• Adolescent girl who is sexually active with inconsistent contraceptive use who presents with fever, pharyngeal erythema and tenderness in the RLQ with cervical motion tenderness and a negative pregnancy test, most consistent with pelvic inflammatory disease (with likely gonorrhea co-infection of the throat)
• Cervical motion tenderness: Pelvic inflammatory disease or ectopic pregnancy (negative pregnancy test rules it out)
• Disseminated gonococcemia: Dermatitis, oligoarthritis, and enthesitis OR monoarticular septic arthritis

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