A 16-year-old girl presents with lower abdominal pain and fever. On physical examination, a tender adnexal mass is felt. Further questioning in private reveals the following: she has a new sexual partner; her periods are irregular; she has a vaginal discharge. Which of the following is the most likely diagnosis?

  1. Appendiceal abscess
  2. Tuboovarian abscess
  3. Ovarian cyst
  4. Renal cyst
  5. Ectopic pregnancy

the answer is below…

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