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Pelvic Inflammatory Disease

Juliana Zamora Cubillos, MD and Miguel A. Palacios, MD Reviewed 06/2019
 


BASICS

DESCRIPTION

  • Pelvic inflammatory disease (PID) is an infectious and inflammatory disorder of the upper female genital tract, including the uterus, fallopian tubes, ovaries, and adjacent pelvic st...

DIAGNOSIS

  • The diagnosis of PID is based primarily on clinical evaluation.

  • The positive predictive value of clinical diagnosis is 65–90% compared with laparoscopy (2).

  • The CDC recommends empiric treatmen...

TREATMENT

  • Patient education: Avoid unprotected intercourse until patient and partner(s) have been treated and emphasis on the long-term implications for their/partner(s) health.

  • Outpatient treatment, i...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • Follow up in 72 hours after initiation of treatment is recommended particularly for patients with moderate or severe clinical presentation (3).

  • O...

REFERENCES

1
Brunham R, Gottlieb S, Paavonen J. Pelvic inflammatory disease. N Engl J Med.  2015;372(21):2039–2048. [View Abstract on OvidMedline]
2
Ross J. Pelvic inflammatory disease. Am Fam Physi...

CODES

ICD10

  • N73.9 Female pelvic inflammatory disease, unspecified

  • N73.0 Acute parametritis and pelvic cellulitis

  • N70.93 Salpingitis and oophoritis, unspecified

  • N73.1 Chronic parametritis and pelvic cellul...

CLINICAL PEARLS

  • Most often, PID starts with gonorrhea or chlamydia infection, but it is often polymicrobial.

  • Physicians should treat on the basis of clinical judgment (pelvic pain with cervical motion ...

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