A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her...
A 23-year-old female complains of severe left lower abdominal/pelvic pain for 6 hours. She states her last menstrual period was “about 3 or 4 weeks ago.” She is sexually active and denies using any contraceptive method. She denies other symptoms, significant history, or allergies.
- In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?
- Which lab or imaging tests would you order for this patient and give a brief explanation of why?
Homework Answers
The questions which can be asked to the patient are
- Any discharge (white discharge and its nature) can help to determine any infection in the reproductive system. (to rule out problems associated with left ovary)
- Any complaints of urinary urgency ,irritation while voiding , flank pain, nausea, vomiting in order to rule out urinary tract infection or renal problems (to rule out renal stones, uti)
- Assess for fever,malena,nausea, vomiting, weight loss to rile out problems associated with gastrointestinal system (to rule out diverticulitis, bloating,indigestion)
The following lab or imaging test required are
- Ultrasonography or USG Abdomen pelvis to rule out ulcer ,inflammation or Amy organ abnormalities
- Stool test to assess for presence of ant blood
- Urine routine to assess UTI
- CBC to find out any infection
- MRI ,CT Scan to get a clear image of the internal organs and its abnormality when 9ther means fail
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