Diagnosis

A. Diagnostic criteria and guidelines. The index of suspicion for the clinical diagnosis of PID should be high, especially in adolescent women.

B. The CDC has recommended minimum criteria required for empiric treatment of PID. These major determinants include lower abdominal tenderness, adnexal tenderness, and cervical motion tenderness. Minor determinants (ie, signs that may increase the suspicion of PID) include:

1. Fever (oral temperature >101°F; >38.3°C)

2. Vaginal discharge

3. Documented STD

4. Erythrocyte sedimentation rate (ESR)

5. C-reactive protein

6. Systemic signs

7. Dyspareunia

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