Browse categories and answer follow-up questions to refine your symptom profile.
Time critical priorities
High risk states
Hemodynamic instability
Immediate resuscitation bay escalation
Uncontrolled pain
Early parenteral analgesia pathway
Peritonitis
Immediate gynecology and surgery notification
Initial stabilization
Airway and breathing threats
If vomiting or altered mental status, aspiration risk mitigation
Circulation threats
If hypotension, isotonic crystalloid bolus 10-20 ml/kg
If ongoing shock, vasopressor pathway and urgent source clarification
Time dependent decision point
Suspected ovarian torsion
Diagnostic laparoscopy time priority over complete ED workup
Imaging not used to delay operative management when clinical suspicion high
Monitoring and access
Monitoring bundle
Continuous pulse oximetry
If saturation decline, respiratory evaluation and opioid adjustment
Cardiac monitoring
If tachyarrhythmia, pain and volume status reassessment
Noninvasive blood pressure cycling
If shock concern, q5 minute interval
Vascular access
Peripheral IV x2
Large bore preferred
If poor access, ultrasound guided peripheral IV
If persistent failure, intraosseous per local protocol
Consult triggers
Specialty activation
Gynecology immediate notification
Persistent unilateral pelvic pain with adnexal tenderness or mass
Pregnancy with acute pelvic pain and adnexal mass
Anesthesia early notification
Anticipated urgent laparoscopy
Surgery consultation
Peritonitis or unclear abdomen with ischemic concern
Transfer triggers
No operative gynecology capability
Transfer for urgent laparoscopy without delay for definitive imaging
SymptomDx is an educational tool for medical professionals. It does not replace clinical judgment. Verify all clinical data and drug dosages with authoritative sources.