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[[CDC]] has developed a diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.
[[CDC]] has developed a diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.


 
{| style="border: 0px; font-size: 120%; margin: 3px;" align=center
{| class="wikitable"
|+
! colspan="4" | Minimum diagnostic criteria  
! style="background: #4479BA; width: 500px;" | {{fontcolor|#000|Minimum diagnostic criteria
(at least 1 must be present)
(at least 1 must be present)}}
! colspan="5" | Additional diagnostic criteria (at least 1 must be present),
! style="background: #4479BA; width: 500px;" | {{fontcolor|#000|Additional diagnostic criteria
increases specificity
(at least 1 must be present), increases specificity}}
! colspan="2" | Definitive diagnostic criteria
! style="background: #4479BA; width: 500px;" | {{fontcolor|#000|Definitive diagnostic criteria}}
|-
|-
| colspan="4" | Cervical motion tenderness
| style="padding: 10px 10px; background: #F5F5F5;" |
| colspan="5" | Oral temperature > 101F (> 38.3C)
*Cervical motion tenderness
| rowspan="2" colspan="2" | Endometrial biopsy with histopathological evidence of endometritis
*Uterine tenderness
*Adnexal Tenderness
| style="padding: 10px 10px; background: #F5F5F5;" |
*Oral temperature > 101F (> 38.3C)  
*Abnormal cervical mucopurulent discharge or cervical friability
*Presence of abundant numbers of WBC on saline microscopy of vaginal fluid
*Elevated erythrocyte sedimentation rate
*Elevated C-reactive protein
*Laboratory documentation of cervical infection N. gonorrhoeae or C. trachomatis
| style="padding: 10px 10px; background: #F5F5F5;" |
*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
*Laporoscopic findings consistent with PID
|-
|-
| colspan="4" | Uterine tenderness
| colspan="5" | Abnormal cervical mucopurulent discharge or cervical friability
|-
| rowspan="5" colspan="4" | Adnexal Tenderness
| colspan="5" | Presence of abundant numbers of WBC on saline microscopy of vaginal fluid
| rowspan="3" colspan="2" | 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)
|-
| colspan="5" | Elevated erythrocyte sedimentation rate
|-
| colspan="5" | Elevated C-reactive protein
|-
| rowspan="2" colspan="5" | Laboratory documentation of cervical infection,N. gonorrhoeae,or,C. trachomat
| rowspan="2" colspan="2" | Laporoscopic findings consistent with PID
|}
|}


Revision as of 19:49, 20 October 2016

Pelvic inflammatory disease Microchapters

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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]

Diagnostic Criteria

CDC has developed a diagnostic criteria for prompt treatment of PID based on clinical manifestations to minimize its sequelae.

Minimum diagnostic criteria

(at least 1 must be present)

Additional diagnostic criteria

(at least 1 must be present), increases specificity

Definitive diagnostic criteria
  • Cervical motion tenderness
  • Uterine tenderness
  • Adnexal Tenderness
  • Oral temperature > 101F (> 38.3C)
  • Abnormal cervical mucopurulent discharge or cervical friability
  • Presence of abundant numbers of WBC on saline microscopy of vaginal fluid
  • Elevated erythrocyte sedimentation rate
  • Elevated C-reactive protein
  • Laboratory documentation of cervical infection N. gonorrhoeae or C. trachomatis
  • 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
  • Laporoscopic findings consistent with PID

References

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