How would you manage this acute abdominal pain?

Last Updated on February 27, 2019 by

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

About the Ads

Find the answer, discuss this case, and more on Figure 1.

Explore cases, quiz yourself, and solve medical mysteries along with thousands of other medical professionals around the world on Figure 1, the free app where doctors expand their clinical knowledge.