CTAS 2. A 36-year-old has fever, pelvic pain, and purulent cervical discharge. WBC is 18, pregnancy test is negative, and ultrasound shows a 6-cm

Question

CTAS 2. A 36-year-old has fever, pelvic pain, and purulent cervical discharge. WBC is 18, pregnancy test is negative, and ultrasound shows a 6-cm complex left adnexal collection. She is vomiting and unable to tolerate oral intake. What is the most appropriate disposition?

Accepted Answer

Admit for IV antibiotics and gynaecology review

Answer

Outpatient Pap test referral

Answer

Immediate methotrexate therapy

Answer

Discharge with oral analgesia

Answer

Psychiatric admission

Tubo-ovarian abscess — RCPSC EM MCQ

CTAS 2. A 36-year-old has fever, pelvic pain, and purulent cervical discharge. WBC is 18, pregnancy test is negative, and ultrasound shows a 6-cm complex left adnexal collection. She is vomiting and unable to tolerate oral intake. What is the most appropriate disposition?