Rajiv Gandhi University of Health Sciences Karnataka

Bilateral lower abdominal tenderness. Abdominal muscle guarding and/or rebound tenderness. Pelvic Exam. Periurethral (Skene) or Bartholin gland inflammation. Purulent cervical discharge. Adnexal and uterine mass/fullness and/or tenderness. Chandelier sign – cervical motion tenderness. Urethral discharge . Differential Appendicitis ... ................
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