Pelvic inflammatory disease

A. About 1 million cases of PID occur in the United States annually. Risk factors for PID include young age, low socioeconomic status, unmarried status, residence in an urban area, douching, and smoking. Pelvic inflammatory disease is a polymicrobial infection, but in 65-70% of cases either C trachomatis, N gonorrhoeae, or both are isolated.

B. N gonorrhoeae is usually a symptomatic infection. PID attributable to C trachomatis frequently may be asymptomatic or associated with atypical symptoms such as intermenstrual bleeding or vaginal discharge.

References: See page 195.

Breaking Bulimia

Breaking Bulimia

We have all been there: turning to the refrigerator if feeling lonely or bored or indulging in seconds or thirds if strained. But if you suffer from bulimia, the from time to time urge to overeat is more like an obsession.

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