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Mildly Tender Left Adnexa and Negative Pregnancy Test

8372 Views 3 Replies 4 Participants Last post by  marco, 
U
A healthy 24-year-old woman comes for a routine health maintenance examination. Menses occur at regular 28-day intervals and last 5 to 6 days. Her last menstrual period was 3 weeks ago. She takes no medications. Bimanual examination shows a 5-cm, mildly tender left adnexa. A pregnancy test is negative. Which of the following is the most appropriate next step in management?

A) Repeat examination in 2 weeks

B) Measurement of serum CA 125 level

C) Measurement of serum α-fetoprotein level

D) CT scan of the pelvis

E) Diagnostic laparoscopy
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M
hmm

If sonogram was in the options I would go for that to see of its complex or simple . Dont forget simple cysts more then 6 cm need evaluation .
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