In The Spot

Pregnancy, Childbirth, & the Puerperium

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"This lady has presented with an acute abdomen in the 8th week of gestation; examination reveals marked tenderness and guarding in the right lower quadrant.\n\nIn both pregnant and non-pregnant adults, the location of abdominal pain is the strongest pointer towards the likely pathology.\n\nThus, appendicitis is an important consideration, as it is the commonest cause of right lower quadrant pain in both pregnant and non-pregnant adults; pelvic inflammatory disease (PID) is another important possibility, as is ovarian torsion; nephrolithiasis may also be considered.\n\nUnder normal circumstances, most clinicians would also consider an ectopic pregnancy; yet, it is all too easy to look at the 6 week ultrasound scan showing an intrauterine pregnancy "}]}

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