Pelvic Inflammatory Disease (PID) - CDC Criteria for Diagnosis
Minimum Criteria (at least one needed for diagnosis):
- Cervical motion tenderness
- Uterine tenderness
- Adnexal tenderness
Additional Criteria (support a diagnosis of PID)
- Oral temperature >101°F, or 38.3°C
- Abnormal vaginal or cervical discharge
- White blood cells on saline wet mount (>10 polymorphonuclear leukocytes per high-power field [101])
- Elevated erythrocyte sedimentation rate (> 15 mm/??)
- Elevated C-reactive protein,
- Elevated white blood cell count > 10,000 cells/mL
- Laboratory evidence of Neisseria gonorrhoaea or Chlamydia trachomatis infection
Definitive Criteria (confirm the diagnosis of PID)
- Histopathologic evidence of endometritis
- Imaging showing thickened, fluid-filled tubes, with or without pelvic free fluid or tubo-ovarian complex,
- Doppler studies suggesting pelvic infection,
- Intra-abdominal findings consistent with PID on laparoscopy
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