Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
13
pubmed:dateCreated
2007-5-2
pubmed:abstractText
In the revised guideline of the Dutch College of General Practitioners on pelvic inflammatory disease (PID), 5 criteria must be met to establish the diagnosis: (a) non-acute lower abdominal pain; (b) pain on upward movement or adnexal tenderness during vaginal touch; (c) painful or swollen adnexae; (d) ESR > or = 15 mm in the 1st hour or a temperature > 38 degrees C, and (e) no indications for other diseases, such as appendicitis or an extra-uterine pregnancy. Treatment is started when all criteria are met. In case ofuncertainty, the patient should be referred to a gynaecologist. In quite a few patients, however, the accumulated certainty obtained by a general practitioner from the 5 criteria still leaves room for doubt about the right moment for referral. Another potential weak point in this otherwise very practicable guideline is that the start of treatment in young women of childbearing age, in whom this disease is most prevalent, could well have been recommended at an earlier stage.
pubmed:commentsCorrections
pubmed:language
dut
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
0028-2162
pubmed:author
pubmed:issnType
Print
pubmed:day
31
pubmed:volume
151
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
730-1
pubmed:dateRevised
2007-11-15
pubmed:meshHeading
pubmed:year
2007
pubmed:articleTitle
[The practice guideline 'pelvic inflammatory disease' (first revision) from the Dutch College of General Practitioners; a response from the perspective of general practice].
pubmed:affiliation
j.belo@erasmusmc.nl
pubmed:publicationType
Journal Article, English Abstract