Thursday, November 14, 2013

Question 25

25.  Your patient is a 25 year old female that presents with sudden onset of left lower pelvic pain and nausea and vomiting.  This started 90 minutes prior to arrival.  Pelvic ultrasound demonstrates decreased doppler flow to the left ovary.  Which of the following is the best management plan?

A.  Consult OB for the patient to go to OR for laparoscopy
B. Discharge home on analgesics
C.  Refer to OB as an outpatient
D. Order CT scan of the Pelvis with IV contrast looking for pelvic mass

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