How will you manage a case of PID.D-05 or Short note PID -10

Management of PID:

C/F:

Symptoms :

1.Bilateral lower abd pain

2.Irregular & excessive vaginal bleeding 

3.Offensive vaginal discharge

4.Fever with headache

5.Dyspareunia

Signs:

G/E:

1.anaemia

2.rasied temperature  and tachycardiatachycardia

P/A/E:

1.Distension

2.Tenderness 

3.Muscle guard

4.rebound tenderness present

P/V/E:

1.vaginal discharge

2.Congested cervix with purulent discharge from the canal

3.Bilateral tenderness in the fornix

Investigation :

Vaginal swabfor gram staining and C/s

2.Urine R/M/E

3.Urine for Pg test

4.Usg of the Uterus  and adnexae

5.Blood for TC,DC,ESR with Hb%

Treatment :

A.Outpatient Therapy :

1.Adequate rest 

2.Analgsics

3.Antibiotic any one

*Amoxicillin+1g probenecid+metronidazole

B.Hospital Therapy :

1.Bed rest

2.iv infusion

3.peracetamol antibiotic

4.analgesics

C.Surgery if needed:

1.Conservative surgary by Laparotomy or Laparoscopy

♠Fimbeiolysis

♠Adhesiolysis

*Salpingolysis

*Tubal anastomosis

*Salpongectomy

2.Radical Surgery:

Hysterotomy with or without salpingo oophorectomy.

            ( Ref D.C Dutta)