0071598626.pdf

122.A 23-year-old woman presents to the ED complaining of pain with uri- nation. She has no other complaints. Her symptoms start ...

Abdominal and Pelvic Pain Answers 74.The answer is d.(Rosen, pp 1288-1293.)There is a high suspicion that this patient has mesen ...

the patient can accurately locate the position of the impacted foreign body. (a, b, and c)These are all areas of food impaction. ...

As additional treatment, thiamine supplementation should be given as prophylaxis against Wernicke encephalopathy. In general, ex ...

80.The answer is d.(Rosen, pp 1176-1185.)The classic triadof a ruptured abdominal aortic aneurysm (AAA)ispain, hypotension,and a ...

The management is principally supportive,with correction of any fluid or electrolyte imbalances, paying special attention to blo ...

fever may develop. You should suspect appendicitis in any patient with RLQ pain. Approximately 90% of patients have a WBC > 1 ...

the pancreas by its digestive enzymes. There are many risk factors for pan- creatitis, the most common being gallstones and alco ...

take several hours to manifest. Perforation is usually secondary to intrinsic disease of the colon (eg, diverticulitis) or to vi ...

is used to detect an intrauterine pregnancy. If no intrauterine pregnancy is detected, the suspicion for an ectopic pregnancy in ...

the most common misdiagnosis for testicular torsion. Epididymitis is gener- ally a disease of adult men. The causative organism ...

96.The answer is a.(Rosen, pp 1263-1264.)Amebic abscessesare com- mon in countries with tropical and subtropical climates and ar ...

thick-walled, fluid-filled spherical structure without multiple echogenic structures casting shadows. (c)Ovarian cysts would not ...

is necessary because definitive treatment may require taking the patient to the OR to relieve the obstruction. An old surgical a ...

of severe RLQ pain, then the risks (eg, radiation exposure to the fetus) and benefits (eg, diagnosing appendicitis) of performin ...

105.The answer is b.(Tintinalli, pp 697-699.)Pelvic inflammatory disease(PID)comprises a spectrum of infections of the female up ...

In the above figure, we see valvulae conniventes,which are folds of the small bowel that cross the entire width of the bowel. (e ...

109.The answer is a.(Rosen, pp 11415-11422.)Anobstructing stone with an overlying infectionis an impending urologic emergency.Ba ...

it is termed irreducible or incarcerated. Incarcerated hernias are subject to inflammatory and edematous changes and are at risk ...

are the major symptoms. The illness is self-limited and rarely lasts for more than 24 hours. (d)Campylobacter is the most common ...