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Summary: Pelvic Inflammatory Disease
Haley Basurto
University of Phoenix
NRP 563
Professor Beard
12/15/2025
, 2
Summary: Pelvic Inflammatory Disease
In Samantha Green’s case her presenting symptoms is important to inquire about as well
as other pertinent positives such as abnormal uterine bleeding, dysuria, recent changes in sexual
partners, history of sexually transmitted infections, and gastrointestinal symptoms like vomiting
or diarrhea. (Kim et al., 2025). Equally significant are pertinent negatives, including the absence
of flank pain, lack of signs of peritonitis such as rebound tenderness or guarding, no history of
recent pelvic surgery, and no evidence of pregnancy-related complications. (Kim et al., 2025).
Assessing for these factors helps to differentiate a diagnosis and rule out other potential causes of
her symptoms, thereby guiding appropriate management and further diagnostic evaluation. (Kim
et al., 2025).
Differential Diagnosis
To establish an informed differential diagnosis for Samantha Green, systematically it was
important to consider conditions that could present similar symptoms such as ectopic pregnancy,
appendicitis, urinary tract infection, and gastrointestinal disorders by correlating her clinical
findings with the medical history and the absence or presence of key features. (Jenkins &
Vadakekut, 2025). Her acute onset of lower abdominal pain, fever, cervical motion tenderness,
and abnormal vaginal discharge strongly suggest pelvic inflammatory disease, but also excluded
other diagnoses by noting the lack of flank pain (reducing the likelihood of pyelonephritis), no
signs of peritonitis, and no evidence of pregnancy-related complications. (Jenkins & Vadakekut,
2025). This careful assessment of both pertinent positives and negatives, combined with the
specific group of symptoms, allowed prioritization of pelvic inflammatory disease as the leading
diagnosis while remaining vigilant for other possible causes that may require further evaluation.
Summary: Pelvic Inflammatory Disease
Haley Basurto
University of Phoenix
NRP 563
Professor Beard
12/15/2025
, 2
Summary: Pelvic Inflammatory Disease
In Samantha Green’s case her presenting symptoms is important to inquire about as well
as other pertinent positives such as abnormal uterine bleeding, dysuria, recent changes in sexual
partners, history of sexually transmitted infections, and gastrointestinal symptoms like vomiting
or diarrhea. (Kim et al., 2025). Equally significant are pertinent negatives, including the absence
of flank pain, lack of signs of peritonitis such as rebound tenderness or guarding, no history of
recent pelvic surgery, and no evidence of pregnancy-related complications. (Kim et al., 2025).
Assessing for these factors helps to differentiate a diagnosis and rule out other potential causes of
her symptoms, thereby guiding appropriate management and further diagnostic evaluation. (Kim
et al., 2025).
Differential Diagnosis
To establish an informed differential diagnosis for Samantha Green, systematically it was
important to consider conditions that could present similar symptoms such as ectopic pregnancy,
appendicitis, urinary tract infection, and gastrointestinal disorders by correlating her clinical
findings with the medical history and the absence or presence of key features. (Jenkins &
Vadakekut, 2025). Her acute onset of lower abdominal pain, fever, cervical motion tenderness,
and abnormal vaginal discharge strongly suggest pelvic inflammatory disease, but also excluded
other diagnoses by noting the lack of flank pain (reducing the likelihood of pyelonephritis), no
signs of peritonitis, and no evidence of pregnancy-related complications. (Jenkins & Vadakekut,
2025). This careful assessment of both pertinent positives and negatives, combined with the
specific group of symptoms, allowed prioritization of pelvic inflammatory disease as the leading
diagnosis while remaining vigilant for other possible causes that may require further evaluation.
