A. Small bowl obstruction
B. Acute cholecystitis
C. Acute appendicitis
D. Rupture of corpus luteum cyst
In the meantime, a quote - "The unlucky doctor treats the head of a disease; the lucky doctor its tail." -Old Chinese Proverb
To cap off the old academic year, a question of the week in two installments --- A 14 year-old girl G1P0 at “three months” gestation complains of nausea, vomiting, and vague abdominal pain today. She has no past medical history and some (incomplete) prenatal care. Her vital signs are T 99.9F HR 98 100/60 RR 22 98% RA. Her exam shows a euvolemic pregnant young woman in mild distress due to her nausea, with mild tenderness to palpation throughout her abdomen without rebound or guarding. Regarding her differential diagnosis, which would be the most common cause of an acute abdomen in this patient?
A. Small bowl obstruction B. Acute cholecystitis C. Acute appendicitis D. Rupture of corpus luteum cyst In the meantime, a quote - "The unlucky doctor treats the head of a disease; the lucky doctor its tail." -Old Chinese Proverb
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![]() Timothy Horeczko, MD, MSCR, FACEP, FAAPDepartment of
Twitter: @EMtogether
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