline 100 mg q12 hours?
300
Indications for surgical evaluation
What are failure with antibiotic therapy, a ruptured abscess, suspected sepsis, an abscess greater than 7 cm, or postmenopausal status?
300
Spotted Cow, Moon Man, and Raspberry Tart are offerings from this Wisconsin brewery.
What is New Glarus Brewing Company?
400
The two most common presenting symptoms of PID
What are lower abdominal pain and vaginal discharge?
400
Risk of this complication increases 10-fold after just one episode of PID
What is ectopic pregnancy?
400
Testing should be performed for these two additional diseases.
What are syphilis and HIV? (as well as mycoplasma genitalium if possible and consider testing for hepatitis B and HPV if applicable)
400
Treatment regimen for male sexual partners
What are doxycycline 100 mg for 7 days and ceftriaxone 500 mg once?
400
When to suspect a ruptured tubo-ovarian abscess
What are acute abdomen and/or evidence of sepsis?
400
A prom night classic and derived from the Hindi word for “Five,” it describes a number of ingredients mixed in a large bowl.
What is punch?
500
How to prevent re-infection with PID
What is treat all sexual partners within the last 60 days and avoid sexual activity for 2 weeks?
500
This lingering symptom can be the cause of much consternation but is not associated with increased mortality
What is chronic abdominal pain?
500
Most sensitive physical examination finding in PID
What is adnexal tenderness?
500
Treatment regimen for PID in pregnant women
What are cefotetan or cefoxitin and azithromycin 1 g orally once? (plus admission)
500
Most common causative organisms of a tubo-ovarian abscess
What are Escherichia coli, aerobic streptococci, Bacteroides fragilis, Prevotella, and Peptostreptococcus?
500
130 herbs are used in making this drink brewed by French Carthusian monks.
What is Chartreuse?