Page 182 - Demo

Question 13A 23-year-old woman presents with sudden onset of fever, chills, and hypotension during her menstrual period. She reports using tampons. What is the most likely diagnosis?Pelvic inflammatory diseaseToxic shock syndromeEndometriosisAcute appendicitisOvarian torsionAnswer: Toxic shock syndromeExplanation: The sudden onset of fever, chills, and hypotension during menstruation in a young woman using tampons is highly suggestive of toxic shock syndrome (TSS). TSS is a rare but serious condition caused by toxins produced by certain strains of Staphylococcus aureus or Streptococcus pyogenes. It's associated with tampon use, especially highabsorbency tampons left in place for prolonged periods. TSS can progress rapidly and requires immediate medical attention.