A 35-year-old female presents with severe right iliac fossa pain, fever (38.8°C), and right-sided vaginal discharge. She has cervical motion tendernes...

Question

A 35-year-old female presents with severe right iliac fossa pain, fever (38.8°C), and right-sided vaginal discharge. She has cervical motion tenderness on examination by the attending GP. Her pregnancy test is negative. What is the most likely diagnosis?

Accepted Answer

Pelvic inflammatory disease (PID) - the combination of lower abdominal pain, fever, vaginal discharge, and cervical motion tenderness (chandelier sign) is the classic presentation

Answer

Renal colic

Answer

Ectopic pregnancy despite the negative test

Answer

Right ovarian torsion

Answer

Acute appendicitis

uk-dipimc MCQ (SBA): Pelvic Inflammatory Disease

A 35-year-old female presents with severe right iliac fossa pain, fever (38.8°C), and right-sided vaginal discharge. She has cervical motion tenderness on examination by the attending GP. Her pregnancy test is negative. What is the most likely diagnosis?