Quandary

Female Reproductive System & Breast


{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Acute pelvic pain is a common complaint which may be due to either surgical or gynecological causes.\n\nIn this lady, the differential diagnoses include acute appendicitis, ureteric colic, ovarian torsion, ectopic pregnancy and pelvic inflammatory disease.\n\nThe location of the pain is compatible with appendicitis, as is the mild fever, nausea and vomiting. While many patients also experience initial peri-umbilical pain which subsequently migrates to the right lower abdomen, the absence of this finding does not exclude this diagnosis.\n\nUreteric colic may also present in this manner. In this context, the fever would be due to secondary infection arising from urinary stasis. Note that such patients may not manifest urinary symptoms such as frequ"}]}

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