Lower Abdominal Pain, Which Differentials Do You Suggest?

A 24-year-old married female who presented in the OPD with the chief complaints of lower abdominal pain, cramping, slight fever, and dysuria of four days duration. She is G1P1, LMP two weeks ago (regular without dysmenorrhea). She used oral contraceptives for 2 years. The patient reported a gradual onset of symptoms of lower bilateral abdominal discomfort, dysuria (no gross hematuria), abdominal cramping, and a slight low-grade fever in the evenings for four days. She denied GI disturbances, constipation, and vaginal discharge. Social history: Non-smoker, exercises regularly, no appetite changes, and no history of STDs.

Reports occasional yeast infections. Physical Examination Blood pressure - 104/72 mmHg Pulse- 84 b/m Temperature- 38°C Neck, chest, breast, heart, and musculoskeletal exam- WNL. No flank pain on percussion. No CVA tenderness. Abdomen- tenderness in the lower quadrants…