Pelvic inflammatory disease: Difference between revisions

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== Investigations ==
 
== Investigations ==
 
* β-hCG to rule out ectopic pregnancy
 
* β-hCG to rule out ectopic pregnancy
* Endocarvical swabs for gonorrhea and chlamydia, and possibly HSV
+
* Endocarvical swabs for [[gonorrhea]] and [[chlamydia]], and possibly HSV
 
* Vaginal swabs for culture, pH, whiff testing, wet preps, and Gram stain
 
* Vaginal swabs for culture, pH, whiff testing, wet preps, and Gram stain
 
* Ultrasound can be helpful, especially for tuboovarian abscess
 
* Ultrasound can be helpful, especially for tuboovarian abscess

Revision as of 15:38, 11 November 2019

  • Upper genital tract infection in women that involves a combination of endometrium, fallopian tubes, and peritoneum

Background

Microbiology

Epidemiology

  • About 10-15% of women have at least one episode

Clinical Presentation

  • Pelvic or abdominal pain is the main complaint
  • May be febrile and have adnexal, uterine, or cervical motion tenderness
  • Must rule out an ectopic pregnany
  • May present with tuboovarian abscess

Investigations

  • β-hCG to rule out ectopic pregnancy
  • Endocarvical swabs for gonorrhea and chlamydia, and possibly HSV
  • Vaginal swabs for culture, pH, whiff testing, wet preps, and Gram stain
  • Ultrasound can be helpful, especially for tuboovarian abscess

Management

Further Reading

References

  1. ^  Harold C Wiesenfeld, Leslie A Meyn, Toni Darville, Ingrid S Macio, Sharon L Hillier. A Randomized Controlled Trial of Ceftriaxone and Doxycycline, With or Without Metronidazole, for the Treatment of Acute Pelvic Inflammatory Disease. Clinical Infectious Diseases. 2020;72(7):1181-1189. doi:10.1093/cid/ciaa101.