Differential of Acute Pelvic Pain

■ Appendicitis

■ Ruptured ovarian cyst (most common)

■ Ovarian torsion/abscess

■ Ectopic pregnancy (spells "A rope")

See Table 17-1.

You always want to immediately rule out life-threatening and emergent conditions:

■ Appendicitis

■ Ectopic pregnancy

■ Ovarian abscess

■ Ruptured ovarian cyst

Pain severe for the patient to seek emergent medical attention must be quickly worked up because of the various life-threatening etiologies.

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