Pelvic Inflammatory Disease (PID) SIMPLIFIED | Diagnosis & Treatment

Pelvic inflammatory disease (PID) explained for medical students and clinical exams. This OBGYN Med 1Pager covers PID as an ascending polymicrobial infection causing endometritis and salpingitis, plus why delayed treatment matters: tubal scarring, infertility, ectopic pregnancy, chronic pelvic pain and recurrent PID. In this video: Risk factors: age under 25, new or multiple partners, previous STI/PID, unprotected sex, uterine instrumentation and IUD context Causes and pathophysiology: C. trachomatis, N. gonorrhoeae, M. genitalium, BV-associated flora, endometritis and salpingitis Clinical features: lower abdominal/pelvic pain, abnormal discharge, deep dyspareunia, intermenstrual or postcoital bleeding, dysuria, fever/chills, nausea/vomiting and mild or asymptomatic disease Diagnosis: cervical motion tenderness, uterine tenderness and adnexal tenderness, plus supportive criteria such as fever, mucopurulent discharge, raised ESR/CRP and NAAT evidence of chlamydia or gonorrhoea Investigations and differentials: pregnancy test, NAAT, HIV/syphilis testing, FBC/CRP/ESR, wet mount, TVUS, ectopic pregnancy, appendicitis, ovarian torsion, ruptured ovarian cyst and endometriosis Treatment: outpatient vs inpatient PID regimens, when to admit, IUD considerations, tubo-ovarian abscess management, partner management and 48-72 hour follow-up Complications: infertility, ectopic pregnancy, chronic pelvic pain, recurrent PID, pelvic adhesions, tubo-ovarian abscess, Fitz-Hugh-Curtis syndrome and sepsis/peritonitis time stamps: 00:00 introduction 02:27 Why it matters 03:34 Risk factors 04:10 Pathophysiology 05:12 Classification by Duration 06:35 Classification by Cause 07:37 Clinical features 08:50 Diagnosis- minimum criteria 09:25 Diagnosis- additional criteria 10:00 Diagnosis – confirmatory criteria 11:10 Investigations 11:46 Outpatient treatment 12:39 Inpatients treatments 14:28 Complications 14:55 Partner management 15:20 High yield points High yield takeaways: PID is a clinical diagnosis Negative STI tests do not exclude PID Always exclude ectopic pregnancy Treat early and do not wait for swabs Pregnancy, severe disease, suspected tubo-ovarian abscess or no improvement after 72 hours needs urgent reassessment/admission Use this high-yield PID overview for USMLE Step 1 & 2, PLAB, MLA, OSCEs, OBGYN revision and clinical rotations. FREE 1-PAGE SUMMARY: https://med1pager.com Med 1Pager is a medical education brand built by a medical student, for medical students. Every topic gets a one-page high-yield visual summary and a video breakdown designed for USMLE Step 1 & 2, PLAB, MLA and clinical rotations. Subscribe for weekly high-yield medical summaries Instagram: @med1pager YouTube: @med1pager Website: https://med1pager.com Educational content only. This video is not medical advice. Medication choices and doses vary by local guideline; use official clinical guidance for patient care. If you have pelvic pain, fever, unusual discharge, pregnancy concerns or symptoms of an STI, speak with a qualified health professional. #PelvicInflammatoryDisease #PID #OBGYN #MedStudent