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Postgraduate Education Corner: CASE RECORDS OF THE UNIVERSITY OF COLORADO |

A 25-Year-Old Woman With Diffuse Abdominal Pain and Shock

Amen Sergew, MD; Amy L. Olson, MD; Marvin I. Schwarz, MD, FCCP
Author and Funding Information

Affiliations: From the Division of Pulmonary Sciences and Critical Care Medicine, University of Colorado at Denver, Denver, CO.

Correspondence to: Amen Sergew, MD, University of Colorado at Denver, Division of Pulmonary Sciences and Critical Care Medicine, Anschutz Medical Campus, Research 2, Box C272, Ninth Floor, 12700 East 19th Ave, Aurora CO 80045; e-mail: amen.sergew@uchsc.edu


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (www.chestjournal.org/site/misc/reprints.xhtml).


© 2009 American College of Chest Physicians


Chest. 2009;136(5):1435-1440. doi:10.1378/chest.08-2884
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Extract

A 25-year-old woman presented after 10 days of severe diffuse abdominal pain. Seven months prior, she had been seen at an outside hospital with similar complaints. Evaluation then included negative test results for pregnancy, bacterial vaginosis, Chlamydia infection, and gonorrhea. Three months later, she again presented with abdominal pain and cervical motion tenderness on pelvic examination. A wet mount revealed cells consistent with bacterial vaginosis. She was given a diagnosis of pelvic inflammatory disease (PID) and treated with metronidazole and doxycycline.

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