A 16-year-old girl presents to the ED complaining of fever, chills, abdominal pain, and vaginal bleeding. She gives a history of unprotected sexual activity with her 17-year-old boyfriend over the past several months. Her last menstrual period was 8 weeks ago. She reports having a dilatation and curettage procedure at an unlicensed abortion clinic recently to try to abort her pregnancy. Vital signs are significant for a fever of 38.7°C (101.7°F), a heart rate of 120/min, and a blood pressure of 100/70 mm Hg. Pelvic examination reveals cervical motion tenderness, tissue in the internal os, and foul-smelling vaginal discharge. Urine β-human chorionic gonadotropin is positive.
What is the most likely diagnosis?
(A) Ectopic pregnancy
(B) Pelvic abscess
(C) Septic abortion
(D) Threatened abortion
(E) Vaginal laceration
What is the most likely diagnosis?
(A) Ectopic pregnancy
(B) Pelvic abscess
(C) Septic abortion
(D) Threatened abortion
(E) Vaginal laceration
