Sexually transmitted infections Quiz: Ace Your Exams
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A 22-year-old woman comes to the emergency room with a fever, chills, and abdominal pain that began this morning. Two months ago, she was diagnosed with a herpes simplex genital infection and treated with valacyclovir. She is sexually active and has multiple sexual partners. She uses condoms inconsistently. Her last menstrual period was four weeks ago. She has not received the human papillomavirus vaccination series. Family history is noncontributory. Temperature is 38.3°C (100.9°F), pulse is 100/min, respirations are 20/min, and blood pressure is 120/75 mmHg. BMI is 32 kg/m2. Speculum examination reveals mucopurulent discharge with a friable, erythematous cervix. Cervical motion tenderness and right adnexal tenderness are present on bimanual examination. An external genital examination is non-contributory. Which of the following clinical sequelae is this patient at risk for if she does not receive appropriate treatment?
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