Shanae Jackson is a 32-year old female who presents with lower abdominal pain and fever. Fevers at home range between 99.4F to a maximum of 101.7F. She describes the lower abdominal pain as a constant dull ache, nonradiating, with a pain scale ranging to 5/10 to 8/10. The pain is worse with sexual intercourse with her male partner. Shanae is taking acetaminophen 650 mg PO every 4 hours with minimal relief. She reports general malaise and that for the past 2 weeks she has been having heavy, purulent vaginal discharge. Three weeks ago, Shanae went to an urgent care clinic for dysuria. At that time, she was concerned about a sexual transmitted infection and was treated for gonorrhea and chlamydia.