system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 16-year-old girl presents to the emergency department complaining of acute bilateral lower quadrant abdominal pain. She states she is nauseous and reports a 24-hour history of multiple episodes of vomiting. She admits to having unprotected sex with multiple partners. Her temperature is 102.0°F (38.9°C). Physical examination reveals bilateral lower quadrant tenderness. Bimanual pelvic exam reveals cervical exudate and cervical motion tenderness. Her β-HCG is within normal limits. Transvaginal ultrasound reveals a tubular complex lesion located in the right lower quadrant. Which of the following is the most appropriate initial step in the treatment of this patient?
assistant
Cefoxitin and doxycycline