A generally healthy 21-year-old sexually active female presents to the emergency department complaining of new vaginal discharge and pain with urination over the past several days. She reports having unprotected intercourse with one new partner over the past month. On exam, there is noted to be copious purulent vaginal discharge with an erythematous, friable cervix. She admits to some mild discomfort in the lower abdomen though there is no cervical motion, uterine, or adnexal tenderness on exam. Endocervical swabs are obtained during pelvic exam though will not return for another 24-48 hours. A pregnancy test is performed and returns negative. A urine was collected at the time of triage and demonstrated no signs of infection.
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