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- Robert Bramante, Marek Radomski, Mathew Nelson, and Christopher Raio.
- North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York.
- West J Emerg Med. 2013 Sep 1;14(5):415-8.
AbstractLower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonography revealed acute appendicitis. The discussion focuses on the use of EP- performed transvaginal US in gynecologic and intra-abdominal pathology and discusses the use of a staged approach to evaluation using US and computed tomography, as indicated.
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