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Dermatology · STI: pelvic inflammatory disease
Sample itemA woman with PID develops right upper quadrant pain with pleuritic features, and laparoscopy shows violin-string adhesions between the liver capsule and the anterior abdominal wall. What is this complication called?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Fitz-Hugh-Curtis syndrome
Fitz-Hugh-Curtis syndrome is perihepatitis complicating PID, usually due to chlamydia or gonorrhoea, and presents with right upper quadrant pain. It does not usually produce abnormal liver tests.
Option by option
A. Sheehan syndrome
Sheehan syndrome is postpartum pituitary necrosis.
B. Asherman syndrome
Asherman syndrome is intrauterine adhesions.
C. Meigs syndrome
Meigs syndrome is ovarian fibroma with ascites and pleural effusion.
D. Fitz-Hugh-Curtis syndrome (correct)
Correct. Perihepatic adhesions in PID define Fitz-Hugh-Curtis syndrome.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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