Final answer:
Physical exam findings of Pelvic inflammatory disease (PID) typically include lower abdominal pain, vaginal discharge, fever, chills, nausea, dysuria, intermenstrual bleeding, and possibly signs of salpingitis.
Step-by-step explanation:
Physical Exam Findings of Pelvic Inflammatory Disease (PID)
Pelvic inflammatory disease (PID) is an infection of the female reproductive organs. It is most often caused by sexually transmitted pathogens, particularly Neisseria gonorrhoeae and Chlamydia trachomatis. A key physical examination finding associated with PID is lower abdominal pain. Additionally, patients may demonstrate vaginal discharge, fever, chills, nausea, and dysuria (painful urination).
In more advanced cases, signs of salpingitis may be present, which includes tenderness and possibly a mass palpable in the area of the fallopian tubes, indicating inflammation and possible scarring, which can lead to long-term consequences like infertility and increased risk of ectopic pregnancy.
Patients with PID can also present with intermenstrual bleeding, which is not associated with normal menstrual cycles, and can experience increased menstrual flow due to chronic infection. Additionally, rectal infection may occur, presenting with symptoms similar to those found in men, such as rectal pain and bleeding. PID is a serious condition requiring prompt medical attention to prevent serious health complications.