The patient is physically active and does not have any known allergies. Her height and weight on admission were 70 kg and 178 cm high respectively. She currently presented to the emergency department on the 27th April 2009 with a history of sudden, acute right sided abdominal pain which was associated with nausea. The patient was thus admitted with a diagnosis of acute right sided abdominal pain and her code status was full.
History of presenting illness: According to the patient she was in her usual state of health until late this morning when she developed sudden right sided abdominal pain. The pain was colicky in nature and was associated with a feeling of nausea. It was localized in the right lower quadrant and there was no radiation. There were no particular aggravating factors. The pain was slightly reduced in supine position. The intensity of the pain increased gradually throughout the day and by the evening it became unbearable. Thus, the patient was rushed to the ER.
Menstrual History: The patient reported having regular menstrual cycles of 4/28 days with normal flow. She has no complains of dysmenorrhea or intermenstrual bleeding. Her last menstrual period (LMP) was on the 20th of December 2008 and currently she is 18 weeks pregnant with twins.
Sexual History: The patient lives with her steady boyfriend of 10 years. The couple report having regular, unprotected sexual intercourse. The frequency of intercourse is at least twice a week. ...