The 14-year-old girl G1P0 at “three months” gestation you saw last week with complaints of nausea, vomiting, and vague abdominal pain returns today with more of the same symptoms. Last week you diagnosed her with GERD and possible UTI and sent her to her OB/GYN for a recheck. She has still been able to eat small meals, but the abdominal discomfort is unrelenting.
After reading up on appendicitis in pregnancy from last week’s encounter, you realize that one of the following is TRUE:
A. Acute appendicitis is rare in the pregnant patient, due to the dilating effects of progesterone
B. Imaging rarely shows a definitive finding, since ultrasound is technically impossible and CT is contraindicated in pregnancy
C. First choice of imaging modality is MRI with contrast
D. Pregnant patients with appendicitis have a high perforation rate
After reading up on appendicitis in pregnancy from last week’s encounter, you realize that one of the following is TRUE:
A. Acute appendicitis is rare in the pregnant patient, due to the dilating effects of progesterone
B. Imaging rarely shows a definitive finding, since ultrasound is technically impossible and CT is contraindicated in pregnancy
C. First choice of imaging modality is MRI with contrast
D. Pregnant patients with appendicitis have a high perforation rate
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