Emergency department evaluation of abdominal pain in adolescent females
Journal of Pediatric and Adolescent Gynecology May 28, 2021
Lawrence AE, Ervin E, Sebastião YV, et al. - Via performing a retrospective review of girls between 12 and 21 years of age presenting to the emergency department or urgent care centers at a single pediatric institution with the chief complaint of abdominal pain during 2016, researchers sought to determine the frequency of evaluation of gynecologic causes of abdominal pain in these girls. They identified 1,082 girls presenting with a chief complaint of abdominal pain. As per observations, there are deficiencies in the evaluation of gynecologic sources of abdominal pain in girls treated at pediatric facilities and evidence was there of potential racial disparities. Multivariable modeling revealed significantly higher likelihood of Black patients vs white patients to have STI testing performed and undergo a pelvic exam, and less likelihood to undergo imaging. Inclusion of gynecologic etiologies is recommended in the assessment of abdominal pain in adolescent girls.
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