This page contains a Flash digital edition of a book.
Diet and Nutrition 1. Increase ber 2. Avoid alcohol, caffeine and smoking 3. Reduce simple sugar 4. Maintain proper hydration 5. Increase chicken and cold water sh 6. Avoid fried and greasy foods 7. Increase fruits and vegetables 8. Increase legumes 9. Reduce sodium


Step #2


8. B-150 complex b.i.d. 9. Vitamin D 5,000 I.U. q.d.


Supplements 1. Lipoic acid 800 mg q.d. 2. Omega 3 fatty acids 1,500 mg q.d. 3. CoQ10 150 mg q.d. 4. Reduced glutathione 100 mg q.d. 5. Amino acid mixture with tyrosine 3,000 mg q.d. 6. Magnesium citrate 750 mg q.d. 7. Antioxidants a. Vitamin A 10,000 I.U. q.d. b. Vitamin C 1,000 mg q.d. c. Vitamin E 600-800 I.U. q.d. d. Zinc 100 mg q.d. e. Selenium 100 mcg q.d.


Step #3 Botanicals 1. Ginkgo biloba 80 mg q.d.





History  Review patient’s sexual history  Multiple sex partners  Exposure to STI from infected partner  Birth control/Barrier use 


 History of childbirth, pregnancy, miscarriage, or intrauterine device (IUD)


Step #1


Evaluation  Abdominal exam  Lower abdominal tenderness 





 Upper urinary tract culture  Laboratory tests  CBC with Diff  Elevated ESR  Elevated C-RP





 Abnormal cervical or vaginal mucopurulent discharge


Pelvic examination  Tenderness of the cervix, uterus, or adnexal with palpation/movement


Pelvic ultrasound


Test and treat infected sex partners


Treatment Overview  Diet and supplementation  


Botanicals  Refer


 Refer for antibiotic therapy or hospitalization if the patient fails to respond quickly to natural interventions


 Pulsed high-frequency diathermy 


 Sexual abstinence is advised until infection is resolved


History of sexually transmitted infections or other bacterial, parasitic, or fungal infections


abortion,


 Infection of the upper genital tract  Affects the uterus, ovaries, and fallopian tubes  Caused most commonly by Neisseria gonorrhea and Chlamydia trachomatis


 PID may cause infertility, chronic pelvic pain, scarring of reproductive organs, increases risk of ectopic pregnancy


 Ascend from the urethra to genitorurinary tract  Other possible pathogens include Ureaplasma urealyticum


 Can present as severe, minor, or asymptomatic  Symptoms that occur are vaginal discharge with a foul oder, dysuria, pain in the lower abdomen, abnormal uterine bleeding, fever and chills, and nausea and vomiting


THE ORIGINAL INTERNIST JUNE 2016


 More likely to occur prior to age 25  Due to immaturity of the cervix making it more susceptible to bacterial infection


Step #1


Diet and Nutrition 1. Increase fruits and vegetables 2. Increase chicken and cold water sh 3. Reduce saturated and trans fats 4. Avoid alcohol, caffeine and smoking 5. Elimination diet 6. Maintain proper hydration 7. Increase complex carbohydrates 8. Reduce simple sugars 9. Reduce fatty meat 10. Avoid food allergens 11. Reduce rened foods


Step #2


 Douching and intrauterine devices increase the risk of developing PID


2. Chlorophyll (Douche) 10 mg q.d. 3. Beta-carotene 25,000-100,000 I.U. q.d.


Supplements 1. Antioxidants a. Vitamin A 10,000 I.U. q.d. b. Vitamin C 1,000 mg q.d. c. Vitamin E 800 IU q.d. d. Zinc 100 mg q.d. e. Selenium 100 mcg q.d.


(Continued on next page) 75


Sitz baths


 Treatment of sexual contacts is essential to prevent re-infection


uncertain diagnostic


 Pap smear  Test for STI’s (syphilis, gonorrhea, chlamydia)  Serum HCG  Rule out pregnancy


Urinalysis  Bacteria and sediment


Hospitalize if: pregnant, pelvic abscess, adenexal mass, perineal involvement for


work-up if diagnosis is


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52