Question

A 33-year-old woman presents with fever, right lower quadrant pain, cervical motion tenderness, and purulent cervical discharge. Pregnancy test is negative. According to Canadian STI and PID guidelines, what is the most appropriate management?

Accepted Answer

Outpatient therapy with ceftriaxone IM plus doxycycline and metronidazole

Answer

Outpatient oral doxycycline alone

Answer

No antibiotics; observe for 48 hours

Answer

Immediate hysterectomy

Answer

Topical antibiotics only

Practice question

A 33-year-old woman presents with fever, right lower quadrant pain, cervical motion tenderness, and purulent cervical discharge. Pregnancy test is negative. According to Canadian STI and PID guidelines, what is the most appropriate management?