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Pelvic Inflammatory Disease, Emergency Medicine

Reviewed 06/2017



  • Pelvic inflammatory disease (PID) is an acute, community-acquired, sexually transmitted infection of the upper genital tract, including the uterus, fallopian tubes, ovaries, or adjac...


Signs and Symptoms

  • Lower abdominal pain, usually bilateral

  • Vaginal discharge

  • Abnormal uterine bleeding

  • Dysmenorrhea

  • Dysuria

  • Dyspareunia

  • Nausea and vomiting

  • Fever and chills

  • Proctitis

  • Lower abdominal t...



  • No specific pre-hospital considerations

  • Appropriate pain management

Initial Stabilization/Therapy

  • Resuscitation rarely indicated

  • Pain control

Ed Treatment/Procedures


  • Ceftriax...



Admission Criteria

  • Uncertain diagnosis and toxic appearance

  • Suspected pelvic abscess, including TOA

  • Pregnancy

  • Immunodeficiency

  • Severe illness (e.g., vomiting or severe pain)

  • Failure of ...

Pearls and Pitfalls

  • PID represents a spectrum of disease from simple endometritis to fatal intra-abdominal sepsis

  • Quinolones and oral cephalosporins are no longer recommended in US for the treatment of...

Additional Reading

  • Centers for Disease Control and Prevention (CDC). Update to CDC's sexually transmitted diseases treatment guidelines, 2006: Fluoroquinolones no longer recommended for treatment of g...



  • 079.88 Other specified chlamydial infection

  • 098.19 Other gonococcal infection (acute) of upper genitourinary tract

  • 614.9 Unspecified inflammatory disease of female pelvic organs and tissues

  • 614...

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