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 primarily clinical.
The positive predictive value of clinical diagnosis is 65–90% compared with laparoscopy (2).
The CDC recommends empiric treatment for PID in female...
Patient education: Avoid intercourse until patient and partner(s) have been treated dn. Counsel patients and partners on possible long-term implications.
Outpatient treatment recommended, if ...
Follow up 72 hours after initiation of treatment, particularly for patients with moderate or severe clinical presentation (3).
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 is can be polymicrobial.
Treat based on clinical suspicion (pelvic pain, cervical motion or adnexal or uterine tenderness)...
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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...