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Pelvic inflammatory disease
1. Pelvic Inflammatory Disease Dr. Subha Patel Editable Presentation will be available on www.livetalent.org in download area
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15. Clinical manifestation evolves from history Abscess formation Adenexal swelling pelvic abscess Peri appendicitis Right upper quadrant pain Peri appendicitis Symptoms similar to appendicitis Peritonitis Nausea, vomiting, increased abdomen tenderness Endometritis Mildine abdominal pain, abnormal vaginal bleeding Mucopurulent cervicitis/ bacterial vaginosis Yellow / malodorous discharge Clinical manifestation History
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24. Regimens for t/t of PID Regimen B Clindamycin 900 mg IV q8h PLUS Gentamycin, loading dose of 2 mg/kg IV Or IM, then maintainence dose of 1.5 mg/kg q8h Regimen B Ceftriaxone 250 mg IM once PLUS Doxicycline 100 mg PO bid for 14 days PLUS Metronidazole 500 mg PO bid for 14 days Regimen A Cefotetan 2 g IV q12h OR Cefoxitin 2 g IV q6h PLUS Doxicycline 100 mg IV or PO q12h Regimen A Ofloxacin 400 mg PO bid for 14 days OR Levofloxacin 500 mg PO once daily for 14 days PLUS Metronidazole 500 mg PO bid for 14 days Parenteral regimens Outpatient regimens
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