Pelvic inflammatory disease (PID) is an infection of the upper female genital tract, including the uterus, fallopian tubes, ovaries, and adjacent pelvic structures. PID is most commo...
Clinical diagnosis, with the positive predictive value of clinical diagnosis approaching 65–90% compared to laparoscopy (3)[C].
The CDC recommends empiric treatment for PID in females at ris...
Patient education: Avoid intercourse until patient and partner(s) have been adequately treated. Counsel patients and partners on possible long-term implications.
Outpatient treatment is recom...
Follow-up 72 hr after initiation of treatment, particularly for patients with moderate or severe clinical presentation (3)[C].
Observe for worse...
N70.0 Acute salpingitis and oophoritis
N70 Salpingitis and oophoritis
N71.0 Acute inflammatory disease of uterus
N73.1 Chronic parametritis and pelvic cellulitis
N73.3 Female acute pelvic perit...
PID often starts with gonorrhea or chlamydia infection, but it can be polymicrobial.
Treat based on clinical suspicion (pelvic pain, cervical motion, or adnexal or uterine tenderness) w...
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Laparoscopic view of acute pelvic inflammatory disease (PID).
Pyosalpinx and blunted fimbria associated with acute PID.
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated protozoan is elliptical and somewhat larger than the adjacent polymorphonuclear leukocytes (2253 magnification). B: After suspension in saline solution for microscopy, trichomonads gradually become swollen and immobile. This balloon-shaped trichomonad is barely recognizable (2253 magnification).
FIG. 9.16. A: Trichomonad in the vaginal discharge of a 17-year-old patient with gonococcal pelvic inflammatory disease. The flagellated pr...