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Course Coordinator: Kevin Baumlin, MD and Michael Bessete, MD
Module Author: Ed Mintz, MD
Web Author: Judah Fierstein and Marcy Wang
| A 26 y.o. woman without any significant prior medical history presents to Urgent Care complaining of right lower quadrant pain of six hours duration and of increasing intensity. The pain is sharp and radiates to the left lower quadrant and pelvis. The patient also reports some vaginal spotting earlier in the day. Her last menstrual period was 29 days prior but was only two days in duration compared to her usual 5-day cycles. She denies prior abdominal surgery. She has a healthy 3 year-old son which was delivered vaginally without complications. On exam her temperature is 38.0 C. Pulse and B.P. are 84 and 110/70, respectively, without any postural changes. There is tenderness in the right lower quadrant accompanied by guarding. Fresh blood is seen in the vaginal vault. The cervical os is closed. Mild cervical motion tenderness (CMT) is appreciated. |
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