MSFinals-1601

MSFinals-1601

A 21-year-old woman comes to the clinic complaining of abdominal pain that started yesterday. She had her last period 2 weeks ago, and her menstrual cycle is usually regular. She has had multiple sexual partners in the past 6 months and has been experiencing deep dyspareunia lately. She has noticed an increase in vaginal discharge over the past few days, and the pain is not relieved by paracetamol. During the examination, her temperature is 37.8 °C, and she is otherwise stable within the normal range. Her abdomen is soft but tender, and a cervical exam reveals cervical excitation +++ with right adnexal tenderness and thick yellow/green discharge from the cervical os. Swabs are taken, and there is no bleeding. A urine β-HCG test is negative. What would be your next step?