The chapter aims to review differential diagnoses of an adolescent female with abdominal pain. It will examine risk factors in the adolescent to diagnose and treat different etiologies of abdominal and pelvic pain. Pregnancy, sexually transmitted infections, and long-term fertility preservation are vital components in these evaluations. Pelvic inflammatory disease is a clinical diagnosis of exclusion and requires a low threshold for treatment. CDC diagnostic and treatment guidelines in this population will be reviewed, as well as recommendations for follow-up. Providing comprehensive care including addressing issues of confidentiality and access to healthcare services will allow providers to impact long-term outcomes among youth.
KeywordsPelvic inflammatory disease (PID) Cervical motion tenderness (CMT) Pelvic pain Abdominal pain Adolescent Sexually transmitted infections Bacterial vaginosis Intrauterine device (IUD)
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