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 CT or ultrasound  

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Author6 Posts

middle aged woman with LLQ pain and guard, without fever,
what is the next step?




Pregnancy test to rule out ectopic pregnancy.


B hcg + Transvaginal USG

CT is not useful.


BHCG levels and if it is Positive, along with rebound and gaurding keep your keeps on the BP and HR to see if there is the possibility of Ruptured Ectopic Preg----------> Manage with laprotomy with complete removal of oviductal tract


I was told that with diagnosing questions to always pick the cheapest/safest ones that can be done immediately if you have more than one options. Yes pregnancy test and U/S can be done in the office, while CT requires an appointment, unavailable if your office is one of those by the street instead of a large hospital and all the radiation exposure. That was more my

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