Ann is a 32-year-old married female who presents to her nurse practitioner reporting lower abdominal pain, cramping, slight fever, and dysuria of 3 days duration. History includes: LMP 2 weeks ago (regular) Reports oral contraceptive use Reports pain in lower abdomen with cramping and pain on urination for 3 days Denies any GI problems, reports regular bowel movements. Denies vaginal discharge Ann is married and in a monogamous relationship. Has one child age 2 Reports no use of condoms/sexual intercourse 2-3 times per week Denies any history of STDs Physical Exam reveals: Temp 100. 6, P 80 BP 100/62 Wt. 125 Ht. 5’3’’ HEENT WNL No CVA tenderness Pain in lower quadrants with light palpation. Positive inguinal lymphadenopathy External genitalia without lesions or discharge Pelvic exam reveals minimal cervical mucopus Bimanual exam reveals uterine and adnexal tenderness and cervical motion pain. Uterus anterior, midline, smooth, not enlarged 1. Based on the above case the diagnosis is PID, What is an appropriate CDC-recommended therapeutic regimen for this patient?
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