Pelvic inflammatory disease differential diagnosis
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Differentiating Pelvic Inflammatory Disease from other Diseases |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Pelvic inflammatory disease must be differentiated from ectopic pregnancy, ovarian torsion, ovarian tumor, ruptured ovarian cysts, appendicitis, and urinary tract infection.
Differentiating Pelvic inflammatory disease from other Diseases
- Appendicitis
- Ectopic pregnancy - a sensitive serum pregnancy test should be obtained to rule out ectopic pregnancy.
- Hemorrhagic ovarian cyst
- Ruptured ovarian cysts
- Myoma
- Ovarian torsion
- Ovarian tumor
- Septic abortion
- Urinary Tract Infection
- Twisted ovarian cyst
- Degeneration of a myoma
- Acute enteritis
- Urinary Tract Infection [1] [2]
Culdocentesis will differentiate hemoperitoneum (ruptured ectopic pregnancy or hemorrhagic cyst) from pelvic sepsis (salpingitis, ruptured pelvic abscess, or ruptured appendix).