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dc.contributor.authorFisher, Lloyd D.
dc.contributor.authorFletcher, Kenneth E.
dc.contributor.authorBlake, Diane R.
dc.date2022-08-11T08:10:09.000
dc.date.accessioned2022-08-23T16:57:25Z
dc.date.available2022-08-23T16:57:25Z
dc.date.issued2004-03-01
dc.date.submitted2011-11-30
dc.identifier.citationClin Pediatr (Phila). 2004 Mar;43(2):153-8.
dc.identifier.issn0009-9228 (Linking)
dc.identifier.pmid15024438
dc.identifier.urihttp://hdl.handle.net/20.500.14038/43135
dc.description<p>Medical student Lloyd Fisher participated in this study as part of the Senior Scholars research program at the University of Massachusetts Medical School.</p>
dc.description.abstractNow that urine-based tests are available for detection of Chlamydia and gonorrhea, we sought to determine whether history alone could be used to exclude pelvic inflammatory disease (PID) and thus preclude a bimanual examination. The study design was a retrospective chart review. The study population included females aged 15-24 years diagnosed with PID. Outcome measures were documentation of screening symptoms (abdominal pain, dyspareunia, or abnormal vaginal bleeding) in the medical record. Our primary analysis was sensitivity of screening symptoms for identifying patients with PID. At least 1 of the 3 screening symptoms was reported by 93% of the PID group. If absence of all 3 screening symptoms were used as a screening instrument to exclude a bimanual examination, many women with lower genital tract symptoms could be evaluated noninvasively. However, this approach could result in delayed diagnosis of PID in a small number of patients. Before this strategy is adopted, a large prospective study is needed.
dc.language.isoen_US
dc.relation<a href="http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=pubmed&cmd=Retrieve&list_uids=15024438&dopt=Abstract">Link to Article in PubMed</a>
dc.relation.urlhttp://dx.doi.org/10.1177/000992280404300204
dc.subjectAdolescent
dc.subjectAdult
dc.subjectAmbulatory Care Facilities
dc.subjectChlamydia Infections
dc.subjectEmergency Service, Hospital
dc.subjectFemale
dc.subjectGonorrhea
dc.subjectHumans
dc.subjectMedical Records
dc.subjectPelvic Inflammatory Disease
dc.subjectRetrospective Studies
dc.subjectBacterial Infections and Mycoses
dc.subjectFemale Urogenital Diseases and Pregnancy Complications
dc.subjectPediatrics
dc.titleCan the diagnosis of pelvic inflammatory disease be excluded without a bimanual examination
dc.typeJournal Article
dc.source.journaltitleClinical pediatrics
dc.source.volume43
dc.source.issue2
dc.identifier.legacycoverpagehttps://escholarship.umassmed.edu/peds_adolescent/7
dc.identifier.contextkey2380662
html.description.abstract<p>Now that urine-based tests are available for detection of Chlamydia and gonorrhea, we sought to determine whether history alone could be used to exclude pelvic inflammatory disease (PID) and thus preclude a bimanual examination. The study design was a retrospective chart review. The study population included females aged 15-24 years diagnosed with PID. Outcome measures were documentation of screening symptoms (abdominal pain, dyspareunia, or abnormal vaginal bleeding) in the medical record. Our primary analysis was sensitivity of screening symptoms for identifying patients with PID. At least 1 of the 3 screening symptoms was reported by 93% of the PID group. If absence of all 3 screening symptoms were used as a screening instrument to exclude a bimanual examination, many women with lower genital tract symptoms could be evaluated noninvasively. However, this approach could result in delayed diagnosis of PID in a small number of patients. Before this strategy is adopted, a large prospective study is needed.</p>
dc.identifier.submissionpathpeds_adolescent/7
dc.contributor.departmentSenior Scholars Program
dc.contributor.departmentDepartment of Psychiatry
dc.contributor.departmentDepartment of Pediatrics
dc.source.pages153-8


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