USMLE Forum Archives - USMLE Step 2 CK - tender adnexal mass
tender adnexal mass
bingousmle - 09-30-10 19:15
A 16-year-old girl presents with lower abdominal pain and fever. On
physical examination, a tender adnexal mass is felt. Further questioning in
private reveals the following: she has a new sexual partner; her periods are
irregular; she has a vaginal discharge. The most likely diagnosis is
a. Appendiceal abscess
b. Tuboovarian abscess
c. Ovarian cyst
d. Renal cyst
e. Ectopic pregnancy
bingousmle - 09-30-10 19:15
A 16-year-old girl presents with lower abdominal pain and fever. On
physical examination, a tender adnexal mass is felt. Further questioning in
private reveals the following: she has a new sexual partner; her periods are
irregular; she has a vaginal discharge. The most likely diagnosis is
a. Appendiceal abscess
b. Tuboovarian abscess
c. Ovarian cyst
d. Renal cyst
e. Ectopic pregnancy
The correct answer and explanation will be available after you answer.
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#3
Re: tender adnexal mass babbu5508 - 10-11-10 09:48 My answer is: e.
tender adnexal mass,lower abdominal pain and fever,irregular periods.... could be a TO mass or an ectopic.....
#31
Re: tender adnexal mass rahmath - 04-14-12 06:03 My answer is: b.
The patient in the case most likely is having acute salpingo-oophritis which can lead to pelvic inflamatory disease (PID) and this can lead to TOA
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