PID counselling — Medical Practice MCQ

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HardInfectious DiseasesPID counselling

During outpatient PID therapy, which event most strongly requires urgent reassessment rather than waiting for routine 72-hour review?

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Correct answer: E — New haemodynamic instability and increasing guarding

The best answer is “New haemodynamic instability and increasing guarding”. New haemodynamic instability and increasing guarding can indicate sepsis, rupture or another surgical emergency during PID treatment and require urgent reassessment. Mild nausea and short-term persistence of discharge can be assessed clinically, while partner anxiety or a late dose do not by themselves require emergency escalation.

Reference: BASHH PID: https://www.bashh.org/resources/6/guidelines_pid_2019/