A patient's record indicates the following signs and symptoms: acute and sudden pelvic pain, a purulent and foul-smelling vaginal discharge, fever, sexual dysfunction, metrorrhea, and rebound pain Which condition is this patient showing signs and symptoms of?

A. Endometriosis:

Endometriosis causes chronic pelvic pain but doesn't typically present with purulent discharge, fever, or foul-smelling discharge.

B. Pelvic inflammatory disease (PID):

PID is an infection of the reproductive organs, often caused by untreated sexually transmitted infections. Symptoms like acute pelvic pain, fever, purulent vaginal discharge, and rebound pain are characteristic of PID.

C. Uterine leiomyomas:

Leiomyomas (fibroids) can cause pelvic pain but are not associated with infection, fever, or purulent discharge.

D. Polycystic ovary syndrome (PCOS):

PCOS does not cause acute infection-like symptoms (fever, purulent discharge) as seen in PID.

A. Surgical emergencies cannot be excluded:

If there is a possibility of a surgical emergency (such as a ruptured ectopic pregnancy or an abscess), hospitalization is necessary for observation and treatment.

B. The patient uses no contraceptives:

While contraception use may affect the risk of PID, it doesn't directly determine whether hospitalization is needed.

C. The patient has a history of miscarriage:

A history of miscarriage is not a specific indication for hospitalization in PID cases.

D. The diagnosis is uncertain:

If PID is suspected but the diagnosis is uncertain, hospitalization may be required for further diagnostic workup and close monitoring.

E. There is a history of STIs:

A history of STIs increases the risk of PID but doesn't necessarily require hospitalization.

F. C-reactive protein levels are low:

C-reactive protein (CRP) is an inflammatory marker, but low levels do not indicate that hospitalization is not needed.