A. Not appendicitis as your pelvic exam suggest a gynecologic issue given the bloody cervical os and motion tenderness
B. Ectopic pregnancy not likely given her last period was only 10 days ago and she is regular, so it is reliable.
C. A 5cm mass could be a cyst which may predispose you to ovarian torsion, but again that cervical motion tenderness much more specific for something else
D. No CVA tenderness or dysuria and again with the abnormal pelvic exam suggesting gyn
E. Fever, tachycardic, cervical motion tenderness, friable mucosa, inconsistent condom use, adnexal mass -> bingo
submitted by ∗len49(42)
A. Not appendicitis as your pelvic exam suggest a gynecologic issue given the bloody cervical os and motion tenderness
B. Ectopic pregnancy not likely given her last period was only 10 days ago and she is regular, so it is reliable.
C. A 5cm mass could be a cyst which may predispose you to ovarian torsion, but again that cervical motion tenderness much more specific for something else
D. No CVA tenderness or dysuria and again with the abnormal pelvic exam suggesting gyn
E. Fever, tachycardic, cervical motion tenderness, friable mucosa, inconsistent condom use, adnexal mass -> bingo