What’s Your Diagnosis?  Pelvic Inflammatory Disease

Welcome to this month’s What’s Your Diagnosis Challenge!

But before we begin, check to see if you got last month’s case on Emergency Department Management of Surgical Airway Complications correct.

Case Presentation: Pelvic Inflammatory Disease: Diagnosis and Treatment in the Emergency Department 

A 30-year-old woman presents with abdominal pain…  

  • You note mild left adnexal tenderness without cervical motion tenderness or adnexal masses. Her laboratory test results are notable for a urinalysis that is positive for small leukocyte esterase and nitrite-negative, and a wet mount is without clue cells, yeast, or Trichomonas vaginalis. The patient denies any urinary complaints or flank pain. 
  • The patient’s ultrasound results contain the radiologist’s impression: “No radiological etiology of patient’s abdominal pain is found.” You review the chart and confirm there is no concern for any nongynecological etiologies for her pain. 
  • As the patient asks, “Why am I having this pain? Can I just go home?” you wonder if there is something else you should do… 

Make your best guess, and check back next month to find out the correct answer!

Click to review this Emergency Medicine Practice Issue

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