Approach to periumbilical and lower abdominal pain Quiz: Ace Your Exams
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A 24-year-old woman presents to the emergency department with sudden-onset, sharp right lower quadrant abdominal pain that began approximately 3 hours ago, shortly after lifting weights at the gym. Her last menstrual period was 4 weeks ago. She has no dysuria, hematuria, urinary frequency, or urgency. Her vital signs are within normal limits. The patient appears comfortable. On abdominal examination, the abdomen is soft and nondistended with moderate tenderness in the right lower quadrant, without rebound or guarding. There is no costovertebral angle or suprapubic tenderness. Laboratory evaluation, including CBC, CRP, and urinalysis are within normal limits, and a urine pregnancy test is negative. Which of the following is the most appropriate next step in the evaluation?
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