I simply apply to this to the benefit/risk ratio. There will be no benefit or change to your treatment by exposing and assessing, that is barring imminent delivery or profuse hemorrhage. I have transported women in the past with complaints of vaginal pain with a known diagnosis of PID. I believe it is appropriate to give supportive care and give report to receiving hospital of signs and symptoms. The negative or risk would be that you are setting yourself up for customer complaints and possible lawsuits.
