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<< Pelvic Inflammatory Disease: Diagnosis and Treatment in the Emergency Department (Pharmacology CME)

Emergency Department Evaluation

History

Historical findings that should prompt the emergency clinician to consider PID include abdominal pain, pelvic pain, low back pain, vaginal discharge, postcoital bleeding, intermenstrual bleeding, dyspareunia, or urinary symptoms, especially in a sexually active woman.32-35 A report of pleuritic right upper quadrant pain36 or right scapular pain may indicate the presence of Fitz-Hugh-Curtis syndrome, while left upper quadrant pain can be suggestive of perisplenitis.37 Systemic signs such as nausea, vomiting, chills, and fever are not typically seen and are concerning for complicated PID.30,38,39

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