RLQ Pain
Age: years old
Gender:
HISTORY:
Presents with a - history of right lower quadrant pain
Onset was , started
Radiation to
Rated at / 10
Described as
Pattern
Episodes last for , recur times per
Worsening factors:
Alleviating factors: ,
Associated symptoms: *Try using right-click for negatives*
, episodes , ,
, episodes ,
, , , clots
, strong foul smell
, up to °, over
, , , fishy odor
Contributing factors:
no history of: , , , , , , ,
no use of: ,
EXAM:
General appearance: ,
Vital signs: , BP , HR , RR , SpO2 %, Temp °
Neck: , , , c-spine
Heart: , ,
Lungs: , ,
Abdomen: , , , , bowel sounds , ,
Anorectal: DRE , prostate , , , anus
Pelvic: external genitalia , vagina , cervix , uterus , adnexa ,
Genital: penis , testes and epididymis ,
ASSESSMENT:
DDx: appendicitis, gastroenteritis, urinary tract infection, pelvic inflammatory disease, ectopic pregnancy, ovarian cyst, Crohn's disease, diverticulitis, renal stones, pyelonephritis, inguinal hernia, mesenteric lymphadenitis, constipation, irritable bowel syndrome, endometriosis, fibroids, miscarriage, ovarian torsion, testicular torsion, colorectal cancer, intestinal obstruction, ischemic colitis, tubo-ovarian abscess, sigmoid volvulus, intestinal parasites
PLAN:
Investigations:
- Blood work: , , , , , , ,
- Urinalysis, urine culture
- Abdominal X-ray
- Abdominal ultrasound
- CT scan of abdomen and pelvis
- Pelvic ultrasound
- STI screening for chlamydia and gonorrhea
- Colonoscopy
Treatments:
-
-
-
-
Further care:
- Referral to gastroenterologist
- Referral to general surgeon
- Referral to gynecologist
- Follow-up in
- Return if pain worsens or if new symptoms develop such as fever, vomiting, or blood in stools
HISTORY: Associated symptoms: EXAM: ASSESSMENT: PLAN: