A 24-year-old woman presents to an urgent care clinic with 3 days of lower abdominal pain, pain with intercourse and increased vaginal discharge. She has a new sexual partner and uses condoms inconsistently. She has no medical conditions, takes no regular medications and has no drug allergies. On examination there is mucopurulent discharge from the cervical os. Bimanual examination reveals cervical motion tenderness and bilateral uterine and adnexal tenderness without a palpable mass. There is no rebound or guarding. Urine hCG is negative. A wet mount shows clue cells and the whiff test is positive. NAATs for Chlamydia trachomatis and Neisseria gonorrhoeae have been sent.
| Heart rate | 96/min |
| Respiratory rate | 16/min |
| Temperature | 38.1 °C |
| O2 saturation | 99%, room air |
| Blood pressure | 118/72 mm Hg |
Question 1 of 3
The patient is well enough for outpatient management. Which of the following are the most appropriate medications to start today, before test results return?
Select 3. (0 / 3 selected)
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