Internal Medicine

Answer 1 Physical examination. According to the Centers for Disease Control and Prevention (CDC), the diagnosis of pelvic inflammatory disease (PID) is typically made by clinical examination, with minimum diagnostic criteria of lower abdominal, adnexal, and cervical motion tenderness.1 More extensive diagnostic procedures, including endometrial biopsy, transvaginal ultrasonography, and laparoscopy, are often advocated but seldom performed because of expense and patient discomfort. Endocervical cultures are beneficial for patients unresponsive to antibiotic agents. REFERENCE 1. 1998 guidelines for treatment of sexually transmitted diseases. Centers for Disease Control and Prevention. MMWR Recomm Rep 1998;47(RR-1):1-111. Click here to return to the questions

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