03-26-2009, 10:27 AM
25. A previously healthy 24-year-old woman, gravida 3, para 3, is brought to the emergency department because of deep, sharp, intermittently severe pain in the left lower quadrant of the abdomen for 2 hours. Her last menstrual period was 3 weeks ago. She takes no medications. She is in obvious distress and is lying on her left side with her lower extremities drawn up against her abdomen. Her temperature is 37°C (98.6°F), blood pressure is 140/70 mm Hg, and pulse is 125/min. Abdominal examination shows rigidity and tenderness. Pelvic examination shows a 12-cm mass in the left lower quadrant of the abdomen. Which of the following is the most appropriate next step in management?
O A) Ultrasound-guided aspiration
O B) Dilatation and curettage
O C) Exploratory laparotomy
O D) Hysterectomy
O A) Ultrasound-guided aspiration
O B) Dilatation and curettage
O C) Exploratory laparotomy
O D) Hysterectomy