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The SHARP Exam: A Standardized POCUS Approach to Undifferentiated Acute Right Lower Quadrant Abdominal Pain in Young
Michael Halperin1, Maia Winkel1,2, Ashley Aiken1,3
1Department of Emergency Medicine, Jacobi Medical Center and Albert Einstein College of Medicine, Bronx, NY, USA.
Abstract:
Acute right lower quadrant (RLQ) pain is a common presenting complaint in emergency departments among young women. The SHARP Exam is a novel point of care ultrasound (POCUS) protocol designed to aid in the evaluation of undifferentiated, acute, right-sided, lower abdominal pain in women of child-bearing age. The SHARP Exam is both an acronym ([S]ono [H]er [A]bdomen for [R]ight-sided [P]ain) and a diagnostic tool for emergency physicians to focus on specific pathology ([S]ize of ovary, [H]ydronephrosis, [A]ppendicitis, [R]ight upper quadrant free fluid, [P]regnancy). It is an easily reproducible, cost-effective, and non-invasive study that may expedite risk stratification, diagnosis, and treatment of several emergent conditions.
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