ED Pathway for Evaluation of Post-Pubertal Girls with Lower Abdominal Pain and No Vaginal Bleeding
Post-pubertal girls with
lower abdominal pain
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Unstable patient
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Resuscitation Room/
Immediately to
Treatment Room;
Initiate immediate
bedside care
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Attending / Fellow Precept
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Further diagnostic testing
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Diagnosis
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Possible Surgical Diagnoses
  • Appendicitis
  • Ovarian Torsion
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Possible Medical Diagnoses
  • Pyelonephritis
  • Gastroenteritis
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Posted: April 2006
Revised: September 2011
Authors:C. Mollen, MD, M. Goyal, MD, J. Lavelle, MD