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Pelvic inflammatory disease tubo-ovarian abscess — ABEM Board MCQ

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ModerateOB/GYN emergenciesPelvic inflammatory disease tubo-ovarian abscessABEM Board

A 23-year-old woman arrives with pelvic pain and fever. Triage acuity is ESI 2; T 102.0 F, BP 106/66 mm Hg, HR 124/min. Pelvic exam shows cervical motion tenderness and right adnexal fullness. Ultrasound shows a complex 7-cm adnexal mass. Which of the following is the most appropriate next step in management?

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Correct answer: A — Admit for IV broad-spectrum antibiotics and gynecology consultation

Tubo-ovarian abscess requires inpatient broad-spectrum antibiotics and gynecologic consultation, with drainage or surgery if needed.

Reference: CDC STI Treatment Guidelines; ACOG PID guidance