Prior to performing a laparoscopy, a patient exhibiting which of the following clinical manifestations would be treated with oral antibiotic therapy for suspected pelvic inflammatory disease (PID)? Select all that apply
A)
Lower abdominal pain.
B)
Tenderness when cervix is touched during bimanual exam.
C)
Feeling of fullness and bloating in abdomen.
D)
Purulent cervical drainage noted on tissue after voiding.
E)
Elevated white cell count.
Ans:
A, B, D, E
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The symptoms of PID include lower abdominal pain, which may start just after a menstrual period; dyspareunia; back pain; purulent cervical discharge; adnexal tenderness; and cervical motion tenderness on bimanual examination with no other apparent cause. Fever, increased erythrocyte sedimentation rate, and elevated WBC are commonly seen.
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