Q-A 13 years old girl she have severe pain below the umbilical cord last 2-3 days,she didn't ha

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At 13 years umbilical cord ?? There can be Cystitis, appendicitis, menarche, and intestinal pain Get urine examination, Usg abdomen,and xray abdomen. But before running to investigations give antispasmodic
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Please ask for CBC ESR RE URINE USG of whole ABDOMEN to ruled out APPENDICITIS, CYSTITIS, pocd,Renal stone
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Likely on set of menarche pain in hypogastrium D/d cystitis Appendicitis Ureteric calculus Adv usg and rest of relevent investigations
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May be acute appendicitis
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Appendicitis

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