In pelvic inflammatory disease, the patient has symptoms of nausea, vomiting, and fever, lower abdominal pain, and dysuria; however, she most likely will also have an abnormal vaginal discharge and/or abnormal uterine bleeding, dyspareunia. On physical examination, the patient will have cervical motion tenderness and may have adnexal tenderness or even an adnexal mass. In this scenario, the patient has a normal pelvic exam without cervical motion tenderness, which makes the diagnosis of pelvic inflammatory disease less likely.
Ferri: Ferri's Clinical Advisor: Instant Diagnosis and Treatment, 2003 ed., Pelvic Inflammatory Disease. George T. Danakas M.D. Copyright © 2003 Mosby, Inc. pg. 613
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A Beginner's Guide to Healthy Pregnancy. If you suspect, or know, that you are pregnant, we ho pe you have already visited your doctor. Presuming that you have confirmed your suspicions and that this is your first child, or that you wish to take better care of yourself d uring pregnancy than you did during your other pregnancies; you have come to the right place.