Cervical motion tenderness

Gyn Normal external appearance of labia minora and majora, vaginal walls within normal limits, cervix well visualized and without lesions, midposition uterus, no cervical motion tenderness, no adnexal masses palpated... 

A 20-year-old female presents to the ER with complaints of fever, pelvic pain, and some nansea and vomiting increasing over the last 2 days. She denies diarrhea or sick contacts. She is cnrrently sexually active with a new partner. On examination she has a temperatnre of 38.9°C (102°F) and appears ill. She has moderate bilateral lower abdominal tenderness and minimal guarding without rebound or distention. Bowel sounds are present and normal. Pelvic exam revealed a foul-smelling discharge through cervix with severe cervical motion tenderness and bilateral adnexal tenderness. Cervical cnltnres were obtained. Patient was begnn on a qninolone antibiotic. 

Summary A 20-year-oId female with history of new sexual partner, fever, abdominal and pelvic pain, foul-smelling discharge through cervical os, and severe cervical motion tenderness. 

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