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...
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...
Patient education: Avoid unprotected intercourse until patient and partner(s) have been treated and emphasize the long-term implications for their/partner(s) health.
Outpatient treatment, if ...
Follow up in 72 hours after initiation of treatment is recommended particularly for patients with moderate or severe clinical presentation (3).
O...
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...
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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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...