Approach to acute pelvic pain (GYN) Quiz: Ace Your Exams
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A 21-year-old woman presents to the student health clinic for evaluation of one week of mild to moderate pelvic pain. The pain is worse during intercourse and is associated with vaginal spotting after intercourse. The patient has also noted bleeding between periods. She has been sexually active with three biologically male partners over the last month. Temperature is 37.0°C (98.6°F), pulse is 72/min, respiratory rate is 18/min, and blood pressure is 120/78 mmHg. Mild generalized pelvic tenderness is noted on abdominal palpation without rebound or guarding. Chaperoned pelvic examination reveals mucopurulent cervical discharge with cervical motion tenderness on bimanual examination. Urine hCG test is negative. Which of the following is necessary to diagnose the most likely underlying condition?
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