Lower abdominal pain with or without vaginal discharge in a sexually active patient.
Investigate whether the abdominal tenderness is due to the following:
- Surgical causes
- Gynaecological causes such as pregnancy, missed periods, abdominal vaginal bleeding, recent delivery and abdominal mass
***If the investigation above is positive refer for gynaecological or surgical care. If negative proceed as follows; otherwise,
Pelvic Inflammatory Disease (PID)
Implementation of 4Cs:
- Tabs Norfloxacin 800mg STAT
- Caps Doxycycline 100mg BD x 1/52
- Tabs Metronidazole 400mg BD x 10/7
Refer if pregnant.