Pelvic inflammatory disease physical examination: Difference between revisions

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==Overview==
Common physical examination findings of PID include abdominal tenderness, cervical and adnexal motion tenderness. In more severe cases, fever and rebound tenderness are another findings.
==Physical Examination==
==Physical Examination==
If symptoms such as lower abdominal pain are present, a health care provider should perform a physical examination to determine the nature and location of the pain and check for fever, abnormal vaginal or cervical discharge, and for evidence of gonorrheal or chlamydial infection. If the findings suggest PID, treatment is necessary.
Common physical examination findings of PID include<ref name="pmid25992748">{{cite journal |vauthors=Brunham RC, Gottlieb SL, Paavonen J |title=Pelvic inflammatory disease |journal=N. Engl. J. Med. |volume=372 |issue=21 |pages=2039–48 |year=2015 |pmid=25992748 |doi=10.1056/NEJMra1411426 |url=}}</ref><ref name="pmid27107781">{{cite journal |vauthors=Ford GW, Decker CF |title=Pelvic inflammatory disease |journal=Dis Mon |volume=62 |issue=8 |pages=301–5 |year=2016 |pmid=27107781 |doi=10.1016/j.disamonth.2016.03.015 |url=}}</ref>  
 
*Abdominal tenderness especially in lower abdomen
A large mulitsite U.S. study found that cervical motion tenderness as a minimum clinical criterion increases the sensitivity of the [[Centers for Disease Control and Prevention|CDC]] diagnostic criteria from 83% to 95%. However, even the modified 2002 CDC criteria does not identify women with subclinical disease.<ref name="pmid17343812">{{cite journal |author=Blenning CE, Muench J, Judkins DZ, Roberts KT |title=Clinical inquiries. Which tests are most useful for diagnosing PID? |journal=J Fam Pract |volume=56 |issue=3 |pages=216–20 |year=2007|pmid=17343812 |doi=}}</ref>
*Cervical motion, uterine, and adnexal tenderness on bimanual pelvic examination
A [[pelvic examination]] may show:
*Purulent endocervical discharge and/or vaginal discharge
*[[Cervix]] that bleeds easily
*Rebound tenderness, fever, and decreased bowel sounds in more sever cases
*[[Cervical]] discharge
*[[Pain]] with movement of the [[cervix]]
*[[Tenderness]] in the [[uterus]] or [[ovaries]]
 
==References==
==References==
{{reflist|2}}
{{reflist|2}}
[[Category:Needs content]]
[[Category:Disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Abdominal pain]]
[[Category:Sexually transmitted diseases]]
[[Category:Needs overview]]
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Revision as of 18:44, 20 October 2016

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Seyedmahdi Pahlavani, M.D. [2]

Overview

Common physical examination findings of PID include abdominal tenderness, cervical and adnexal motion tenderness. In more severe cases, fever and rebound tenderness are another findings.

Physical Examination

Common physical examination findings of PID include[1][2]

  • Abdominal tenderness especially in lower abdomen
  • Cervical motion, uterine, and adnexal tenderness on bimanual pelvic examination
  • Purulent endocervical discharge and/or vaginal discharge
  • Rebound tenderness, fever, and decreased bowel sounds in more sever cases

References

  1. ↑ Brunham RC, Gottlieb SL, Paavonen J (2015). "Pelvic inflammatory disease". N. Engl. J. Med. 372 (21): 2039–48. doi:10.1056/NEJMra1411426. PMID 25992748.
  2. ↑ Ford GW, Decker CF (2016). "Pelvic inflammatory disease". Dis Mon. 62 (8): 301–5. doi:10.1016/j.disamonth.2016.03.015. PMID 27107781.

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