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Pelvic Inflammatory Disease: Likelihood Ratios

Introduction: Infection of the internal female genital organs.

50% from Chlamydia trachomatis. Others: Neisseria gonorrheae, mycoplasma, etc.

[Edit Diagnosis] [Merge dx] [Add prevalence]

Tags: Infection Tag this Diagnosis.

The likelihood ratios of findings for Pelvic Inflammatory Disease are listed below. See the left navigation bar to change the display.

Blood Test

Finding +LR-LR Comments, Study
Elevated ESR Edit 1.60.4

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

Leukocytosis Edit 0.81.3

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

History

Finding +LR-LR Comments, Study
Emesis Edit 1.21

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Imaging

Finding +LR-LR Comments, Study
Abdominal MRI Edit 13.60.1

note: small series

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

Abdominal US Edit Sensitivity = 78%

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

Physical Exam

Finding +LR-LR Comments, Study
Adnexal tenderness Edit 11.2

in 61 women with non-specific lower abdominal pain

Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310

Cervical motion tenderness Edit 1.10.9

in 61 women with non-specific lower abdominal pain

Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310

hearing loss Edit 1.30.8

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Rebound Edit 2.50.8

in 61 women with non-specific lower abdominal pain.

Study:

Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310

Renal

Finding +LR-LR Comments, Study
hearing loss Edit 1.30.8

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Vital Signs

Finding +LR-LR Comments, Study
hearing loss Edit 1.30.8

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Untagged

Finding +LR-LR Comments, Study
Adnexal Mass Edit 1.70.7

palpable

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Menstrual Irregularity Edit 11

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Nuclear WBC Scan Edit 6.30.1

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

Proctitis Symptoms Edit 1.31

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Purulent endocervical secretion Edit 3.30.8

in 61 women with non-specific lower abdominal pain.

Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310

Transvaginal US Edit 1.70.3

NOTE: very large CI for specificity (5-100%)!

Study: J Infect. 2000 Jan;40(1):31-41. PMID: 10762109

Vaginal Bleeding Edit 1.11

Study: Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128

Vaginal discharge Edit 1.50.8

in 61 women with non-specific lower abdominal pain.

Another meta-analysis gave 74%/24%.

Study: Infect Dis Obstet Gynecol. 2002;10(4):171-80; PMID: 12648310

Sex Transm Infect. 2003 Dec;79(6):491-4. PMID: 14663128