Pelvic inflammatory disease diagnostic criteria: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pelvic inflammatory disease}} | {{Pelvic inflammatory disease}} | ||
{{CMG}};{{AE}}{{MehdiP}} | {{CMG}}; {{AE}} {{MehdiP}} | ||
==Diagnostic Criteria== | ==Diagnostic Criteria== | ||
[[CDC]] has developed a diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae. | The [[CDC]] has developed a set of diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.<ref name="pmid26042815">{{cite journal |vauthors=Workowski KA, Bolan GA |title=Sexually transmitted diseases treatment guidelines, 2015 |journal=MMWR Recomm Rep |volume=64 |issue=RR-03 |pages=1–137 |year=2015 |pmid=26042815 |doi= |url=}}</ref> | ||
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! style="background: #4479BA; width: 500px;" | {{fontcolor|# | ! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Minimum diagnostic criteria | ||
(at least 1 must be present)}} | (at least 1 must be present)}} | ||
! style="background: #4479BA; width: 500px;" | {{fontcolor|# | ! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Additional diagnostic criteria | ||
(at least 1 must be present), increases specificity}} | (at least 1 must be present), increases specificity}} | ||
! style="background: #4479BA; width: 500px;" | {{fontcolor|# | ! style="background: #4479BA; width: 500px;" | {{fontcolor|#FFFFFF|Definitive diagnostic criteria}} | ||
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*Cervical motion tenderness | *[[Cervical motion tenderness]] | ||
*Uterine tenderness | *[[Uterine]] tenderness | ||
*Adnexal Tenderness | *[[Adnexal]] Tenderness | ||
| style="padding: 10px 10px; background: #F5F5F5;" | | | style="padding: 10px 10px; background: #F5F5F5;" | | ||
*Oral temperature > | *Oral temperature >101°F (>38.3°C) | ||
*Abnormal cervical mucopurulent discharge or cervical friability | *Abnormal cervical [[mucopurulent discharge]] or cervical friability | ||
*Presence of abundant numbers of WBC on saline microscopy of vaginal fluid | *Presence of abundant numbers of [[White blood cells|WBC]] on saline microscopy of vaginal fluid | ||
*Elevated erythrocyte sedimentation rate | *Elevated [[erythrocyte sedimentation rate]] | ||
*Elevated C-reactive protein | *Elevated [[C-reactive protein]] | ||
*Laboratory documentation of cervical infection N. gonorrhoeae or C. trachomatis | *Laboratory documentation of cervical infection ([[N. gonorrhoeae]] or [[C. trachomatis]]) | ||
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*Endometrial biopsy with histopathological evidence of endometritis | *[[Endometrial biopsy]] with histopathological evidence of [[endometritis]] | ||
*Transvaginal ultrasound or MRI showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or doppler studies suggesting pelvic infection (e.g., tubal hyperemia | *[[Transvaginal ultrasound]] or [[MRI]] showing thickened, fluid-filled tubes with or without free pelvic fluid or tubo-ovarian complex, or [[doppler]] studies suggesting pelvic infection (e.g., tubal [[Hyperaemia|hyperemia]]) | ||
*Laporoscopic findings consistent with PID | *Laporoscopic findings consistent with PID | ||
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*The minimum diagnostic criteria are intended to have a high [[sensitivity]] with the goal of detecting as many cases of PID as possible. | |||
*Additional criteria support the diagnosis of PID with greater [[specificity]], while definitive criteria confirm the diagnosis.<ref name="pmid26042815">{{cite journal |vauthors=Workowski KA, Bolan GA |title=Sexually transmitted diseases treatment guidelines, 2015 |journal=MMWR Recomm Rep |volume=64 |issue=RR-03 |pages=1–137 |year=2015 |pmid=26042815 |doi= |url=}}</ref> | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
{{WH}} | |||
{{WS}} | |||
[[Category: | [[Category:Emergency mdicine]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Up-To-Date]] | |||
[[Category:Infectious disease]] | [[Category:Infectious disease]] | ||
[[Category:Gynecology]] | [[Category:Gynecology]] | ||
Latest revision as of 23:37, 29 July 2020
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Pelvic inflammatory disease Microchapters |
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Differentiating Pelvic Inflammatory Disease from other Diseases |
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Diagnosis |
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Treatment |
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Case Studies |
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Pelvic inflammatory disease diagnostic criteria On the Web |
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American Roentgen Ray Society Images of Pelvic inflammatory disease diagnostic criteria |
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Risk calculators and risk factors for Pelvic inflammatory disease diagnostic criteria |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]
Diagnostic Criteria
The CDC has developed a set of diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.[1]
| Minimum diagnostic criteria
(at least 1 must be present) |
Additional diagnostic criteria
(at least 1 must be present), increases specificity |
Definitive diagnostic criteria |
|---|---|---|
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- The minimum diagnostic criteria are intended to have a high sensitivity with the goal of detecting as many cases of PID as possible.
- Additional criteria support the diagnosis of PID with greater specificity, while definitive criteria confirm the diagnosis.[1]