Pelvic inflammatory disease physical examination: Difference between revisions

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{{Pelvic inflammatory disease}}
{{Pelvic inflammatory disease}}
{{CMG}}
{{CMG}}; {{AE}} {{MehdiP}}
 
==Overview==
==Overview==
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>
Common physical examination findings of PID include [[abdominal tenderness]] and [[cervical]]/[[adnexal]] motion tenderness. In more severe cases, [[fever]] and [[rebound tenderness]] may also be observed.
 
==Physical Examination==
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>
 
=== Appearance ===
Patient appearance is usually normal.
 
=== Vital signs ===
[[Fever]] in severe infections
 
=== Abdomen ===
[[Abdominal tenderness]] especially in lower abdomen


Decreased [[bowel sounds]]


A [[pelvic examination]] may show:
=== Genital ===
*A [[cervix]] that bleeds easily
*[[Cervical]] motion, [[uterine]], and [[adnexal]] tenderness on bimanual [[pelvic examination]]  
*[[Cervical]] discharge
*[[Purulent]] endocervical discharge and/or [[vaginal discharge]]
*[[Pain]] with movement of the [[cervix]]
*[[Tenderness]] in the [[uterus]] or [[ovaries]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}
{{WH}}
{{WS}}


{{Diseases of the pelvis, genitals and breasts}}
[[Category:Emergency mdicine]]
 
[[Category:Disease]]
[[nl:Eileiderontsteking]]
[[Category:Up-To-Date]]
[[pt:Doença inflamatória pélvica]]
 
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Gynecology]]
[[Category:Abdominal pain]]
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Latest revision as of 23:37, 29 July 2020

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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 and cervical/adnexal motion tenderness. In more severe cases, fever and rebound tenderness may also be observed.

Physical Examination

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

Appearance

Patient appearance is usually normal.

Vital signs

Fever in severe infections

Abdomen

Abdominal tenderness especially in lower abdomen

Decreased bowel sounds

Genital

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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