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determine
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04/16/06 - 10:20 AM             #1

A 34-year-old woman presents to the Emergency Department with a 6-hour history of intermittent severe crampy right lower quadrant pain. The patient is vomiting and is afebrile. There is a right adnexal tender mass on pelvic examination. The white blood cell count is 16 x 109/L per high power field; urinalysis is within normal limits; and the beta human chorionic gonadotropin (ß-HCG) is negative. The most probable diagnosis is

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1) right pyelonephritis.



2) acute appendicitis.



3) right ovarian endometrioma.



4) acute salpingitis.



5) torsion of a right ovarian cyst.




srf
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04/16/06 - 12:24 PM             #2

5

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yasmeen
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04/16/06 - 12:45 PM             #3

5 torsion of ovarian cyst

wyvern
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04/16/06 - 01:16 PM             #4

5

chemamr
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04/16/06 - 07:00 PM             #5

5

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msyamp
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04/16/06 - 07:08 PM             #6

5 this is easygrin

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determine
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04/16/06 - 08:08 PM             #7

excuse my ignorence but how did you eliminate 2?

msyamp
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04/16/06 - 08:12 PM             #8

groin swelling should exclude appendicitis

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determine
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04/16/06 - 08:33 PM             #9

yes absolutely, sometimes I just can`t see sad







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