TABLE 3-18. DIAGNOSTIC CRITERIA FOR PID
| TABLE 3-18. DIAGNOSTIC CRITERIA FOR PID |
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Major diagnostic criteria Treat empirically for PID if all are present and no other causes are plausible: Lower abdominal tenderness Adnexal tenderness Cervical motion tenderness |
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Additional criteria These criteria help in differential diagnosis and increase the specificity of the diagnosis: Oral temperature > 38.3°C Abnormal cervical or vaginal discharge Elevated erythrocyte sedimentation rate Laboratory-documented N. gonorrhoeae or C. trachomatis cervical infection |
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Definitive criteria (selected cases) These criteria are based on findings consistent with PID delineated during additional testing when appropriate and available: Evidence of endometritis on biopsy Tuboovarian mass on transvaginal ultrasound or other imaging techniques Laparoscopic findings of PID |
| SOURCE: Sexually transmitted diseases in adolescents: Prevention, diagnosis, and treatment in pediatric practice. Adolescent Health Update 6:1-7, 1994. |