Case 1:
A 24-year-old woman presents with the following symptoms:
- Lower abdominal pain, more severe on one side
- Fever and chills
- Unusual vaginal discharge with a foul odor
- Pain during intercourse and urination
Additional notes: The patient reports a recent history of a sexually transmitted infection and notes that the pain has been gradually worsening over the past week.
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Case 2:
A 30-year-old woman presents with the following symptoms:
- Sharp pelvic pain that radiates to the lower back
- Nausea and vomiting
- Irregular menstrual bleeding
- Increased pain during ovulation and menstruation
Additional notes: She has a history of multiple sexual partners and mentions that the symptoms started suddenly after her last menstrual period.
Question: Based on the provided symptoms and patient histories, what is the most likely diagnosis?
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