The Rational Clinical Examination
David L. Simel, Drummond Rennie
Opiates and Abdominal Pain
Sumant R. Ranji, L. Elizabeth Goldman, David L. Simel, Kaveh G. Shojania
Sections:
Clinical Scenario, Why Is This Question Important?, Methods, Results, Scenario Resolution, The Bottom Line, References
Topics Discussed:
abdominal pain, narcotics, opiates, pain
Excerpt:
"A 28-year-old woman with no significant past medical history
presents to the emergency department with right-sided abdominal
pain, progressive over the past 3 days. She reports several episodes
of vomiting greenish fluid within the last 24 hours but had no vomiting
preceding the pain. She denies hematemesis, chills, dysuria, diarrhea,
or vaginal discharge. The patient's last menses ended 2
weeks prior without further menstrual cramping or vaginal bleeding...."
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