Ep 183 STIs: Pelvic Inflammatory Disease and Genital Lesions – HSV, Syphilis and LVG

Emergency Medicine Cases

Dr. Anton Helman

Science, Courses, Medicine, Health & Fitness, Education

4.7 • 602 Ratings

🗓️ 23 May 2023

⏱️ 40 minutes

🔗️ Recording | iTunes | RSS

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Summary

In this part 2 of our 2-part series on STIs with Dr. Catherine Varner and Dr. Robyn Shafer we answer such questions as: Why should we care about making the diagnosis of pelvic inflammatory disease (PID) in the ED? What combination of clinical features and lab tests should trigger a presumptive diagnosis and empiric treatment of PID? Which patients with PID require admission to hospital? What are the test characteristics of ultrasound for the diagnosis of PID and for Fitz-Hugh-Curtis Syndrome? When and how should we work up patients for syphilis in the ED? When should we suspect and empirically treat for lymphogranuloma venereum and granuloma inguinale? does an IUD need to be removed in patients with PID? and many more...

Transcript

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0:00.0	In part one of this two-part podcast on STI's with doctors Catherine Varner and Robin Schaefer,
0:05.3	we covered servicitis, vulvovaginitis, and urethritis, and a general approach to these things.
0:11.1	We talked about some key historical things that you need to pick up and tips on communication.
0:16.6	We talked about the physical exam and who needs a pelvic exam.
0:20.4	We talked about what testing to get for which patients and what kind of testing to get. We talked about the physical exam and who needs a pelvic exam. We talked about what testing to get for which patients and what kind of testing to get.
0:24.5	We talked about specific organisms, including mycoplasma genitalum.
0:28.3	And we talked about empiric treatment, discharge instructions, and treating the partner.
0:32.8	In this part two, we're going to talk about the sometimes elusive pelvic inflammatory disease, PID.
0:39.2	We're going to fly through some genital lesions like ulcers and such that we should be able to identify in the ED.
0:44.8	And then we're going to talk about STI manifestations that are outside of the genitals like proctitis, colitis.
0:52.5	And then we'll finally drive it home with some key take-home
0:55.0	pearls from both Parts 1 and Part 2.
0:59.3	Welcome to the Emergency Medicine Cases podcast.
1:02.0	I'm your host, Dr. Anton Hellman, bringing you Canada's brightest minds in emergency medicine
1:06.2	from EMC studios in Toronto.
1:10.3	EMCases is part of SREMI, Schwartz-Risman Emergency Medicine Institute, the nonprofit organization
1:15.4	dedicated to improving EM care through research and education.
1:19.3	The opinions expressed on this podcast are intended for information and education purposes
1:21.0	only and should not be used to diagnose treat or prevent any medical condition, nor should they
1:23.2	be used as a substitute for medical advice and qualified practice and physician.
1:27.0	Let's start with a discussion on PID.
1:31.3	So PID includes endometritis,
	...

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