Q:

A 26 year old lady presents with high fever, lower abdominal pain and purulent vaginal discharge. She looks very unwell. What is the most appropriate management?

waelhammad
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2022-11-03
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A 26 year old lady presents with high fever, lower abdominal pain and purulent vaginal discharge. She looks very unwell. What is the most appropriate management?

  1. Tetracycline 250mg QD
  2. Doxycycline 100mg BD and metronidazole 400mg BD
  3. IV Ceftriaxone 2g with doxycycline 100mg
  4. IV ceftriaxone 2g with doxycycline 500mg
  5. Ofloxacin 400mg BD and metronidazole 400mg BD
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waelhammad
2022-11-03
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The key is C. IV Ceftriaxone 2g with doxycycline 100mg. [The disease is severe needing inpatient

management with IV Ceftriaxone 2g + IV doxycycline 100 mg].

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