Even More Tummy Pain

Gastrointestinal System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Abdominal pain is an extremely common complaint in pregnancy, with a broad array of potential physiological and pathological causes; a meticulous history and systematic examination is key towards determining which of these is more likely.\n\nSimilar to non-pregnant individuals, the location of the pain is perhaps the strongest pointer towards the likely etiology; in this patient, the right-lower quadrant location immediately raises the spectre of acute appendicitis.\n\nOther potential considerations include nephrolithiasis, urinary tract infection (UTI), ovarian torsion, and pelvic inflammatory disease.\n\nThe presence of tenderness and guarding in the right iliac fossa add fuel to the suspicion of appendicitis; further evaluation in this regard "}]}

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