Supporting Hours : Monday to Saturday - 8am to 10pm
New Visit

Pelvic Inflammatory Disease

 Syn. PID

Signs & Symptoms

 Abdominal tenderness
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]
Cervical motion tenderness #pelvic_peritonitis
Ref: Uptodate [ Acute uncomplicated cystitis in women] Uptodate [ Epidemiology, clinical manifestations, and diagnosis of tuboovarian abscess]
Pelvic pain
Ref: Uptodate [ Acute uncomplicated cystitis in women]
Lower abdominal tenderness
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]

Physical Examination

 Abdominal tenderness
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]
Mucopurulent endocervical discharge
Ref: Uptodate [ Acute uncomplicated cystitis in women]
Cervical motion tenderness #pelvic_peritonitis
Ref: Uptodate [ Acute uncomplicated cystitis in women] Uptodate [ Epidemiology, clinical manifestations, and diagnosis of tuboovarian abscess]

Lab / Serology

 Elevated vaginal secretions WBC
Note: eg, >15 to 20 WBCs per high power field or more WBCs than epithelial cells
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]
Elevated C-reactive protein
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]

Imagin Study

 Free pelvic fluid
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]
Thickened fluid-filled tubes
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]

Complication

 Fever #severe_PID
Ref: Uptodate [ Acute uncomplicated cystitis in women] Epocrates [ https://online.epocrates.com/diseases/19533/Pelvic-inflammatory-disease/History-Exam]
Complication tuboovarian abscess
Ref: Uptodate [ Acute appendicitis in adults: Clinical manifestations and diagnosis]
Decreased bowel sounds #severe_PID
Ref: Uptodate [ Pelvic inflammatory disease: Clinical manifestations and diagnosis]

Risk Factors

 Bacterial vaginosis
Ref: Uptodate [ Clinical features and diagnosis of pelvic inflammatory disease]
Vaginal douching
Ref: Uptodate [ Clinical features and diagnosis of pelvic inflammatory disease]
Pelvic inflammatory disease
Ref: Uptodate [ Clinical features and diagnosis of pelvic inflammatory disease]

Cause

Other