Following a visit to her campus medical clinic motivated by persistent abdominal pain and dyspareunia, a 20-year-old female college student has been referred for a diagnostic workup to rule out pelvic inflammatory disease
Her elevated white cell and C-reactive protein levels lead her care provider to suspect pelvic inflammatory disease (PID). What follow-up question is most likely to help with the differential diagnosis?
A)
"Are you using tampons during your period or do you normally use pads?"
B)
"What does your daily hygiene routine usually consist of?"
C)
"How many sexual partners have you had?"
D)
"Have you ever had a therapeutic abortion in the past?"
Ans:
C
Feedback:
Having multiple sex partners is a factor that has been identified in the development of PID. The use of tampons, inadequate hygiene, and a history of TA are less likely to predispose to PID.
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