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Our Imaging Case of the Month is presented as a part of the imaging department's residency teaching program. Each month a resident collaborates with one of our attending imaging physicians to present an interesting case to the Cedars-Sinai medical community. The case is used to teach both imaging and other residents at Cedars-Sinai. Below is the current Case of the Month:
Submitted by Garrett Dejesus, MD, and Thomas J. Learch, MD.
Mrs. J. H.
History of present illness:
68-year-old female presenting to the emergency room with severe lower abdominal pain, nausea and vomiting. The patient reports a remote history of abdominal surgery for vague abdominal, discomfort. The surgery found no cause for her pain. She now reports acutely worsened abdominal pain.
Ulcerative colitis (mother)
Vital signs within normal limits
Moderately distended abdomen, tender in mid abdomen and left lower quadrant
WBC and lactate within normal limits
What diagnostic imaging test should be considered at this point?
A) MRI abdomen/pelvis
B) Abdominal plain film
C) Ultrasound abdomen
D) No imaging required: conservative care indicated at this time
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