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+--- Thread: pain - smartyroy (/showthread.php?tid=271607)
pain - smartyroy - ArchivalUser - 02-18-2008
A 19-year-old nulligravid woman comes to the emergency department because of severe left lower quadrant pain. She has been noticing this pain intermittently for the past 3 days, but this afternoon it became persistent and severe and was accompanied by nausea and vomiting. Examination shows left lower quadrant tenderness and a tender left adnexal mass. Urine hCG is negative. Pelvic ultrasound shows a 7 cm left ovarian complex mass. Which of the following is the most appropriate next step in management?
A. Expectant management
B. Follow-up ultrasound in 6 weeks
C. Intravenous antibiotics
D. Laparoscopy
E. Oophorectomy
0 - ArchivalUser - 02-18-2008
d? laparoscopy to remove the mass- complex sounds suspicious could be dermoid/ teratoma
oopherectomy not preferred in view of age and nulliparity.
0 - ArchivalUser - 02-18-2008
D. Laparoscopy
0 - ArchivalUser - 02-18-2008
D.