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10 Cards in this Set

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Hx CC: 34 yo female with 48hr pain Rt 6/10 but also some pain 2110 on the left. With questioning this pain actually has been off and on for +1- 3days but this is the most severe. Feels nauseated. No diarrhea.
chandelier sign +
PID or tuboovarian abcess
CC: RLQ Pain
Hx CC: 28 yo female with 24hr pain Rt 8-9110 but also some pain 2110 on the left, diffuse. The pain came ABRUPT. Feels nauseated. No diarrhea.
Ht 5'6" Wt 200; VS stable; T 100
PE: Abd soft but tender RLQ. Guarding +. Rebound +. Lab: WBC 15,000 Bands 12
-ovarian torsion
-burst ovarian cyst
- ectopic?
HX CC : 29 yo female relates pain 6/10 in the Q. Pain is vague elsewhere and seems to be more on the side and radiates into the Q. Min nausea no emesis
Ht 5'4"; Wt 134; VS stable T 100.1
PE: RLQ pain, Costovertebral pain, abd soft, no rebound Lab: WBC 12,000 Bands 4
Kidney stones
Hx CC: 22 yo female with progressive pain over the last 2-3 days, diffuse 5/10 but also some pain 4/10 in the left upper quadrant. With questioning this pain actually has been new since release from the hospital after a MVA but this is the most severe .She felt for the first week after discharge she was making good progress, "now this" Ernesis 1-2 but definitely nauseated. No diarrhea. Felt feverish.


Ht 5'6" Wt 140; VS stable; T 102.1
PE: Abd tender but soft. Definate pain in the LUQ with guarding. Lab: WBC 15,000 Bands 14
Splenic rupture or splenic absess-
CC: RLQ Mn (some flank pain)
Hx CC: 9 yo black female with 48hr pain Rt 5110 but also some pain 2110 on the left. With questioning this pain actually has been off and on for +1- 2-3 years but this is the most severe. The patient had been seen in urgent care walk in clinic in the past. Patient crying and complains of severe pain. Emesis none definitely nauseated. No diarrhea.
Ht 4'6" Wt 100; VS stable; T 99
PE: Abd soft but tender Rt anterior flank including and to the right of umbilicus, no rebound but some tender Lt
Lab: WBC 15,000: Segs 90 Bands 10
sickle cell trait
CC: Abdominal Pain
Hx CC: 16 yo female sent from juvenile hall with 48hr pain diffuse pain 10/10. Rt 5/10 but also some pain 2/10 on the left with questioning. Emesis multiple. No diarrhea.
Ht 5'0" Wt 200; VS stable; T 99
PE: Abd soft but tender Rt anterior flank including and to the right of umbilicus, no rebound but some tender Lt. diffuse, reflex guarding, while doing the physical exam
Lab: WBC 15,000 Bands 10
likely has an ectopic pregnancy
CC: RLQ Pain
Hx CC: 6 yo female with 24- 48hr pain Rt 5110 pain. Patient has been seen previously on several occasions for a cough without any complaints of abdominal pain. This is a new presentation. Last seen about one week ago and x-ray atelectasis
Ht 3'3" Wt 50; VS stable; T 100.4

PE: Abd soft but tender Rt anterior flank including and to the right of umbilicus, no point tenderness at McBirneys point, no rebound but some tender Lt
Lab: WBC 25,000 Bands 14
RLL pneumonia
CC: Epigastric, RUQ, Diffuse Pain
Hx CC: 46 yo female with 48hr pain Rt 5110 but also some pain 2/10 on the left. With questioning this pain actually has been off and on for +/- 2 months but this is the most severe. Emesis 2-3 but definitely nauseated. No diarrhea.
Ht 5'6" Wt 240; VS stable; T 100

PE: Abd tender diffusely, primarily in the epigastrium. no rebound but some tender Lt
Lab: WBC 15,000 Bands 10 T Bili 1.6
test
Pancreatitis
doesn't want to move
perferated ulcer
writhing pain
kidney stone,