PID – Pelvis inflammatory disease

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1. symptoms:

    1. hypogastric pain

    2. N/V

    3. Fever

    4. Vaginal discharges

    5. dyspareunia

    6. menstruations problems

    7. usually Hx of STDs

2. If pregnant, + abscess formation or severe symptoms, admit. otherwise treat:

    1. outpatient treatment

        1. Amp ceftriaxone 1gr IM stat

        2. Tab metronidazole 500mg #28 bid

        3. Tab doxycycline 100 mg #28 bid

            1. can cause esophagitis

            2. use with a cup of water

            3. do not lye down after use

    2. inpatient treatment

        1. Amp clindamycin 600mg IV q6h

        2. Amp gentamycin 1.5mg/kg IV q8h

        3. continue IV treatment till 48 hours post fever, then shift to PO treatment for 14 days

            1. Tab clindamycin 300mg qid

            2. Tab metronidazole 500 mg bid