88.A 23-year-old woman presents to the ED in moderate pain in her left
lower quadrant (LLQ). She states that the pain began suddenly and is asso-
ciated with nausea and vomiting. She had a bout of diarrhea yesterday. This
is the second time this month that she experienced pain in this location,
however, never with this severity. Her BP is 120/75 mm Hg, HR is 101 beats
per minute, temperature is 99.5°F, and RR is 18 breaths per minute. She has
a tender LLQ on abdominal examination and a tender adnexa on pelvic
examination. Which of the following is the most appropriate diagnostic test
for the patient?
a. CT scan
b. MRI
c. X-ray
d. Doppler ultrasound
e. Laparoscopy
Abdominal and Pelvic Pain 85