Podcast
Questions and Answers
What is the patient's temperature?
What is the patient's temperature?
What is the patient's menstrual history?
What is the patient's menstrual history?
What is the result of the urinalysis?
What is the result of the urinalysis?
What is the patient's white blood cell count?
What is the patient's white blood cell count?
Signup and view all the answers
What is the result of the pelvic examination?
What is the result of the pelvic examination?
Signup and view all the answers
What is the result of the serum pregnancy test?
What is the result of the serum pregnancy test?
Signup and view all the answers
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
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
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.
