How would you manage this acute abdominal pain?

A 24-year-old sexually active female presents with a three-day history of severe right upper quadrant pain that worsens on inhalation. She has a history of multiple sexual partners and does not use contraception. Examination reveals marked tenderness in the right upper quadrant and laparoscopy demonstrates the findings seen here. Based on this patient’s diagnosis, what treatment would address the most likely underlying infection?

A. Ceftriaxone and metronidazole
B. Ceftriaxone and azithromycin
C. Cefoxitin and doxycycline
D. Ampicillin and gentamicin

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Christy Crisologo

Christy Crisologo is SDN’s Editor-in-Chief. She earned her BA in Communications from Asbury University and lives in Texas with her husband (and primary connection to the medical world) and their two young children. 

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