Page 1 of 1: RLQ abdominal pain

bebica · Credits: 26025 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain
4 contraceptive history
5 date of last normal menstrual period
6 environment at work
7 headache
8 history of PID
9 nausea or vomiting
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG
3 CBC
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US
12 serum Cr
13 swabs from endocervix
14 urinalysis

Q3 with respect to this case, formulate a differential diagnosis. List up to four

youseph · Credits: 1642 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies -----
3 character and duration of pain-----
4 contraceptive history
5 date of last normal menstrual period-----
6 environment at work
7 headache
8 history of PID ----
9 nausea or vomiting----
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history -----
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG-----
3 CBC ----
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US----
12 serum Cr
13 swabs from endocervix---
14 urinalysis ----

darm · Credits: 1625 My Scrapbook

Q1:
3 character and duration of pain
4 contraceptive history
5 date of last normal menstrual period
8 history of PID
9 nausea or vomiting
14 sexual history

Q2:
2 beta subunit of HCG
3 CBC
11 pelvic US
13 swabs from endocervix
14 urinalysis

Q3:
- PID
- extrauterine pregnancy
- appendicitis
- urinary infection

2Pandai · Credits: 21419 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain
4 contraceptive history
5 date of last normal menstrual period
6 environment at work
7 headache
8 history of PID
9 nausea or vomiting
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG
3 CBC
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US
12 serum Cr
13 swabs from endocervix
14 urinalysis

Q3 with respect to this case, formulate a differential diagnosis. List up to four
1.Ectopic pregnancy
2.Ovarian cyst and torsion
3.PID
4.Endometriosis

bebica · Credits: 26025 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain
4 contraceptive history
5 date of last normal menstrual period
6 environment at work
7 headache
8 history of PID
9 nausea or vomiting
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG
3 CBC
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US
12 serum Cr
13 swabs from endocervix
14 urinalysis

Q3 with respect to this case, formulate a differential diagnosis. List up to four
1. PID
2. tubo-ovarian abscess
3. ectopic pregnancy
4. ovarian cyst/ torsion

ieva · Credits: 3579 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain******
4 contraceptive history*****
5 date of last normal menstrual period*****
6 environment at work
7 headache
8 history of PID*****
9 nausea or vomiting*****
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history*****
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG****
3 CBC*****
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US*****
12 serum Cr
13 swabs from endocervix****
14 urinalysis

Q3 with respect to this case, formulate a differential diagnosis. List up to four
1)PID /with abscess formation
2)ectopic pregnancy
3)Ovarian cyst

mikejonathan20055 · Credits: 3355 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain -------------
4 contraceptive history----------------
5 date of last normal menstrual period--------------
6 environment at work
7 headache
8 history of PID -----------------
9 nausea or vomiting ----------------
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history -----------------
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to Four
1 barium enema
2 beta subunit of HCG----------------
3 CBC ------------
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US---------------------
12 serum Cr
13 swabs from endocervix…………from the cervix
14 urinalysis -----------------

Q3 with respect to this case, formulate a differential diagnosis. List up to four

Ectopic preg.
Appendicitis
Gastrointestinal disease/gastroenteritis /inflammatory bowel disease /Terminal ileitis
Ovarian cyst/adnexial events

maryana · Credits: 15566 My Scrapbook

A 20 year old female university student presents to the emergency department with RLQ abdominal pain

Q1 what elements of history would be important to ask? select up to six
1. alcohol/drug history
2 allergies
3 character and duration of pain /////
4 contraceptive history//////////
5 date of last normal menstrual period //////////
6 environment at work
7 headache
8 history of PID////////
9 nausea or vomiting////////
10 nocturia
11 polydipsia
12 psychiatric history
13 recent sore throat
14 sexual history ///////
15 smoking history

Q2 Physical examination reveals the patient to be afebrile pulse 72 regular BP110/70. Abdomen is tender in the right lower quadrant and bowel sounds are normal. Pelvic examination reveals cervical motion tenderness, and right adnexal tenderness with a fullness in this adnexa.

What investigations are most appropriate at this time? select up to five
1 barium enema
2 beta subunit of HCG ////////
3 CBC /////////////////////
4 ct scan of abdomen and pelvis
5 CXR
6 colposcopy
7 dilatation and curettage
8 electrolytes
9 flat plate of abdomen
10 LFT
11 pelvic US////////////
12 serum Cr
13 swabs from endocervix //////////////
14 urinalysis

Q3 with respect to this case, formulate a differential diagnosis. List up to four

Ectopic pregnancy
Acute appendicitis
Ovarian torsion
PID

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