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RLQ pain

  • Common ddx

    • UTI, PID, IBD
  • Serious ddx

    • appendicitis, ectopic pregnancy, ovarian torsion, bowel obstruction, colon cancer
  • Labs

    • UA
    • surgery if certain it's appendicitis
    • CT if suspect appendicitis (ultrasound if pregnant)
    • hCG and ultrasound if suspect ectopic pregnancy
  • Other ddx

    • ureter stone, trauma, hernia
  • ROS

    • quality, quantity, alleviation, aggravation
    • nausea, vomiting, diarrhea, constipation, anorexia
    • fever, wt loss
    • trauma
    • dysuria, hematuria, urethral discharge
    • LMP, new sexual partners, vaginal discharge
  • PX

    • inspection: guarding, distention
    • bowel souunds
    • palpation: tenderness, rebound, mass, hernia
    • psoas sign, Rovsing sign
    • pelvic exam if suspect PID

  • Print | Citations

    Disclaimer: MDHero Workups is for educational use only, and is not meant to replace the clinical judgement of a professional. We do not guarantee the accuracy of any information on this website.