Page 278 - 2021 IDMT Digital
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PELVIC INFLAMMATORY DISEASE (PID)
Introduction:
• 3HOYLF LQIODPPDWRU\ GLVHDVH 3,' LV D SRO\PLFURELDO LQIHFWLRQ RI WKH XSSHU reproductive
tract DVVRFLDWHG ZLWK N gonorrhoeae DQG Chlamydia trachomatis
• 0RVW FRPPRQ LQ \RXQJ QXOOLSDURXV VH[XDOO\ DFWLYH ZRPHQ
• $ OHDGLQJ FDXVH RI LQIHUWLOLW\ DQG HFWRSLF SUHJQDQF\
• 0RUH OLNHO\ ZLWK UHFHQW VH[XDO FRQWDFW RQVHW RI PHQVHV KLVWRU\ RI 3,' UHFHQW LQVHUWLRQ
RI ,8'
Subjective:
• 6LJQV DQG 6\PSWRPV
o /RZHU DEGRPLQDO SDLQ FKLOOV DQG IHYHU
o 0HQVWUXDO GLVWXUEDQFHV
o 0D\ KDYH SRVWFRLWDO EOHHGLQJ
o 8ULQDU\ IUHTXHQF\ DQG ORZ EDFN SDLQ
Objective:
• 3K\VLFDO ([DP
o 7HPSHUDWXUH ! )
o 3XUXOHQW FHUYLFDO GLVFKDUJH ZLWK FHUYLFDO PRWLRQ WHQGHUQHVV DGQH[DO WHQGHUQHVV
• 7RROV 3UHJQDQF\ WHVW WR UXOH RXW HFWRSLF SUHJQDQF\
Assessment:
• 'LIIHUHQWLDO
o (FWRSLF SUHJQDQF\ SRVLWLYH SUHJQDQF\ WHVW
o $SSHQGLFLWLV QHJDWLYH SHOYLF H[DP PRUH IRFDO 5/4 SDLQ
o 2YDULDQ F\VW QR FHUYLFDO GLVFKDUJH
Plan:
• 0HGLFDWLRQV
o 0LOG WR PRGHUDWH VLQJOH GRVH RI Rocephin SOXV GR[\F\FOLQH DQG PHWURQLGD]ROH
• 6HYHUH GLVHDVH RU WKRVH WKDW PHHW FULWHULD IRU KRVSLWDOL]DWLRQ VKRXOG EH HYDFXDWHG RU
VHQW WR D KLJKHU OHYHO RI FDUH ZLWK ,9 DFFHVV
o ,I WKH SDWLHQW KDV QRW UHVSRQGHG WR RXWSDWLHQW WKHUDS\ ZLWKLQ KRXUV RU LI WKH\
KDYH QDXVHD YRPLWLQJ RU KLJK IHYHU WKH\ VKRXOG EH DGPLWWHG
Patient Education:
• 'HVSLWH WUHDWPHQW ó RI ZRPHQ ZLOO GHYHORS ORQJ WHUP VHTXHODH
o 5HSHDWHG HSLVRGHV FKURQLF SHOYLF SDLQ HFWRSLF SUHJQDQF\ RU LQIHUWLOLW\
• )ROORZ XS $FWLRQV
o ,I WKH SDWLHQW KDV QRW UHVSRQGHG WR RXWSDWLHQW WKHUDS\ ZLWKLQ KRXUV - DGPLW
o ,I WKH SDWLHQW KDV QDXVHD YRPLWLQJ RU KLJK IHYHU - DGPLW
Preceptor Directive:
• Blue Directive: Contact Preceptor Immediately
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