Adnexal torsion Quiz: Ace Your Exams
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A 38-year-old woman presents to the emergency department with three hours of severe left pelvic pain that came suddenly. The patient has never experienced this type of pain before. She describes it as intermittent with waves of worsening pain followed by a temporary decrease in the pain. Ibuprofen has not helped relieve the pain. She has no past medical history and does not take any medication. Temperature is 37.0 ºC (98.6 ºF), pulse is 102/min, respiratory rate is 20/min, and blood pressure is 150/96 mmHg. BMI is 36 kg/m2. On physical examination, the patient appears uncomfortable. The left lower quadrant is tender to palpation with guarding but without abdominal rigidity or rebound tenderness. Beta hCG is negative. Which of the following should be ordered next to help make the diagnosis?
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