A 19-year-old female complains of sudden severe left-sided lower quadrant abdominal pain, as well as nausea and vomiting for the last 2 weeks. Last menstrual period was 2 months ago. On physical examination, there is left sided lower quadrant abdominal tenderness and heel strike is positive. Pelvic examination reveals bluish discoloration of the cervix and left-sided adnexal tenderness. These signs and symptoms are consistent with:

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The symptoms and signs described, including sudden severe lower quadrant abdominal pain, missed menstrual period, and a positive heel strike test (suggesting peritoneal irritation), along with bluish discoloration of the cervix (Chadwick's sign) and adnexal tenderness, are consistent with an ectopic pregnancy.

A 19-Year-Old Female Complains of Sudden Severe Left-Sided Lower Quadrant