Pelvic inflammatory disease other diagnostic studies: Difference between revisions
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==Overview== | ==Overview== | ||
Laparoscopic identification is helpful in diagnosing tubal disease, 65-90% [[positive predictive value]] in patients with presumed PID | Laparoscopic identification is helpful in diagnosing tubal disease, 65-90% [[positive predictive value]] in patients with presumed PID. Regular [[Sexually Transmitted Disease|Sexually transmitted disease (STD)]] testing is important for prevention. Treatment is usually started [[empirical|empirically]] because of the terrible complications. Definitive criteria include: [[histopathologic]] evidence of [[endometritis]], thickened filled fallopian tubes, or laparoscopic findings. Gram-stain/smear becomes important in identification of rare and possibly more serious organisms. A sensitive serum pregnancy test should be obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured [[ectopic pregnancy]] or hemorrhagic [[cyst]]) from pelvic sepsis ([[salpingitis]], ruptured [[pelvic abscess]], or ruptured [[appendix]]). | ||
==References== | ==References== | ||
Revision as of 18:45, 7 December 2012
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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 other diagnostic studies On the Web |
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American Roentgen Ray Society Images of Pelvic inflammatory disease other diagnostic studies |
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Pelvic inflammatory disease other diagnostic studies in the news |
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Blogs on Pelvic inflammatory disease other diagnostic studies |
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Risk calculators and risk factors for Pelvic inflammatory disease other diagnostic studies |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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Overview
Laparoscopic identification is helpful in diagnosing tubal disease, 65-90% positive predictive value in patients with presumed PID. Regular Sexually transmitted disease (STD) testing is important for prevention. Treatment is usually started empirically because of the terrible complications. Definitive criteria include: histopathologic evidence of endometritis, thickened filled fallopian tubes, or laparoscopic findings. Gram-stain/smear becomes important in identification of rare and possibly more serious organisms. A sensitive serum pregnancy test should be obtained to rule out ectopic pregnancy. Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix).