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Maya M Kumar, MD
Dr Kumar is an assistant professor of adolescent medicine, Division of Academic General Pediatrics, Adolescent Medicine, Child Development, and Community Health, Department of Pediatrics, University of California San Diego.
Right question resolves teen’s pain dilemma
A 16-year-old girl presents to an emergency department (ED) accompanied by her boyfriend to report a 24-hour history of right lower quadrant pain. The pain is associated with midline lower back pain and light vaginal bleeding (1 to 2 tampons per day). She has experienced some nausea but no vomiting.

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