Tubo-ovarian abscess
Hemodynamically unstable, TOA > 9 cm, postmenopausal, outpatient failure --> admit for surgical or VIR drainage
Fitz-Hugh-Curtis
Pregnancy
Sepsis/Peritonitis
Unable to tolerate PO
Failed outpatient treatment
Hemodynamically unstable, TOA > 9 cm, postmenopausal, outpatient failure --> admit for surgical or VIR drainage
72hr follow up
Instruct patient to abstain from sex or adhere strictly to condom use until partner treatment and symptoms have abated
HIV+ is not an automatic criteria for admission, consider overall clinical impression
Pelvic inflammatory disease
Pelvic origin
Cervicitis
Acute cystitis
Prostatitis
Ectopic
Ovarian torsion
Epididymitis