You’re getting in that first sip of coffee at 7:05 a.m. as your colleague continues his sign-out. “Room 24 is a 38-year-old healthy female with right lower quadrant abdominal pain. Pelvic ultrasound was negative. Labs were normal: no leukocytosis, normal basic metabolic panel and liver function tests. Pregnancy test and urinalysis were negative; she had her tubes tied last year. She’s awaiting a CT to rule out appendicitis,” he says.
“Slam dunk,” you think. Follow up the CT, reassess the patient, and dispo accordingly. No problem!
An hour later, the CT returns: no appendicitis, no inflammatory changes. As you prepare the discharge, a quick skim of the radiology report reveals, “Long segment of thrombus in the right ovarian vein.”