R/O APPENDICITIS : Appendicitis pain usually starts around the umbilicus then in a 24-48hr window settles in the RLQ. You need an EXAM/LABS. Also ABDOMINAL/PELVIC US. THIS WILL ALSO VISUALIZE FIBROIDS. IF SX ACUTELY WORSEN SEEK ER EVALUATION. THE SHRINKING FIBROID PAIN USUALLY IS NOT AS SEVERE AND LESSENS WITH TIME. APPENDICITIS PAIN USUALLY WORSENS, NECESSITATING SURGERY.
Answered 3/8/2019
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