Upper genital tract infection should be suspected in women with lower abdominal pain (see Upper genital tract infections).
Gynaecological examination should be routinely performed:
- Inspection of the vulva, speculum examination: check for purulent discharge or inflammation.
- Abdominal exam and bimanual pelvic exam: check for pain on mobilising the cervix.
If available, POCUS a Citation a. POCUS should only be performed and interpreted by trained clinicians. : perform FAST views to evaluate for free fluid and urological abnormalities. Perform pelvic views to evaluate for uterine and adnexal pathologies. Consult a gynaecologist (local or via telemedicine services).
- (a)POCUS should only be performed and interpreted by trained clinicians.