22 year old reports history of ,LAP and colorless vaginal discharge.On examination,lower abdomen is distended $ tender with guarding.However,there was no mass felt abdomen due to guarding,name dx? ?

The likely diagnosis in this case is pelvic inflammatory disease (PID). PID is an infection of the female reproductive organs, often caused by sexually transmitted infections such as chlamydia or gonorrhea. Symptoms can include lower abdominal pain, vaginal discharge, and tenderness in the abdomen. The guarding observed during examination is a common sign of inflammation in the pelvic area. Treatment typically involves antibiotics to clear the infection.

Pelvic inflammatory disease