Question

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?

Answer 1

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