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em@3am

EM@3AM: Pelvic Inflammatory Disease/Tubo-ovarian Abscess

A 23-year-old female presents with acute onset lower abdominal pain with abnormal vaginal discharge. She denies fevers, chills, nausea, vomiting, dysuria, hematuria, diarrhea, and constipation. She is sexually active with one partner of 3 months and inconsistently uses condoms. Speculum exam shows small amount of blood and cervical discharge. What is the likely diagnosis?

PEM Playbook

Kawasaki Disease Shock Syndrome

While Sepsis, Trauma (Abdominal, Chest, Aortic), PE, Tamponade, Myocarditis, Heart Failure, Intussusception, Adrenal Crisis all deserve a place on the list of differential diagnoses, there is another condition to keep in mind -- Kawasaki Disease Shock Syndrome: