Medicine an Surgery notes

Apr 24th, 2015
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PELVIC INFLAMMATORY DISEASE (PID)Definition:PID is a clinical syndrome caused by the ascent of microorganisms from the vagina and endocervix to the endometrium, fallopian tubes, ovaries, and contiguous structuresPID is a broad term that includes a variety of upper genital tract infections, unrelated to pregnancy or surgical procedures, such as salpingitis, salpingo-oophoritis, endometritis, tubo-ovarian inflammatory masses, and pelvic or diffuse peritonitis.Etiology:Bacteriology - multiple organisms act as etiologic agents in PID and most cases are polymicrobial. Chlamydia trachomatis, Neisseria gonorrhoeae, and a wide variety of aerobic and anaerobic bacteria are recognized as etiologic agentsMycoplasmas have also been implicated but their role is less clear. The most common anaerobes include Bacteroides, Peptostreptococcus, and Peptococcus species. The organisms involved i

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