Case of the Month March 2014, page 2

Answer: given the history of nausea, vomiting with a distended abdomen, of the choices given bowel obstruction would most likely be at the top of the differential.

According to the ACR Appropriateness criteria, what is the best first study for a young woman presenting with simple abdominal pain (not this patient)?

a) abdominal radiograph
b) abdominal ultrasound
c) CT abdomen pelvis with and without contrast
d) CT abdomen pelvis with contrast

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