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.

Sources

Reviewed September 2026

Checked against the guideline or standard reference the exam keys to. If it has moved, use Report an error below.