6 Questions
What is the patient's temperature?
38.2°C (100.8°F)
What is the patient's menstrual history?
Her last menstrual period was approximately 12 days ago
What is the result of the urinalysis?
Concentrated urine with 3 to 5 red blood cells per high-power field
What is the patient's white blood cell count?
14,000/mm3
What is the result of the pelvic examination?
Tenderness in the right adnexal region
What is the result of the serum pregnancy test?
Negative
Study Notes
Patient Presentation
- 20-year-old woman presenting to the emergency department with abdominal pain
- Gradual onset of pain 24 hours prior, persistent in the lower abdomen
Medical History
- No diarrhea or abnormal urinary symptoms
- Last menstrual period 12 days prior, no abnormal pattern in menses
- Sexually active with one partner
- Unremarkable past medical and surgical history
- Takes no medications, consumes alcohol socially
Physical Examination
- Temperature: 38.2°C (100.8°F)
- Blood pressure, pulse rate, and respiratory rate: normal
- Cardiopulmonary examination: unremarkable
- Abdomen: soft, nondistended, tender to palpation in suprapubic and right lower quadrant
- No peritonitis or masses detected
- Bowel sounds: hypoactive
- Rectal examination: unremarkable
Pelvic Examination
- No purulent discharge
- Tenderness in the right adnexal region
Laboratory Studies
- White blood cell count: 14,000/mm3
- Hemoglobin and hematocrit values: normal
- Serum electrolyte and amylase levels: normal
- Urinalysis:
- Concentrated urine
- 3 to 5 red blood cells per high-power field
- 3 to 5 white blood cells per high power field
- Negative for leukocyte esterase
- Serum pregnancy test: negative
A young woman presents to the emergency department with persistent abdominal pain. Evaluate her symptoms and medical history to determine the cause of her pain.
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