Vomiting in Medicine / Internal Medicine — Case | Gastroenterology | SMLE Q#881
SMLE Question #881
Medicine / Internal Medicine
Gastroenterology
Last updated: February 2026
A 27-year-old sexually active woman has 2 days of worsening lower abdominal pain with vomiting and constipation. Her last menstrual period was 6 weeks ago, and she has had unprotected intercourse without contraception. A CT abdomen was obtained before pregnancy status was known and reportedly showed no acute surgical findings. She is haemodynamically stable with mild lower abdominal tenderness without guarding or rebound. Which additional investigation is most important to perform now before further imaging or treatment?
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