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The diagnosis of pelvic inflammatory disease is made clinically; no single test or study is sensitive or specific enough for a definitive diagnosis. Patients should be treated empirically. Most can be treated successfully with ceftriaxone or cefoxitin IM plus oral doxycycline. Am Fam Physician. 2012 Apr 15;85(8):791-796.    (retrieved May, 2012). There are currently 1090 pearls in the database. While every attempt has been made to ensure accuracy, mistakes can and do occur. Use databank at your own risk. All pearls © 2024 by the Internet Medical Association. Click Here to view more medical pearls.