A 32-Year-Old Woman Comes to the Emergency Department with Sudden-Onset

question 38

Multiple Choice

A 32-year-old woman comes to the emergency department with sudden-onset left flank pain and nausea.  The pain radiates to the left groin and she is unable to find a comfortable position on the examination table.  The pain is intermittent and waxes and wanes in severity.  Temperature is 36.7 C (98 F) , blood pressure is 140/90 mm Hg, and pulse is 92/min.  She has mild tenderness to percussion over the left flank.  Bowel sounds are hypoactive.  Laboratory results are as follows: Which of the following is the most likely cause of this patient's current condition?

• A)Appendicitis
• B)Diverticulitis
• C)Glomerulonephritis
• D)Ovarian torsion
• E)Renal cell carcinoma
• F)Renal infarction
• G)Ureterolithiasis

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Definitions:

Perceptions

The process of organizing and interpreting sensory information to represent and understand the environment.

Thoughts

Thoughts are mental cognitions—ideas, opinions, and beliefs about oneself, others, or the surrounding world.

Reframing

The process of changing the context or perspective on a situation or problem to find a new and often more positive interpretation.

Flexibility

The willingness to adapt or change in response to different circumstances or new information.