cold steel cures, in an emergency get your history in the elevator to the OR ..hehe

treat the PID medically and do a exploratory lap...a few 1 inch scars are better than the alternative but yes cervical wall motion tenderness is useful. it could also be a ruptured ovarian cyst or ovarian torsion all of which you will see with the scope and if it is torsion and you get there early enough you can save the ovary. odd one was a bowel perf secondary to chicken bone with the requisite bonectomy

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OBGYN PGY II
I see light at the end of the tunnel!!!...wait a minute its just another freakin tunnel!