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Tubo-ovarian abscess — ABEM Board MCQ

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HardOB/GYN emergenciesTubo-ovarian abscessABEM Board

A 23-year-old woman arrives as ESI 2 with pelvic pain, fever, and purulent cervical discharge. BP 108/68, HR 114, temperature 39.1 C. Bimanual exam shows cervical motion tenderness and a tender adnexal mass on ultrasound. Which of the following is the most appropriate disposition?

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Correct answer: C — Admit for IV antibiotics and gynecologic evaluation

PID with tubo-ovarian abscess and systemic features requires admission for parenteral antibiotics and gynecologic management.

Reference: CDC STI Treatment Guidelines; ACOG pelvic inflammatory disease guidance