A 20-year-old sexually active woman presents with severe right-side abdominal pain that radiates to her back. She states that the pain came on sharply during intercourse about 15 minutes earlier, and she reports a small amount of vaginal bleeding. She states that her menstrual cycles have been irregular for the past 3 months. The most likely clinical diagnosis would be:

Question

Quizplus · Accepted Answer

The symptoms described, including severe pain that started during intercourse, a small amount of vaginal bleeding, and a history of irregular menstrual cycles, are most consistent with a ruptured ovarian cyst. Ruptured ovarian cysts can cause sudden, severe pain and bleeding. The location of the pain and its acute onset further support this diagnosis over the others listed.

A 20-Year-Old Sexually Active Woman Presents with Severe Right-Side Abdominal