Recommendations

A. Health care providers should maintain a low threshold for the diagnosis of PID, and sexually active young women with lower abdominal, adnexal, and cervical motion tenderness should receive empiric treatment. The specificity of these clinical criteria can be enhanced by the presence of fever, abnormal cervical/vaginal discharge, elevated ESR and/or serum C-reactive protein, and the demonstration of cervical gonorrhea or chlamydia infection.

B. If clinical findings (epidemiologic, symptomatic, and physical examination) suggest PID empiric treatment should be initiated.

Differential Diagnosis of Pelvic Inflammatory Disease

Appendicitis

Irritable bowel syndrome

Ectopic pregnancy

Somatization

Hemorrhagic ovarian cyst

Gastroenteritis

Ovarian torsion

Cholecystitis

Endometriosis

Nephrolithiasis

Urinary tract Infection

Was this article helpful?

0 0

Post a comment