Pelvic Inflammatory Disease
Reproductive · ~7% of blueprint- Pathophysiology
- Ascending infection (often N. gonorrhoeae, C. trachomatis) → endometritis and salpingitis.
- Signs & Symptoms
- Lower abdominal/pelvic pain, cervical motion tenderness, discharge, fever, dyspareunia.
- Gold Standard Diagnosis
- Clinical (cervical motion / adnexal / uterine tenderness) + NAAT; laparoscopy if diagnosis unclear.
- First-line Treatment
- Ceftriaxone IM + doxycycline + metronidazole x 14 days; treat sex partners.
High-Yield Pearl
Cervical motion tenderness ('chandelier sign'), uterine or adnexal tenderness supports presumptive PID; untreated → infertility & ectopic risk.
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Sources
Reviewed September 2026- Sexually Transmitted Infections Treatment Guidelines, 2021 - Pelvic Inflammatory Disease (PID) — CDC, 2021
- StatPearls: Pelvic Inflammatory Disease — StatPearls Publishing / NCBI Bookshelf, 2026
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