Pelvic examination should do what?

　　(1) secretion samples for direct smear vaginal, cervical secretions, or urethral discharge, or peritoneal fluid (via the posterior vaginal fornix, abdominal, or laparoscopic access), so direct thin smear, after drying Methylene blue or Gram stain. Where PMN double within the gram-negative bacteria to see who was infected with gonorrhea. Because cervical gonococcal detection rate of only 67%, so other than gonorrhea smear-negative and can not be there, but positive smear is very specific. Microscopic examination of Chlamydia trachomatis monoclonal antibody fluorescein dye can be used, where the observed fluorescence microscope flashing dots of a star as the positive.
　　(2) the pathogens isolated from patients Ibid, immediately or in the 30s will be inoculated in the Thayer-Martin medium, 35 ℃ incubator training set 48h, in order to identify bacteria glycolysis. The new determination of the relative speed of Chlamydia enzyme instead of the traditional detection methods chlamydia, can also be used on mammalian cell culture for Chlamydia trachomatis antigen detection, the legal systems of enzyme-linked immunosorbent assay. The average sensitivity of 89.5%, and 98.4% specificity.
　　Bacterial culture can also be other strains of aerobic and anaerobic bacteria, and as the basis for selection of antibiotics.
　　(3) the posterior fornix fornix puncture after puncture of gynecologic acute abdomen is the most common and valuable diagnostic methods. Through the puncture, and the resulting nest abdominal contents or the contents of the uterus rectum, such as the normal peritoneal fluid, blood (fresh, stale, coagulation wire, etc.), purulent secretions or pus, so diagnosis can be further defined, Microscopic examination of biopsy material and culture are essential.
　　(4) is mainly B-type ultrasonic inspection or gray-scale ultrasound scanning, photo films, the technology for identification from the fallopian tube, ovarian and bowel adhesion formation with the mass or abscess, 85% of accuracy. However, pelvic inflammatory disease with mild or moderate degree of difficulty in B mode ultrasound images showed features.
　　(5) laparoscopy, if not diffuse peritonitis is still generally good, laparoscopy or suspected PID in PID and other acute abdomen to patients, laparoscopy was not only the diagnosis and differential diagnosis can also pelvic inflammatory disease extent preliminary determination.
　　(6) examination of male partners of women that contribute to the diagnosis of pelvic inflammatory disease. Desirability of their male partners to make a direct smear of urethral discharge Gonococcus staining or culture, if found positive, it is the strongest evidence, especially in the asymptomatic or the symptoms of mild to severe. Or more of the white blood cells can be found. If PID patients of all men with untreated, regardless of whether they had symptoms of urethritis, then obviously the reduction of recurrence is very significant.