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Sexually Transmitted Diseases
Introduction Contents Post-Test References Go To Presenter Info


Section 1
Section 2
Section 3

- Topics
- Introduction
- Objectives
- Approaches
- Laboratory
- Clinical
- Syndromic
- Syndromic
- Strengths
- Weaknesses
- Accuracy
- Genital Ulcer
- Algorithm
- Urethral
- Algorithm
- Vaginal
- Vaginitis
- Cervicitis
- Algorithms
- Algorithms
- Algorithms
- Abdominal
> Algorithm
- Algorithm
- Other Issues
- Treatment
- Screening
- The Four Cs
- Resources
- HIV Testing
- Vaccination
- Preliminary
- Summary


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Section 3 - STD Management

Lower Abdominal Pain: Algorithm

Lower Abdominal Pain: Algorithm diagram

Slide 71

When a woman complains of lower abdominal pain, the provider uses the lower abdominal pain algorithm. If she complains of both lower abdominal pain and vaginal discharge, the provider still uses the lower abdominal pain algorithm since it can determine if a potentially life-threatening condition is present. This slide shows one possible algorithm to use with this syndrome.

Before deciding if a woman should be treated for PID, a provider must first determine if the abdominal pain indicates another condition that requires immediate surgical attention. The provider takes a history and does a physical exam, checking specifically for abdominal tenderness. The provider should see if there is increased tenderness when pressing and quickly releasing muscles in the abdominal area, called “rebound tenderness.” This rebound tenderness may be a sharp pain, more distinctive than the general pain of the presenting symptom. Rebound tenderness may indicate a serious, life-threatening complication, such as ectopic pregnancy; complications from delivery, miscarriage or abortion; appendicitis; or some other acute condition.

If the woman has rebound tenderness, the provider should refer her immediately for evaluation to a facility with surgical capabilities and trained specialists. Referral may be difficult in some areas.

If the woman does not appear to need immediate surgical evaluation, the provider moves to the next step in the algorithm, to identify whether she has PID.



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