Risk Factors

■ Multiple sexual partners

■ Unprotected intercourse

■ Concomitant history of sexually transmitted disease

Rarely is a single organism responsible for PID, but always think of chlamydia and gonorrhea first.

Requirement for diagnosis of PID:

1) Abdominal tenderness

2) Adnexal tenderness

3) Cervical motion tenderness

Positive lab tests are not necessary for diagnosis.

Chandelier sign—when you touch the cervix, there is so much pain that she jumps to the chandelier.

Criteria for hospitalization for PID: GU PAP GI symptoms Uncertain diagnosis




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