Start with a free account for 3 free CME credits. Already a subscriber? Sign in.

Pelvic Inflammatory Disease

Jenny Beck-Esmay, MD and Mike Weinstock, MD
00:00
24:27
Sign in or subscribe to listen

No me gusta!

The flash player was unable to start. If you have a flash blocker then try unblocking the flash content - it should be visible below.

One million cases of PID per year in the US with long term sequelae include infertility, increased risk of ectopic pregnancy, chronic pain. Risk factors include multiple sexual partners, history of STDs, and IUD use.

To view chapter written summaries, you need to subscribe.

Sign up today for full access to all episodes.

Tabor D., PA-C -

Thank you for this case. If someone refuses a pelvic exam, but reports she's sexually active, has lower abdominal pain, vaginal discharge and has dyspareunia, I might just treat the patient for PID and refer to OBGYN for follow up and give discharge instructions. If they also had fever and tachycardia it would make me concerned and most likely I would send to the ER. In this particular case I didn't hear any conversation about sexual activity and dyspareunia. One thing I've learned from Urgent Care Rap and Dr. Weinstock, is if someone returns and is not better with the treatment is to consider other diagnoses and be mindful of diagnosis momentum, which I never heard of until I listened to this podcast.

Mike W., MD -

ha ha, yes it is true to consider this. And yes, if it is a Weinstock case and they bounceback, it is not usually good!
Here is the reference for diagnosis momentum as well as other CDRs:
Croskerry, P. Achieving quality in clinical decision making: Cognitive strategies and detection of bias. Acad Emerg Med 2002;9:1184

Mike W., MD -

ha ha, yes it is true to consider this. And yes, if it is a Weinstock case and they bounceback, it is not usually good!
Here is the reference for diagnosis momentum as well as other CDRs:
Croskerry, P. Achieving quality in clinical decision making: Cognitive strategies and detection of bias. Acad Emerg Med 2002;9:1184

To join the conversation, you need to subscribe.

Sign up today for full access to all episodes and to join the conversation.

To download files, you need to subscribe.

Sign up today for full access to all episodes.
April Showers, Syncope & Sprains Full episode audio for MD edition 216:18 min - 101 MB - M4AUrgent Care RAP April 2019 Written Summary 340 KB - PDF

To earn CME for this chapter, you need to subscribe.

Sign up today for full access to all episodes and earn CME.

0.25 Free AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate

3.25 AMA PRA Category 1 Credits™ certified by Hippo Education

  1. Complete Quiz
  2. Complete Evaluation
  3. Print Certificate