f****i
发帖数: 129 | 1 A 25-year-old nulligravid woman comes to the emergency department because of
severe pain in the right lower quadrant of the abdomen for 4 hours. She has
had no nausea, vomiting, fever, or chills. Three weeks ago, a right adnexal
mass was found on routine examination. Her last menstrual period was 3 days
ago. Her temperature is 37.2°C (99°F), blood pressure is 110/70 mm Hg,
and pulse is 92/min. Pelvic examination shows right adnexal tenderness.
Hemoglobin level is 13 g/dL, and leukocyte count is 9000/mm3. Pelvic
ultrasonography shows a small amount of free fluid in the cul-de-sac. Which
of the following is the most likely cause of the pain?
O A) Appendicitis
O B) Endometriosis
O C) Ovarian hemorrhage
O D) Ruptured ovarian cyst
O E) Torsion of the adnexa
0 F) Tubal obstruction | A*******s
发帖数: 9638 | 2 D.
a small amount of free fluid in the cul-de-sac. | w***0
发帖数: 222 | 3 it is D. the biggest clue is this
"Three weeks ago, a right adnexal mass was found on routine examination. Her
last menstrual period was 3 days ago" + "no nausea, vomiting..."
and lastly "a small amount of free fluid in the cul-de-sac"
Each of others are all likely but not with the statement clearly stated as a
whole. | f****i
发帖数: 129 | 4 Thanks. Coud ovary torsion have any free fluid in the cul-de-sac? | w***0
发帖数: 222 | 5 yes, even normal PE could have small fluid in the cul-de-sac. That's why
this is the least important clue in your Q.
【在 f****i 的大作中提到】
: Thanks. Coud ovary torsion have any free fluid in the cul-de-sac?
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