A pt came to the ED with severe lower abdominal pain. Vitals: BP=125/85mmHg, Temp=38.9C.
Exam: abdomen rigid, very uncomfortable during par vaginal. She gave a past hx of PID 3 years
ago which was successfully treated with antibiotics. What is the appropriate inv?
a. US
b. Abdomen XR
c. CT
d. High vaginal e. Endocervical swab
Ans. The key is A. US. [Patient had previous PID. Current symptoms of severe cervical motion tenderness with significant rise of temperature is very much suggestive of pelvic abscess].