In the emergency room, Dr. Clark is
evaluating an obese 16 year old girl who presents with two days of
right lower quadrant pain. Her history and physical are not diagnostic.
The
differential diagnosis includes ovarian pathology and acute appendicitis with
or without perforation. Dr. Clark wonders whether he should obtain
a CT to further evaluate this patient.
Solution:
Dr. Clark consults Unbound
Surgery on the Web to determine the indications
and contraindications for CT and laparoscopic exploration
in possible appendicitis...