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Sudden right-sided pain and vomiting

19 yG0P0Gynaecology

Nineteen, a pain that woke her, vomiting twice, a negative pregnancy test, and an ultrasound with a mass.

  1. 02:10Step 1

    Emergency department

    Severe right iliac fossa pain from 00:30, colicky then constant, with vomiting. Pulse 104, blood pressure 118/70, afebrile. Right iliac fossa tenderness with guarding, no rebound. Urine hCG negative. Urinalysis clear.

    HR 104 · BP 118/70 · T 37.1

    What are the two diagnoses you must not miss tonight?