A 34 year-old female who has had multiple sexual partners in…
A 34 year-old female who has had multiple sexual partners in the past year presents to the emergency department with pelvic pain, purulent cervical discharge, temperature of 102 F, pulse 92, respirations 18, blood pressure 130/85. Saline microscopy shows multiple white blood cells. Pregnancy test is negative. During your bimanual exam you are careful to assess for cervical motion tenderness as well as adnexal pathology. What findings would make you proceed with ultrasound for further evaluation?