[Answer] A 28 year old G2P2 female presents to the emergency department with 12 hours of worsening abdominal pain. The pain began and has remained in the right lower quadrant of her abdomen. She reports nausea nonbloody diarrhea and 3 episodes of nonbilious emesis during this time.Her youngest child is 2 years old.On physical examination:Temperature: 38.8C HR 115 RR: 20 BP 85/60 SaO2 100% on room airAbdomen: Soft tender in right lower quadrant with voluntary guarding. The remainder of her abdomen is nontender and not distendedWhich of the following elements from her history will be most useful in establishing the diagnosis? History of treated sexually transmitted infection Recent history of travel Symptoms of burning with urination Family history of inflammatory bowel disease Recently stopped oral contraceptive pills to attempt conception

Answer: Recently stopped oral contraceptive pills to attempt conception

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A 28 year old G2P2 female presents to the emergency department with 12 hours of worsening abdominal pain. The pain began and has remained in the right lower quadrant of her abdomen. She reports nausea nonbloody diarrhea and 3 episodes of nonbilious emesis during this time.Her youngest child is 2 years old.On physical examination:Temperature: 38.8C HR 115 RR: 20 BP 85/60 SaO2 100% on room airAbdomen: Soft tender in righ...

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