Browse categories and answer follow-up questions to refine your symptom profile.
Triage and immediate priorities
Initial stabilization
If hypotension, altered mental status, or respiratory distress, resuscitation bay
If septic shock physiology, sepsis pathway activation
If MAP < 65 mm Hg after fluids, initiate vasopressor support
If lactate elevated, serial reassessment and source control planning
If severe pain with guarding or rebound, immediate surgical and gynecology notification
Key time critical decision points
Immediate rule outs
Pregnancy status before attributing to PID
If pregnancy positive with pain or bleeding, ectopic pregnancy pathway
If pregnancy positive with fever, septic abortion consideration
Ovarian torsion consideration
If sudden unilateral severe pain, urgent pelvic ultrasound with Doppler
If high suspicion despite imaging, gynecology consultation without delay
Ruptured tubo-ovarian abscess consideration
If peritoneal signs or shock, urgent imaging and operative planning
Early empiric therapy triggers
Empiric PID treatment thresholds
Pelvic or lower abdominal pain with no alternative diagnosis and cervical motion tenderness
Pelvic or lower abdominal pain with no alternative diagnosis and uterine tenderness
Pelvic or lower abdominal pain with no alternative diagnosis and adnexal tenderness
If severe illness, inpatient parenteral regimen
Monitoring and reassessment
Reassessment cadence
Pain trajectory after analgesia
Vital sign trend for tachycardia and fever curve
If no clinical improvement by 48 to 72 hours, broaden workup for TOA or alternative diagnosis
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.