A 28-year-old woman went to the ED with a stabbing pain in the lower right quadrant of her abdomen. The pain would become a dull ache, like a cramp, and then return suddenly, lasting for several minutes. She was experiencing nausea with the pain and had vomited once. She did not have rebound tenderness on examination. She also had hypertension and looked ill. She hadn’t done any unusual activities or changed her eating habits recently. Her only medication was a birth control pill.
Could it be acute appendicitis? Ovarian torsion? Ectopic pregnancy? Renal calculus?
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