What condition is indicated by lower abdominal tenderness, purulent discharge, and cervical motion tenderness known as the chandelier sign?

The presence of lower abdominal tenderness, purulent discharge, and cervical motion tenderness, often referred to as the chandelier sign, is indicative of pelvic inflammatory disease (PID). PID is an infection of the female reproductive organs, frequently caused by sexually transmitted infections such as chlamydia and gonorrhea.

The symptoms mentioned, particularly the purulent discharge and cervical motion tenderness, are classic signs of PID. The cervical motion tenderness is especially significant because it reflects inflammation of the surrounding structures, which is characteristic of PID. This condition can lead to serious complications if not treated promptly, including chronic pelvic pain and infertility.

In contrast, while cervicitis could present with cervical tenderness and discharge, it doesn't typically cause the level of abdominal tenderness or systemic symptoms associated with pelvic inflammatory disease. An ovarian cyst may present with abdominal pain, but it usually does not produce purulent discharge or cervical motion tenderness. An ectopic pregnancy primarily presents with severe unilateral abdominal pain and possibly vaginal bleeding, but it does not generally involve purulent discharge. Thus, the combination of symptoms in this scenario strongly aligns with PID as the underlying condition.