32 year old female c/o fever, chills, nausea, vomiting and vaginal discharge x3 days. LLQ pain and b/l lower back pain. Labs wbc 18, hct 44, hgb 16, plat 325, sed rate 46, C-reactive protein 67.

32 year old female c/o fever, chills, nausea, vomiting and vaginal discharge x3 days. LLQ pain and b/l lower back pain. Labs wbc 18, hct 44, hgb 16, plat 325, sed rate 46, C-reactive protein 67. VS T 103.2, P 120, rr 22. Pelvic exam with copious foul smelling green drainage with reddened cervix and b/l adenexal tenderness and positive chandelier sign. Wet prep positive clue cells and gram stain positive gram negative diplococci

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