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{
    "pk": 7590,
    "title": "Appendicitis Diagnosed by Emergency Physician Transvaginal Ultrasound: Case Series",
    "subtitle": null,
    "abstract": "Lower abdominal pain in females of reproductive age continues to be a diagnostic dilemma for the emergency physician (EP). Point-of-care ultrasound (US) allows for rapid, accurate, and safe evaluation of abdominal and pelvic pain in both the pregnant and non-pregnant patient. We present 3 cases of females presenting with right lower quadrant and adnexal tenderness where transvaginal ultrasonography revealed acute appendicitis. The discussion focuses on the use of EP-performed transvaginal US in gynecologic and intra-abdominal pathology and discusses the use of a staged approach to evaluation using US and computed tomography, as indicated. [West J Emerg Med. 2013;14(5):415-418.]",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution-NonCommercial  4.0",
        "short_name": "CC BY-NC 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNonCommercial — You may not use the material for commercial purposes.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by-nc/4.0"
    },
    "keywords": [
        {
            "word": "point-of-care"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "ultrasound"
        },
        {
            "word": "appendicitis"
        },
        {
            "word": "Transvaginal"
        },
        {
            "word": "Medicine"
        },
        {
            "word": "Surgery"
        }
    ],
    "section": "Diagnostic Acumen",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8kr7d083",
    "frozenauthors": [
        {
            "first_name": "Robert",
            "middle_name": "M",
            "last_name": "Bramante",
            "name_suffix": "",
            "institution": "North Shore University Hospital, North Shore- LIJ Health System",
            "department": "None"
        },
        {
            "first_name": "Marek",
            "middle_name": "",
            "last_name": "Radomski",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Mathew",
            "middle_name": "",
            "last_name": "Nelson",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        },
        {
            "first_name": "Christopher",
            "middle_name": "",
            "last_name": "Raio",
            "name_suffix": "",
            "institution": "North Shore University Hospital, Department of Emergency Medicine, Manhasset, New York",
            "department": "None"
        }
    ],
    "date_submitted": "2012-10-28T20:42:44Z",
    "date_accepted": "2012-10-28T20:42:44Z",
    "date_published": "2013-09-15T07:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "pdf",
            "path": "https://journalpub.escholarship.org/westjem/article/7590/galley/4457/download/"
        }
    ]
}