Introduction: Understanding the differential diagnosis of lower abdominal pain is complex, especially with an adolescent patient. We created this problem-based learning (PBL) exercise to facilitate teaching about pelvic inflammatory disease (PID) in an adolescent during a 1-hour rounds-type format within a clinical curriculum. Methods: This resource contains a facilitator guide that outlines the case and provides question prompts which may be used to guide the students’ experience of the case. A learner version of the case and a handout containing useful reference information are also provided. This group works through each page followed by a very short summary of the learning points that are on the facilitator copy. It is important that the facilitator has a basic understanding of talking with adolescents and is comfortable with the PBL format. The diagnosis and treatment for PID is based on 2006 CDC Guidelines. Results: This case has been used multiple times. No formal studies have been done, but it has been used multiple times with a pediatric inpatient team made up of multiple levels of learners. Informal feedback has been uniformly positive supporting that the case is realistic, useful, and practical. Discussion: This case is appropriate for both undergraduate and graduate medical education settings and has been successful when utilized with a pediatric inpatient team made up of multiple levels of learners. While used in a rounds-type format it can be adapted to other PBL or case-based formats.
By the end of this session, learners will be able to:
- Demonstrate understanding of differential diagnosis of lower abdominal pain.
- Describe how to diagnose pelvic inflammatory disease (PID).
- Formulate a plan to treat a patient with PID.
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