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Old 03-30-2012
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Medicolegal and Ethics Am not sexually active; do we still run pregnancy test?

In case of a young woman, within reproductive age with a LRQ pain, high suspicion of appendicitis... What if after we asked her if she is it or not sexually active she answers no??? Do we still run the beta-hCG or not??
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Old 03-30-2012
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Ask her LMP.. If its more Dan a month better to run b-hcg.. Prob is she is not sexually active ??
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Old 03-31-2012
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everybody lies.
u have to check
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Old 03-31-2012
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From what I know, it's standard operating procedure. Women in the reproductive age under suspicion of appendicitis need to have gynecologic clearance. Aside from the pregnancy test, you should even perform an internal pelvic exam to check for cervical motion tenderness, endometriosis, etc. However, I haven't read it explicitly stated in any step 1 or step 2 book. It's just what have been taught to me by surgeons and OB's... Hehehe!

DocSikorski's right... Back when I was working, I had a young, innocent-looking patient who told me she does not engage in sexual activity, had her LMP in the last month, had no missed menses, and has a regular menstrual cycle. When the pregnancy result came, it was positive! I thought I had a torsade right then and there. I was so surprised...
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Quote:
Originally Posted by DocSikorski View Post
everybody lies.
u have to check

Yeah... that's what I mean....
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Old 03-31-2012
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Quote:
Originally Posted by d_wiqed View Post
I had a young, innocent-looking patient who told me she does not engage in sexual activity, had her LMP in the last month, had no missed menses, and has a regular menstrual cycle. When the pregnancy result came, it was positive! I thought I had a torsade right then and there. I was so surprised...
Yeah... I was reading FA and saw that part of beta-hCG and appendicitis, and that's actually what I was thinking... what if the patient is lying??? Because... one never knows
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