What is the clinical diagnosis of pelvic inflammatory disease?

In order to correctly treat the disease, the clinical diagnosis of pelvic inflammatory disease must be actively grasped. Only by grasping the clinical diagnosis basis of pelvic inflammatory disease can we help everyone to come up with accurate treatment methods, and then help everyone actively restore health. So what is the clinical diagnosis of pelvic inflammatory disease? Next, let's take a closer look.

Clinical diagnosis of pelvic inflammatory disease is based on:

Minimum criteria: cervical motion tenderness or uterine tenderness or adnexal tenderness.

Additional criteria: body temperature exceeding 38.3°C; abnormal mucopurulent secretions from the cervix or vagina; large numbers of white blood cells seen in images of 0.9% NaCl solution of vaginal secretions; increased erythrocyte sedimentation rate; increased blood C-reactive protein; laboratory-confirmed cervical gonorrhea or Chlamydia trachomatis positivity.

Specific criteria: Patients with a history of acute pelvic inflammatory disease and symptoms and signs usually have no difficulty in diagnosis. However, sometimes patients have more symptoms but no obvious history of pelvic inflammatory disease and positive signs. In this case, the diagnosis of chronic pelvic inflammatory disease must be cautious to avoid making a hasty diagnosis and causing mental burden to the patient. Sometimes pelvic congestion or varicose veins in the broad ligament can also produce symptoms similar to chronic inflammation. Chronic pelvic inflammatory disease and endometriosis are sometimes difficult to distinguish. Endometriosis causes more significant dysmenorrhea. If typical nodules can be felt, it will help with the diagnosis.

The clinical diagnosis of pelvic inflammatory disease is the prerequisite for correct treatment. Only by grasping the clinical diagnosis of pelvic inflammatory disease can we help everyone to get accurate diagnosis results, and then help everyone achieve the goal of actively treating pelvic inflammatory disease.