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PANCE® is a registered trademark of the National Commission on Certification of Physician Assistants (NCCPA). This application is an independent study resource and is not affiliated with, sponsored by, or endorsed by the NCCPA.

For educational use only. Content is AI-generated, may contain errors, and is not medical advice — always verify against current primary sources and faculty guidance before clinical use.

Flashcards

Active recall over every profile. Pick a scope, reveal, and self-grade — “Again” sends a card back to the end of the deck.

Card 1 of 6
DiseaseReproductive

Pelvic Inflammatory Disease

Recall: Pathophysiology · S/Sx · Gold Standard Dx · First-line Tx · Pearl

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DiseaseReproductive

Pelvic Inflammatory Disease

Pathophysiology
Ascending infection (often N. gonorrhoeae, C. trachomatis) → endometritis and salpingitis.
S/Sx
Lower abdominal/pelvic pain, cervical motion tenderness, discharge, fever, dyspareunia.
Gold Standard Dx
Clinical (cervical motion / adnexal / uterine tenderness) + NAAT; laparoscopy if diagnosis unclear.
First-line Tx
Ceftriaxone + doxycycline (± metronidazole); treat sexual partners.

Cervical motion tenderness (the “chandelier sign”) suggests PID; untreated → infertility & ectopic risk.