Pelvic inflammatory disease physical examination
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
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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.
A large mulitsite U.S. study found that cervical motion tenderness as a minimum clinical criterion increases the sensitivity of the CDC diagnostic criteria from 83% to 95%. However, even the modified 2002 CDC criteria does not identify women with subclinical disease.[1] A pelvic examination may show:
- Cervix that bleeds easily
- Cervical discharge
- Pain with movement of the cervix
- Tenderness in the uterus or ovaries