Sudden-onset Suprapubic Abdominal Pain in Pediatrics — 12yo Child | Pediatric Emergency | SMLE Q#18466
SMLE Question #18466
Pediatrics
Pediatric Emergency
Objective: OBJ-OPH-REFERRAL-001
Last updated: February 2026
A 12-year-old boy presents to the emergency department with sudden-onset suprapubic abdominal pain for 2 hours that is progressively worsening. He has nausea but no vomiting or diarrhea. He denies urinary frequency or dysuria. Abdominal examination shows mild suprapubic tenderness without guarding or rebound, and there is no history of trauma. Which additional examination is most important to perform immediately to avoid missing a surgical emergency?
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