A 23-year-old cisgender female (pronouns: she, her) presents to your office with dull, achy, lower abdominal pain. The NP elicits a sexual history, and the patient reports she had unprotected sex with 2 partners within the past 3 weeks. Her last menses was 2 weeks ago, and she currently uses oral birth control medication. The NP exam notes cervical motion tenderness (CMT), adnexal and uterine tenderness, and mucopurulent cervical discharge. What are the appropriate next steps for management?
A 23-year-old cisgender female (pronouns: she, her) presents to your office with dull, achy, lower abdominal pain. The NP elicits a sexual history, and the patient reports she had unprotected sex with 2 partners within the past 3 weeks. Her last menses was 2 weeks ago, and she currently uses oral birth control medication. The NP exam notes cervical motion tenderness (CMT), adnexal and uterine tenderness, and mucopurulent cervical discharge. What are the appropriate next steps for management?
Empirical antibiotic therapy and testing for STIs
Immediate surgical consultation
High-dose NSAIDs and bed rest
Initiating antiviral therapy and follow-up Pap smear