"Generalized Abdominal Pain" 
														 
													Initial thoughts? How do you want to proceed with the work-up? 
													 
													Of course you are going to order labs, but while you are waiting for the results, how about do an ultrasound? 
													 
													Transvaginal Ultrasound Images 
														 
													Uterus 
													 
													 
													Right Ovary 
													 
													 
													 
													Left Ovary 
													
													Labs are back... 
														 
														 
														Lab Results 
														
														UPT: Positive 
														
														Hb: 10.6 
														
														Lipase 63 
														
														U/A: 1.020/8.5/prot 30/neg LE/ neg nitrites 
														
														RBC 0-3/WBC 0-4/Epi 5-15 
														
														BHCG 865 
														 
														
														But the patient is still in significant pain...hmmmm...anything else to do? What's your next move?  
													 
													Click here for remainder of workup... 
													
													
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