Problem:
Emergency Department Course Ms. Miller arrived at the emergency department in mild discomfort. An IV was started, and she was treated with IV fluids for mild dehydration. Ms. Miller was also given an antiemetic and ibuprofen. A rapid hCG test to rule out ectopic pregnancy was negative. A swab of Ms. Miller's purulent vaginal discharge revealed leukorrhea. We performed a transvaginal sonography. Suspicion for pelvic inflammatory disorder was confirmed by findings of enlarged ovaries consistent with oophoritis, endometritis, and hydrosalpinx. Results for chlamydia reinfection and gonorrhea are still pending.