Free BCEN Certified Emergency Nurse (CEN) Practice Question

The described symptoms and signs are suggestive of pelvic inflammatory disease (PID), a gynecological infection that often presents with lower abdominal pain, fever, vaginal discharge, and cervical motion tenderness. Early and appropriate treatment of PID is important to prevent further complications like infertility and ectopic pregnancy. The patient's elevated white blood cell count also supports the diagnosis of an infection. Other listed conditions may also present with lower abdominal pain or fever, but the combination of cervical motion tenderness and adnexal tenderness is particularly indicative of PID.