A 29-year-old white woman presents to your clinic with a 2- to 3-week history of left lower quadrant abdominal pain. She states that the pain was intermittent, but has now progressed to constant in nature. She denies experiencing any nausea, vomiting, diarrhea, fever, or chills.The pain does not radiate. She is not sexually active and is currently menstruating. These pains do not remind her of her menstrual cramps. She states that she has bowel movements one to two times per week and that her stools are hard and often difficult to pass. On past medical history she states that she had an appendectomy at age 12. Physical examination is significant only for fullness in the left lower quadrant with some tenderness to palpation.There is no rebound or peritoneal signs. Your next step is:
A. CT of abdomen and pelvis
B. KUB radiography
C. Barium enema
D. Abdominal and pelvic ultrasonography
E. Increase water and fiber intake along with daily exercise
A. CT of abdomen and pelvis
B. KUB radiography
C. Barium enema
D. Abdominal and pelvic ultrasonography
E. Increase water and fiber intake along with daily exercise
