A 21-year-old woman presents with 3 days of abdominal pain, dysuria, suprapubic pain, and dark urine. She has increased vaginal discharge but denies fever, chills, nausea, vomiting, diarrhea, dyspareunia, or vaginal itching. Recently started a relationship, intermittently uses barrier contraception, and has had multiple sexual partners. No history of STIs or UTIs, normal Pap smear, no surgeries. Allergic to shellfish, consumes alcohol on weekends, and smokes cigarettes daily. Takes oral contraceptives regularly for 6 months. The patient is in discomfort, with vital signs within normal limits. Physical exam reveals moderate suprapubic tenderness. Pelvic exam shows mild cervical discharge, no cervical motion tenderness, and a non-enlarged uterus with no palpable masses. The pregnancy test was negative. Urine analysis showed 5-10 white and 25 red blood cells, along with a few bacteria. It was positive for leukocyte esterase and negative for nitrites. Vaginal examination found no trichomonads, clue cells, or yeast.

Based on the patient's history and physical examination findings?

Real-Life cases to ensure you are ready for your MCCQE1 Exam!

Ace Qbank Clinical Edge


Ace Qbank Clinical Edge

Making the proper diagnosis is one of the most important aspects of any medical student’s or junior doctor’s clinical training and hence we created Clinical Edge Cases.

Ace Qbank Clinical Edge helps our students put their knowledge of symptoms and physical findings to test by applying clinical reasoning and assessment concepts to a series of common clinical vignettes. Problem-based learning is being used to focus on the cause behind the presentation of a simulated clinical case.

Each simulated Clinical Edge case contains a list of common causes of the presented condition, offers abundant references to the presented case, making additional information easy to find

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