Pelvic Inflammatory Disease (PID)
The patient should be ordered the following studies:
CBC in order to determine if the patient has anemia, and inflammation, or infection.
A U/A with culture will help determine any trichinosis in her urine, and if any pathogens that can cause infection are present.
A study of her stools will also be useful to determine if the patient has any abnormal ova or parasites in her stool. This will also reveal any other pathogens or leukocytes in her stool. (Leher, 2019).
Due to the patient having an abnormal PAP smear over 4 years ago, she should have another one in order to check if it is abnormal. Tests for common STI’s such as gonorrhea and chlamydia should also be conducted, as the patient has unprotected sex with her husband, and both are unsure if they had any STI’s.
A pelvic exam is also appropriate for this patient in order to rule out pelvic inflammatory disease (Pelvic Inflammatory Disease, 2018). The patient can also under wet prep to determine if she has any vaginal infection.
BUT, Your patient has no insurance, why does she need all of those tests?