Shanae Jackson is a 32-year old female who presents with lower abdominal pain and fever. Fevers at home range between

Shanae Jackson is a 32-year old female who presents with lower abdominal pain and fever. Fevers at home range between 99.4F to a maximum of 101.7F. She describes the lower abdominal pain as a constant dull ache, nonradiating, with a pain scale ranging to 5/10 to 8/10. The pain is worse with sexual intercourse with her male partner. Shanae is taking acetaminophen 650 mg PO every 4 hours with minimal relief. She reports general malaise and that for the past 2 weeks she has been having heavy, purulent vaginal discharge. Three weeks ago, Shanae went to an urgent care clinic for dysuria. At that time, she was concerned about a sexual transmitted infection and was treated for gonorrhea and chlamydia. What is the most likely differential diagnoses in this case? 2.) Which diagnostic tests are required in this case and give the rationale. 3.) What is the plan of treatment? 4.) What are the plans for follow-up care? 5.) What health educations should be provided to this patient? 6.) Are there any standardized guidelines that should be used to treat this case? If so, what are they? 7.) What other approaches would you take with this patient?

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