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Tubo-ovarian abscess with sepsis — RCPSC EM MCQ

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HardOB/GYN emergenciesTubo-ovarian abscess with sepsisRCPSC EM

A 38-year-old has pelvic pain, fever, and purulent cervical discharge. BP is 94/58 mmHg, WBC is 22 x 10^9/L, lactate is 3.1 mmol/L, and ultrasound shows a 7 cm complex adnexal collection. What is the most appropriate disposition?

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

Admit for IV broad-spectrum antibiotics and gynaecology consultation is correct: the clues indicate Tubo-ovarian abscess with sepsis and this option addresses the immediate ED priority. The distractors delay care, target a less likely problem, or are unsafe in this physiology.

Reference: Canadian PID/tubo-ovarian abscess emergency practice