What is the initial diagnosis


Problem

An 18 year old who is sexually active consulted because of delayed menses, spotting and hypogastric pain. Patient is for examination in a dorsal lithotomy position.

Cont: On internal examination, there was (+) cervical motion tenderness, (+) 6x5cm mass on the left adnexa, tender on deep palpation.

• What is the initial diagnosis? Give the basis of the diagnosis.

• What Is The Diagnostic Tool To Request?

• What Is The Management?

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Other Subject: What is the initial diagnosis
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