<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 17-year-old girl comes to the emergency department with a 5-day history of severe abdominal pain, cramping, nausea, and vomiting. She also has pain with urination. She is sexually active with one male partner, and they use condoms inconsistently. She experienced a burning pain when she last had sexual intercourse 3 days ago. Menses occur at regular 28-day intervals and last 5 days. Her last menstrual period was 3 weeks ago. Her temperature is 38.5C 101.3F, pulse is 83min, and blood pressure is 11070 mm Hg. Physical examination shows abdominal tenderness in the lower quadrants. Pelvic examination shows cervical motion tenderness and purulent cervical discharge. Laboratory studies show a leukocyte count of 15,000mm3 and an erythrocyte sedimentation rate of 100 mmh. Which of the following is the most likely diagnosis?? A: Pyelonephritis, B: Ectopic pregnancy, C: Ovarian cyst rupture, D: Appendicitis, E: Pelvic inflammatory disease,  <response>: This is a clinical case scenario involving a sexually active 17-year-old girl presenting with abdominal pain, nausea, vomiting, dysuria, and purulent cervical discharge. She also has fever, tachycardia, leukocytosis, and an elevated ESR. The key findings pointing towards the diagnosis are the recent history of painful intercourse, purulent cervical discharge, cervical motion tenderness on pelvic exam, and elevated inflammatory markers. E: Pelvic inflammatory disease 