EM Cases · Pelvic inflammatory disease
Lower abdominal pain and cervical motion tenderness — treat now, β-hCG first
ACEM Fellowship gynae-EM station on CDC minimum criteria, empiric dual therapy + metronidazole, admission criteria, and TOA pathway.
On this page
Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
Sexually active woman with bilateral adnexal tenderness, discharge, fever; urine β-hCG negative.
Stem
All persons, presentations and observations in this station are fictional and invented for teaching assessment; they do not describe a real person.
References3ShowHide
- [1]Workowski KA, Bachmann LH, Chan PA, et al. Sexually Transmitted Infections Treatment Guidelines, 2021. MMWR Recommendations and Reports, 2021.PMID 34292926
- [2]Ross J, Guaschino S, Cusini M, et al. 2017 European guideline for the management of pelvic inflammatory disease. International Journal of STD and AIDS, 2018.PMID 29198181
- [3]Ness RB, Soper DE, Holley RL, et al. Effectiveness of inpatient and outpatient treatment strategies for women with pelvic inflammatory disease: results from the Pelvic Inflammatory Disease Evaluation and Clinical Health (PEACH) randomized trial. American Journal of Obstetrics and Gynecology, 2002.PMID 12015517