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 21-year-old woman presents to the women’s clinic with chronic pelvic pain, especially during sexual intercourse. She also reports new onset yellowish vaginal discharge. She has no significant past medical history. She does not take contraceptive pills as she has had a copper intrauterine device placed. She smokes 2–3 cigarettes every day. She drinks beer on weekends. She admits to being sexually active with over 10 partners since the age of 14. Her blood pressure is 118/66 mm Hg, the heart rate is 68/min, the respiratory rate is 12/min and the temperature is 39.1°C (102.3°F). On physical examination she appears uncomfortable but alert and oriented. Her heart and lung examinations are within normal limits. Bimanual exam reveals a tender adnexa and uterus with cervical motion tenderness. Whiff test is negative and vaginal pH is greater than 4.5. Which of the following is the most likely diagnosis?
assistant
Pelvic inflammatory disease