Pelvic inflammatory disease - Revision history

Rossdonaldson1: /* Clinical Features */

2025-04-23T16:03:38Z

Clinical Features

← Older revision		Revision as of 16:03, 23 April 2025
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	==Clinical Features==		==Clinical Features==
	[[File:SOA-Chlamydia-trachomatis-female.jpg\|thumb\|Pelvic speculum exam with view of cervix showing copious whitish discharge from chlamydia infection consistent with [[PID]].]]		[[File:SOA-Chlamydia-trachomatis-female.jpg\|thumb\|Pelvic speculum exam with view of cervix showing copious whitish discharge from [[chlamydia]] infection consistent with [[PID]].]]
	===History===		===History===
	*[[Pelvic Pain]] (90%)		*[[Pelvic Pain]] (90%)

2025-04-23T16:02:13Z

Clinical Features

← Older revision		Revision as of 16:02, 23 April 2025
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	==Clinical Features==		==Clinical Features==
			[[File:SOA-Chlamydia-trachomatis-female.jpg\|thumb\|Pelvic speculum exam with view of cervix showing copious whitish discharge from chlamydia infection consistent with [[PID]].]]
	===History===		===History===
	*[[Pelvic Pain]] (90%)		*[[Pelvic Pain]] (90%)

2021-05-27T17:31:45Z

Evaluation

← Older revision		Revision as of 17:31, 27 May 2021
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	**Ultrasound sensitivity may be as low as 56% and specificity of 85% <ref>Lee DC, Swaminathan AK. Sensitivity of ultrasound for the diagnosis of tubo-ovarian abscess: a case report and literature review. J Emerg Med.		**Ultrasound sensitivity may be as low as 56% and specificity of 85% <ref>Lee DC, Swaminathan AK. Sensitivity of ultrasound for the diagnosis of tubo-ovarian abscess: a case report and literature review. J Emerg Med.
	2011 Feb;40(2):170-5. doi: 10.1016 PMID 20466506 </ref>		2011 Feb;40(2):170-5. doi: 10.1016 PMID 20466506 </ref>
	*CT		*Consider CT to rule-out other causes of lower [[abdominal pain\|abdominal]]/[[pelvic pain]]
			**''Multiple intra-abdominal processes can cause cervical motion tenderness, including [[appendicitis]]''

	===CDC Empiric Diagnosis Criteria<ref>http://www.cdc.gov/std/tg2015/pid.htm </ref>===		===CDC Empiric Diagnosis Criteria<ref>http://www.cdc.gov/std/tg2015/pid.htm </ref>===

2021-05-27T16:47:29Z

← Older revision		Revision as of 16:47, 27 May 2021
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	===CDC Empiric Diagnosis Criteria<ref>http://www.cdc.gov/std/tg2015/pid.htm </ref>===		===CDC Empiric Diagnosis Criteria<ref>http://www.cdc.gov/std/tg2015/pid.htm </ref>===
			''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment''
	*Woman at risk for [[STIs]]		*Woman at risk for [[STIs]]
	*Pelvic or lower abdominal pain		*Pelvic or lower abdominal pain
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	==Management==		==Management==
	''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment''
	{{PID antibiotics}}		{{PID antibiotics}}

2021-05-27T16:43:46Z

Management

← Older revision		Revision as of 16:43, 27 May 2021
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	==Management==		==Management==
	'''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment'''		''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment''
	{{PID antibiotics}}		{{PID antibiotics}}

2021-05-27T16:42:13Z

Management

← Older revision		Revision as of 16:42, 27 May 2021
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	==Management==		==Management==
			'''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment'''
	{{PID antibiotics}}		{{PID antibiotics}}

	===[[IUD]]===		===[[IUD]]===
	*No change in treatment if IUD in place (may treat without removal)		*No change in treatment if IUD in place (may treat without removal)


	'''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment'''

	==Disposition==		==Disposition==

2021-05-27T16:40:50Z

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 *[[RUQ Pain]]
 **May indicate perihepatic inflammation (particularly if [[jaundice]] also present)
 ==Differential Diagnosis==
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 *Instruct patient to abstain from sex or adhere strictly to condom use until partner treatment and symptoms have abated
 *HIV+ is not an automatic criteria for admission, consider overall clinical impression
 ==See Also==

2021-05-27T16:39:35Z

Clinical Features

← Older revision		Revision as of 16:39, 27 May 2021
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	*[[RUQ Pain]]		*[[RUQ Pain]]
	**May indicate perihepatic inflammation (particularly if [[jaundice]] also present)		**May indicate perihepatic inflammation (particularly if [[jaundice]] also present)


	===Complications===		===Complications===

2020-02-13T18:19:35Z

Background

← Older revision		Revision as of 18:19, 13 February 2020
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	**Initial lower tract infection may be asymptomatic		**Initial lower tract infection may be asymptomatic
	**Most common cause of death is rupture of a [[tubo-ovarian abscess]]		**Most common cause of death is rupture of a [[tubo-ovarian abscess]]
			**Can be caused by organisms such as [[M. genitalium]] which is very difficult to isolate and will not be picked up on routine testing
	*Bilateral tubal ligation does not confer protection against risk<ref>Shepherd SM et al. Pelvic Inflammatory Disease Clinical Presentation. Jan 2017. https://emedicine.medscape.com/article/256448-clinical#b1.</ref>		*Bilateral tubal ligation does not confer protection against risk<ref>Shepherd SM et al. Pelvic Inflammatory Disease Clinical Presentation. Jan 2017. https://emedicine.medscape.com/article/256448-clinical#b1.</ref>

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	===[[IUD]]===		===[[IUD]]===
	*No change in treatment if IUD in place (may treat without removal)		*No change in treatment if IUD in place (may treat without removal)


			'''Due to inability to test for all causative pathogens and the potential for serious complications such as infertility, the CDC has made this a purposefully vague condition with a low threshold for empiric treatment'''

	==Disposition==		==Disposition==

2019-12-17T21:34:51Z

Background

← Older revision		Revision as of 21:34, 17 December 2019
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	==Background==		==Background==
			[[File:Blausen 0732 PID-Sites.png\|thumb\|Pelvic anatomy.]]
	*Pelvic Inflammatory Disease (PID) comprises spectrum of infections of the upper reproductive tract:		*Pelvic Inflammatory Disease (PID) comprises spectrum of infections of the upper reproductive tract:
	**Salpingitis, endometritis, myo/parametritis, and oophoritis		**Salpingitis, endometritis, myo/parametritis, and oophoritis