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Right lower quadrant abdominal pain in women: gynaecology or surgery? 

Right lower quadrant abdominal pain in women: gynaecology or surgery?
Chapter:
Right lower quadrant abdominal pain in women: gynaecology or surgery?
Author(s):

Olumayowa Adenugba

DOI:
10.1093/med/9780199654093.003.0018
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date: 25 February 2020

This chapter provides a discussion of the challenges facing the emergency physician when dealing with a female patient presenting with right sided abdominal pain. The chapter discusses the challenges associated with clinically differentiating between a surgical cause and a gynaecological cause. The Alvarado scoring system is discussed as an aid to risk stratify patients who may have acute appendicitis

It examines the evidence base for three key clinical questions:the clinical features which can help differentiate appendicitis from other pathology; the role of CRP and white cell count in ruling in or excluding appendicitis; and what imaging modality is the most accurate in the diagnostic work-up of women with right-sided abdominal pain. Particular attention is given to the diagnosis and work-up of appendicitis in the pregnant patient

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